This website uses cookies to allow us to see how the site is used. The cookies cannot identify you. If you continue to use this site we will assume that you are happy with this.
If you would like to know more, you can view our privacy statement here.

Close
EQA

Liver EQA circulation U






How to adjust washed-out/too bright images in ImageScope (Use the back button to return here)

EQA Meeting Discussion for circulation U  pdf document symbol

Case number 254

Female 47 years

Hepatitis C infection. Genotype 1 prior biopsy in 1998 Ishak 2 fibrosis. ?Progression alanine transaminase 1.5 x normal No IV drug history. No treatment





H&E


Open Slide with:
Website | ImageScope

Case number 255

Male 36 years

Previous history of testicular teratoma 5 years earlier; (no record of any chemotherapy) ?adenoma, ?metastatic teratoma

Specimen: Tumour left lobe of liver

Macroscopic description: An oblong white coloured mass measuring 180 x 90 x 60 mm. Outer surface and cut surface appears nodular with soft white and partly cystic cut surface.





H&E


Open Slide with:
Website | ImageScope

Case number 256

Female 57 years

Weight loss and jaundice. Positive smooth muscle antibody (SMA) , ?autoimmune hepatitis. Bilirubin 20, alkaline phosphatase 199 aspartate transaminase 24, Glob 32, smooth muscle antibody (SMA) +

Specimen:

Liver biopsy

Macroscopic description: Two cores measuring 12 mm each





H&E


Open Slide with:
Website | ImageScope

Case number 257

Male 57 years

Hepatitis C positive, ?for viral therapy. Reticulin stain shows portal expansion with fibrous septa, without linkage

Specimen:

Liver biopsy

Macroscopic description: Two cores 14 and 12 mms





H&E


Open Slide with:
Website | ImageScope

Case number 258

Female 42 years

Transjugular liver biopsy - liver biopsy, ?aetiology





H&E


Open Slide with:
Website | ImageScope

Case number 259

Female 39 years

Anti-mitochondrial antibody strongly positive

Specimen:

Liver biopsy

Macroscopic description: 15 mm core





H&E


Open Slide with:
Website | ImageScope

Case number 260

Female 50 years

?primary biliary cirrhosis. Antimitochondrial antibody (AMA) positive (>1.640) M2 positive, bilirubin 7, alkaline phosphatase 106, WVG - mild fibrous expansion of some portal areas only.

Specimen:

Liver biopsy

Macroscopic description: Two cores of liver





H&E


Open Slide with:
Website | ImageScope

Case number 261

Male 53 years

Abnormal liver function tests

Specimen:

Liver biopsy

Macroscopic description: Core of tissue measuring 8 mm in length (perivenular and pericellular fibrosis)





H&E


Open Slide with:
Website | ImageScope

Case number 262

Male 51 years

Gilbert's syndrome and sarcoidosis on steroids, abnormal liver function tests - Special stains: Perls shows increased iron in hepatocytes

Specimen: Liver needle biopsy

Macroscopic description: Core of brownish tissue 15 x 2 mm.





H&E


Open Slide with:
Website | ImageScope

Case number 263

Male 50 years

?Methotrexate fibrosis. Increasing procollagen 3.

Specimen:

Core biopsy

Macroscopic description: One core 34 mm long





H&E


Open Slide with:
Website | ImageScope

Case number 264

Male 57 years

Liver resection for metastatic colorectal cancer following oxaliplatin and 5FU chemotherapy. Tumours in segments 5 and 8, plus segments 2 and 3, as separate wedge resections

Specimen: Right hemihepatectomy

Macroscopic description: Segments 5-8, 740 gms, 17 x 16 x 7 cm. Contains 3 tumours 4.5 cms, 5.5 cms and 0.5 cms (2 x H & E slides)





H&E


Open Slide with:
Website | ImageScope

H&E


Open Slide with:
Website | ImageScope

Case number 265

Male 8 years

Investigated for weight loss and abnormal liver function tests . Imaging showed mass at porta hepatis.

Specimen: Liver - left trisectionectomy

Macroscopic description: 20 x 13 x 6 cm, 540 gms. 2.5 cm diameter white mass at porta hepatis, obstructing portal vein which is thrombosed





H&E


Open Slide with:
Website | ImageScope