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EQA

18th PP EQA circulation






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PP18 161

Female 55 years

Progressive shortness of breath. High resolution CT scan showed basal opacification with intervening ground glass opacities. No honeycomb change but some traction bronchiectasis.



Specimen: VATS biopsy


176730


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PP18 162

Female 70 years

Left upper lobectomy for incidental finding of tumour on CXR. DPAS positive (focal). TTF-1 positive. P63 negative.



Specimen: Lobectomy


176733


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PP18 163

Male 81 years

Dyspnoea, weight loss. Left lower lobectomy for tumour.



Specimen: Lobectomy


176736


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PP18 164

Female 80 years

CXR revealed mass left lower lobe. DPAS negative. Immuno showed positive staining for p63. Negative staining for TTF-1.



Specimen: Lobectomy


176738


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PP18 165

Male 70 years

Right lower lobe mass hot on PET scan. Frozen section inconclusive. On immunochemistry the larger cells are positive for CD20 and also show weak focal staining with CD79a. They are negative for cytokeratins (CAM5.2 and MNF-116), ALK-1, CD30, CD15 and CD56. CD43 shows diffuse strong positivity. EBV in-situ hybridisation shows nuclear positivity in many small and large lymphoid cells (up to 30%).



Specimen: Lower lobectomy


176740


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PP18 166

Female 67 years

Known metastatic papillary carcinoma of thyroid and rhuematoid arthritis. Further mass identified in right lower lobe. ANCA, ZN, grocott and DPAS negative.



Specimen: Wedge biopsy


176748


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PP18 167

Male 53 years

Crohn's disease. Shortness of breath diffuse parenchymal changes on CT. Currently being treated with steroids and infliximab.



Specimen: VATS biopsy


176751


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PP18 168

Female 40 years

Previous resection of synovial sarcoma. Mass right lower lobe of lung. Immunocytochemistry shows negative staining for cytokeratins, S100, SMA and desmin. There is strong positive staining for BCL2, and weak focal positive staining for EMA. Original tumour was of biphasic type.



Specimen: Lobectomy


176755


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PP18 169

Female 65 years

Interstitial changes on CT. Smoker. No weight loss.



Specimen: VATS biopsy


176760


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PP18 170

Female 74 years

Previous resection for colorectal carcinoma, 6 months previously, now nodule discovered right upper lobe. TTF-1 positive, CK 20 negative.



Specimen: VATS biopsy


176767


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