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EQA

Liver EQA circulation K1





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K1 Histories, photomicrographs, scoring and comments pdf document symbol  Circulation K1 responses excel document symbol

Case number 446

Male 50 years

Haemochromatosis, raised ferritin. Assess fibrosis ? Cirrhosis. 1 core 17mm long.




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H&E


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Reticulin


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Perls


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Sirius red


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Case number 447

Male 53 years

Acute jaundice. Deranged LFT's ? Autoimmune hepatitis. 3 liver cores largest 21mm.

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Case number 448

Female 44 years

Hepatic cyst and gallbladder; obstructive jaundice. Collapsed cystic structure 8.3 x 7.8 x 4.7cm and weighing 93g. Dark brown smooth surface with focal roughened, haemorrhagic and pale areas.

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Case number 449

Male 73 years

Cirrhotic liver ? Hepatoma segment 8. segment 8 lesion. Liver 15.5g 4.2x4x3cm slicing reveals a cream tumour measuring 2.6 x 2.7 x 2.5cm. The background liver appears cirrhotic.




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Reticulin


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Case number 450

Male 72 years

Acute severe jaundice mixed picture ?AIH. Two cores the longer 27mm.

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Case number 451

Male 42 years

Hep B +ve, viral load x1.7 x108 weakly +ve ANA, ALT increasing ?Fibrosis. Fatty liver on US. One core 15mm.




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Shikata


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Sirius red


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Reticulin


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Case number 452

Female 71 years

Deranged LFT's. Nodular liver. Coeliac disease. ?Cirrhotic liver ?autoimmune hepatitis. One core 17mm long.




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CK8/18


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Sirius red


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Reticulin


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Case number 453

Female 27 years

? Biliary adenoma. Small cream colour nodule measuring 8 x 6 x 10mm.

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Case number 454

Female 30 years

Ruptured adenoma x 2. Irregular piece of liver 9 x 5.5 x 3 cm and weighing 66g. It appears unusually soft. The cut surface appears spongy.

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Case number 455

Male 49 years

Abnormal liver function tests. Three cores of liver tissue largest 19mm.




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Reticulin


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Masson Trichrome (MST)


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Case number 456

Female 47 years

Unwell jaundice 1 week. High LFT's ?acute hepatic failure. 3 cores - max 10mm.

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Case number 457

Male 36 years

Budd-Chiari syndrome. Factor V Leiden deficiency (heterozygous positive on results server). Had hepatic vein stent insertion today. Trans-jugular biopsy taken at same time. 4 cores plus fragments measuring 9mm in greatest length.




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Sirius red


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Reticulin


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