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EQA

Liver EQA circulation V






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EQA Meeting Discussion for circulation V  pdf document symbol

Case number 266

Male 48 years

Abnormal liver function tests, ?cause. Diabetic, obese, hypertensive. Hepatitis serology negative. Autoimmune profile negative, raised ferritin

Specimen:

Liver biopsy

Macroscopic description: Two fine cores of liver





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Case number 267

Male 72 years

Weight loss, abnormal liver function tests, CT - large tumour in liver, alphafeto protein ?20,000, ?hepatocellular carcinoma. ICC carried out - negative CK7 and CK20, CD10 & CD 13 showed ?small occasional canaliculi among tumour cells, alphafeto protein equivocal

Specimen:

Core biopsy of liver

Macroscopic description: Four cores of liver tissue - fragmented in processing





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Case number 268

Female 54 years

HCV antibody positive. Normal LFT, heterogenous liver.

Specimen:

Liver biopsy

Macroscopic description: Tan core measuring 43 mm in length, x 1 mm wide





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Case number 269

Female 50 years

Cholestatic liver function tests. Abundant copper associated protein deposition on Orcein stain

Specimen: Needle core biopsy

Macroscopic description: Core of pale tan tissue measuring 17 mm in length





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Case number 270

Female 62 years

Jaundice, ?cause. US normal, ?AI, bil 264, alkaline phosphatase 307, alanine transaminase 494, HBV, HCV neg, neg autoimmune profile, Reticulin collapse, elastin - not increased. DPAS ceroid++. No increase in CAP.

Specimen:

Liver biopsy

Macroscopic description: Two cores of mottled green tissue 10 and 20mm





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Case number 271

Male 58 years

Incidental finding of liver nodule at time of abdominal aortic aneurysm repair

Specimen: Wedge biopsy.

Macroscopic description: Firm nodule 6 x 5 x 3 mm





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Case number 272

Female 50 years

Ultrasound detected abnormal area on liver, localised abnormality, ?adenoma

Specimen: Liver resection segments 2 & 3

Macroscopic description: Segment of liver 15 x 7 x 10 cms. Capsular surface appeared irregularly indrawn. Cut surface showed a multinodular lesion with diam 3 cms and central haemorrhage (recent core biopsy had been done)





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Case number 273

Female 55 years

For transjugular biopsy, Acute renal failure, cirrhotic liver, liver failure.

Specimen: Liver Biopsy

Macroscopic description: One core of tissue, 1.6 cms in size & separate fragments.





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Case number 274

Male 62 years

Jaundice, ?cause. Allograft for lymphoma in September 2005. After cyclosporin withdrawn, Jaundiced. ?G-v-HD

Specimen:

Liver biopsy

Macroscopic description: Two cores of tan tissue, 10 and 12 mm in length.





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Case number 275

Female 64 years

Lady of Indian origin with diabetes and HCV infection. Presented with pyrexia and signs of peritonitis. CT suggested cirrhosis and liver abscess. At laparotomy abscess confirmed and drained.

Specimen: Contents of liver abscess

Macroscopic description: Multiple pieces of grey friable tissue





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Case number 276

Male 66 years

Request form details - ?drug related hepatitis. Further information - autoimmune profile negative. Hepatitis A, B & C negative. Metabolic screen negative.

Macroscopic description: Three liver cores





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Case number 277

Male 34 years

Epigastric pain and jaundice. Deranged clotting, plugged liver biopsy

Specimen:

Liver biopsy

Macroscopic description: 20 mm core





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