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EQA

Liver EQA circulation P






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EQA Meeting Discussion for circulation P  pdf document symbol

Case number 194

Male age unknown

High alcohol intake. Abnormal liver function tests : bilirubin 37, aspartate transaminase 53, alkaline phosphatase 111, Ferritin 890. ?Alcoholic liver disease ?Haemochromatosis.





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Case number 195

Female 34 years

Previous (15 months earlier) distal pancreatectomy and splenectomy for 8.5cm pancreatic neuroendocrine tumour.

Macroscopic description: Explant liver; multiple tumour nodules, red-brown, 0.5-4.5cm throughout liver parenchyma.





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Case number 196

Female 50 years

Jaundice for 4 weeks, abnormal liver function tests - alanine transaminase 424 (maximum 1000), bilirubin 389, C reactive protein = 6, Serum Ferritin 1633 (normal 10-420). Hepatitis virus serology negative. Elevated IgG but autoantibodies negative. No known drugs.





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Case number 197

Male 28 years

Dry cough, lymphadenopathy fevers. Previous negative bronchial biopsy.





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Case number 198

Female 76 years

Slightly raised white lesion identified in the liver during partial gastrectomy for a proven (c-kit positive) gastrointestinal stromal tumour (GIST). Clinical diagnosis: ?metastatic GIST.





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Case number 199

Female 43 years

No clinical information received of presenting symptoms. Segmental resection of lesion segment 5 of liver. Also cholecystectomy done gall bladder showed patchy mild chronic inflammation.

Macroscopic description: local resection of segment 5 lesion: nodular central area 2.5x2x0.6cm. Central pale area ?scarred and yellow colour of remaining nodular area.





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Case number 200

Male 79 years

Presented to urologists with vague urinary symptoms. Ultrasound of liver showed multiple deposits believed to be metastatic. Referred to general surgeons. Ultrasound guided liver biopsy.





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Case number 201

Sex unknown age unknown

Jaundice, not dilated ducts ? cause. Further history: rheumatoid on methotrexate, recent infection treated by flucloxacillin - stopped it 2 weeks before biopsy. Viral serology and autoantibodies negative.





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Case number 202

Female age unknown

Neonatal liver failure. Hepatosplenomegaly. Galactosaemia subsequently suggested by a biochemical screening test.





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Case number 203

Female 63 years

Cryptogenic cirrhosis. Abdominal ultrasound scan showed hypoechoic lesion and arterial phase peripheral rim with MFRI-Gadolinium.

Macroscopic description: 23mm diameter bile stained nodule in the right lobe. A 6mm diameter nodule (LMRN) elsewhere (not submitted).





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Case number 204

Male 65 years

Liver bed resection. Wedge resection of Liver - a tan/yellow nodule measuring 9x7x7mm





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Case number 205

Female 64 years

Coeliac disease. Raised alanine transaminase, positive antinuclear antibody (ANA) , positive smooth muscle antibody (SMA) , raised IgG - ? Autoimmune hepatitis.





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