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EQA

Liver EQA circulation N






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EQA Meeting Discussion for circulation N  pdf document symbol

Case number 171

Female 35 years

Abnormal liver function tests.

Specimen: Three cores of liver tissue





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Case number 172

Male 65 years



Liver biopsy performed at the time of colectomy (for colorectal carcinoma).





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Case number 173

Sex unknown 30 years

Hepatitis C carrier for 5 years.





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Case number 174

Male 52 years

? Lymphoma.

Liver biopsy





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Case number 175

Female 45 years

History of acute hepatitis. Negative for Hepatitis A, B, and C, on viral screen. Positive antinuclear antibody (ANA) titre 1/6000. On Vioxx (Cox2 inhibitor).





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Case number 176

Female 44 years

Transaminitis, alanine transaminase >650, alkaline phosphatase 188, positive smooth muscle antibody. ? autoimmune hepatitis. Further details: history of hypothyroidism - on thyroxine replacement therapy. Rheumatoid factor +ve, Epstein Barr virus (EBV) +ve (Report: evidence of recurrent Epstein Barr virus (EBV) infection). History of blood transfusion 4 years ago during surgery. Recent history of treatment with amoxycillin and ciprofloxacin for ? urinary tract infection





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Case number 177

Female 50 years

Cholestatic jaundice on atorvastatin . Also nephrotic





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Case number 178

Male 61 years

Known Ulcerative colitis for 2 years Recent episode of jaundice





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Case number 179

Female 48 years

F 48. Large tumour in liver.

Immunohistochemistry:
HMB45 positive.





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Case number 180

Female 56 years

Generally unwell. Abnormal liver function tests. Raised alkaline phosphatase , gamma glutamyl transferase . Anti mitochondrial antibody positive 1:160. Antinuclear +ve 1:1640 Anti smooth muscle negative





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Case number 181

Male 62 years

Recently diagnosed with recto-sigmoid carcinoma. Nodules seen on surface of liver at operation.

Specimen: Wedge biopsy of liver, 13mm diameter. Multiple dark nodules on surface - cystic appearance, ? metastsases





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