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EQA

National Musculoskeletal Pathology (NMSP) EQA Scheme Circulation A21






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Radiological Images for Bone Cases - Circulation A21  pdf document symbol

Circulation A21 - Bone case 1

Female 16 years

Curettage specimen. Intramedullary cystic tumour in the left superior pubic ramus (63x34x27mm) See MRI.





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Circulation A21 - Bone case 2

Female 29 years

Curettage specimen. Intramedullary tumour in the right proximal tibia (80x30mm) showing ground glass density and mild bone expansion with ABC-like change See MRI.





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Circulation A21 - Bone case 3

Female 48 years

Intramedullary epiphyseal tumour (70x70x65mm) in the left distal femur See macro photo.





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Circulation A21 - Bone case 4

Male 20 years

Intramedullary tumour (70x50mm) in the left distal femur See macro photo.





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Circulation A21 - Bone case 5

Male 20 years

Curettage specimen. Intramedullary epiphyseal tumoru in the left medial femoral condyle (15x10mm) See MRI.





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Circulation A21 - Bone case 6

Female 63 years

Curettage specimen. Intramedullary lytic lesion in the right 4th finger. Middle phalanx (10x7x14mm) see x-rays and MRI.





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Circulation A21 - Bone case 7

Female 73 years

Ollier's disease. Intramedullary tumour in the right distal femur (80x70x60mm) See macro photo.





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Circulation A21 - Bone case 8

Female 56 years

Intramedullary tumour in the left proximal humerus (70x55mm) See macro photo.





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Circulation A21 - Bone case 9

Female 24 years

Bone exostosis, right proximal femur See macro photo.





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Circulation A21 - Bone case 10

Male 14 years

Intramedullary tumour in the right tibia See macro photo. Epithelial nests positive for CK-MNF116.





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Circulation A21 - Soft tissue case 1

Female 83 years

Amputation for large lesion on lower leg.


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Circulation A21 - Soft tissue case 2

Male 31 years

Lump left toe - nature ?


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Circulation A21 - Soft tissue case 3

Male 28 years

Left forequarter amputation for Ewing sarcoma 19 years ago. Now lump in left brachial plexus adjacent to scar, very tender.


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Circulation A21 - Soft tissue case 4

Male 79 years

?Schwannoma saphenous nerve left ankle-confirm diagnosis.

IHC Staining details: SMA & h-Caldemon positive, desmin amd S100 negative.


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Circulation A21 - Soft tissue case 5

Male 55 years

Bursa left hip wheelchair-related. Don't think tumour.


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Circulation A21 - Soft tissue case 6

Female 62 years

Painful diffuse soft tissue swelling dorsolateral aspect left foot. Brownish fatty tissue excised. US lipoma, but specimen does not look like lipoma.

IHC staining details: Pigment Perl's positive. CD34 positive. All other stains negative.


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Circulation A21 - Soft tissue case 7

Female 51 years

Liver segment VIII tumour previous resection 12 years ago ?for what. IHC details: CD31 positive & CD34 negative.


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Circulation A21 - Soft tissue case 8

Female 21 years

Lump right foot excision superficial lump right foot.

IHC staining details: glandular and spindle cell areas positive for AE1/3. Also positive for CD99 and BCL2. Negative for S100, desmin & SMA. Cytogenetics showed SS18 gene rearrangement.


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Circulation A21 - Soft tissue case 9

Male 62 years

?Angiolipoma. Lump right supraclavicular region MRI/USS?Cyst or lipoma.

IHC staining details: Positive for CD34.


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Circulation A21 - Soft tissue case 10

Female 49 years

Subcutaneous lesion, left gluteal region ?ca 4 cm.

IHC staining details: Large cells positive for S100, CD163 & CD68.


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