Difference between revisions of "Long power list"
(→Colon/rectum: more) |
(→Gastrointestinal pathology: +esophagus) |
||
Line 195: | Line 195: | ||
==Gastrointestinal pathology== | ==Gastrointestinal pathology== | ||
===Gastrointestinal polyp=== | ===Gastrointestinal polyp=== | ||
Benign: | Benign: | ||
Line 236: | Line 209: | ||
Uncommon - pre-malignant: | Uncommon - pre-malignant: | ||
*[[Traditional serrated adenoma]]. | *[[Traditional serrated adenoma]]. | ||
===Esophagus=== | |||
Benign: | |||
*[[Gastroesophageal reflux disease]]. | |||
*[[Eosinophilic esophagitis]]. | |||
*[[Barrett esophagus]]. | |||
Benign - uncommon: | |||
*[[Herpes esophagitis]]. | |||
Malignant: | |||
*Squamous cell carcinoma. | |||
*Adenocarcinoma. | |||
===Stomach=== | ===Stomach=== | ||
Line 301: | Line 287: | ||
*[[Colorectal adenocarcinoma]]. | *[[Colorectal adenocarcinoma]]. | ||
*Mucinous carcinoma. | *Mucinous carcinoma. | ||
====Appendix==== | |||
Benign: | |||
*[[Appendicitis]]. | |||
*[[Periappendicitis]]. | |||
*[[Crohn's disease]]. | |||
*Normal. | |||
Benign - uncommon: | |||
*[[Enterobius vermicularis]] | |||
Neoplasm: | |||
*[[Neuroendocrine tumour]]. | |||
*Low-grade appendiceal mucinous neoplasm (LAMN). | |||
Malignant: | |||
*Mucinous adenocarcinoma. | |||
===Liver=== | ===Liver=== | ||
Line 315: | Line 318: | ||
Uncommon benign: | Uncommon benign: | ||
*[[Autoimmune hepatitis]]. | *[[Autoimmune hepatitis]]. | ||
*[[Primary sclerosing cholangitis]], | *[[Primary sclerosing cholangitis]], especially in the context of [[UC]]. | ||
*[[Primary biliary cirrhosis]]. | *[[Primary biliary cirrhosis]]. | ||
*[[Wilson's disease]]. | *[[Wilson's disease]]. | ||
Line 323: | Line 326: | ||
Uncommon malignant: | Uncommon malignant: | ||
*[[Cholangiocarcinoma]]. | *[[Cholangiocarcinoma]]. | ||
===Gallbladder=== | |||
Benign: | |||
*[[Cholelithiasis]]. | |||
*[[Cholesterolosis]]. | |||
*[[Acute cholecystitis]]. | |||
*[[Chronic cholecystitis]]. | |||
Uncommon - pre-malignant: | |||
*Intestinal metaplasia. | |||
Uncommon - malignant: | |||
*Adenocarcinoma. | |||
==Genitourinary pathology== | ==Genitourinary pathology== |
Revision as of 04:19, 10 February 2012
The long power list is a collection of diagnoses based on site and pathologic characteristics. It builds on the short power list.
Site
Bone & cartilage
General
Benign - bone:
Benign - bone tumours:
Benign - cartilage:
Malignant - bone:
- Metastatic carcinoma.
- Plasma cell neoplasm.
- Osteosarcoma.
- Ewing sarcoma.
- Giant cell tumour of bone.
Malignant - cartilage:
Unusual genetic conditions:
Femoral head
Benign:
Uncommon - benign (fracture):
- Trauma.
- Osteoporosis.
Uncommon - benign pediatric:
- Slipped femoral capital epiphysis (SFCE).
- Legg–Calvé–Perthes syndrome.
Uncommon - malignant (fracture):
Breast pathology
Benign - common:
- Normal.
- Fibrocystic change.
- Apocrine metaplasia.
- Columnar cell change.
- Fibroadenoma.
- Phyllodes tumour.
- Intraductal papilloma.
- Florid epithelial hyperplasia.
- Sclerosing adenosis.
Benign - uncommon:
- Flat epithelial atypia.
- Complex sclerosing lesion.
- Breast abscess.
- Breast with fat necrosis.
- Microglandular adenosis.
- Collagenous spherulosis.
- Lactational change.
- Diabetic mastopathy.
Non-invasive:
Invasive - epithelial:
- Invasive ductal carcinoma of the breast.
- Invasive lobular carcinoma.
- Papillary carcinoma of the breast.
- Invasive micropapillary carcinoma of the breast.
- Invasive cribriform carcinoma of the breast.
- Tubular carcinoma of the breast.
- Medullary breast carcinoma.
- Mucinous breast carcinoma.
- Metaplastic breast carcinoma.
Invasive - non-epithelial:
Invasive - salivary gland-like:
Cardiovascular pathology
General
- Thrombosis (embolism).
- Vasculitis.
- Large vessel:
- Medium vessel:
- Small vessel:
- Amyloid deposition.
- Hyperplastic arteriolosclerosis.
- Fibromuscular dysplasia.
Aorta
- Atherosclerosis.
- Aortic dissection.
- Cystic medial degeneration.
- Traumatic dissection.
- Mycotic aneurysm.
Cardiac valves
Aortic valve
Mitral valve
Tricuspid valve
Heart
Common - benign:
Uncommon - benign:
- Lipoma.
- Rhabdomyoma.
Uncommon - malignant:
Endocrine pathology
Thyroid gland
Benign:
Benign - uncommon:
Malignant:
Malignant - uncommon:
- Papillary thyroid carcinoma columnar cell variant.
- Papillary thyroid carcinoma tall cell variant.
- Papillary thyroid carcinoma cribriform-morular variant.
- Papillary thyroid carcinoma diffuse sclerosing variant.
- Medullary thyroid carcinoma.
- Anaplastic thyroid carcinoma.
Parathyroid gland
Benign:
Malignant - rare:
Adrenal gland
Benign:
- Adrenal cortical adenoma.
- Adrenal myelolipoma.
- Hemorrhagic adrenalitis (Waterhouse-Friderichsen syndrome).
Malignant:
Gastrointestinal pathology
Gastrointestinal polyp
Benign:
Pre-malignant:
Uncommon - pre-malignant:
Esophagus
Benign:
Benign - uncommon:
Malignant:
- Squamous cell carcinoma.
- Adenocarcinoma.
Stomach
Benign:
- Helicobacter pylori gastritis.
- Intestinal metaplasia.
- Chronic gastritis.
- Acute gastritis.
Pre-malignant:
Malignant:
- Adenocarcinoma, intestinal type.
- Signet-ring cell carcinoma.
- GIST.
Duodenum
Benign:
- Normal.
- Celiac disease.
Pre-malignant:
Malignant:
- Adenocarcinoma.
Uncommon benign:
- Giardiasis.
- Whipple disease.
- MAI infection.
Colon/rectum
Benign:
- Normal.
- Colitis. e.g. IBD.
- Hyperplastic polyp.
- Tubular adenoma.
- Tubulovillous adenoma.
- Villous adenoma.
- Sessile serrated adenoma.
Benign - uncommon infectious:
- Pseudomembranous colitis.
- CMV colitis.
- Cryptosporidiosis.
Benign - uncommon:
- Lymphocytic colitis.
- Collagenous colitis.
- Inflammatory polyp.
- Juvenile polyp.
- Peutz-Jeghers polyp.
- Solitary rectal ulcer.
- Melanosis coli.
Tumour:
Malignant:
- Colorectal adenocarcinoma.
- Mucinous carcinoma.
Appendix
Benign:
- Appendicitis.
- Periappendicitis.
- Crohn's disease.
- Normal.
Benign - uncommon:
Neoplasm:
- Neuroendocrine tumour.
- Low-grade appendiceal mucinous neoplasm (LAMN).
Malignant:
- Mucinous adenocarcinoma.
Liver
Benign:
Malignant:
- Metastatic adenocarcinoma.
- Hepatocellular carcinoma.
Uncommon benign:
- Autoimmune hepatitis.
- Primary sclerosing cholangitis, especially in the context of UC.
- Primary biliary cirrhosis.
- Wilson's disease.
- Hereditary hemochromatosis.
- Alpha-1 antitrypsin deficiency.
Uncommon malignant:
Gallbladder
Benign:
Uncommon - pre-malignant:
- Intestinal metaplasia.
Uncommon - malignant:
- Adenocarcinoma.
Genitourinary pathology
Tumour kidney
Benign:
Malignant - common:
- Clear cell renal cell carcinoma.
- Papillary renal cell carcinoma.
- Chromophobe renal cell carcinoma.
- Urothelial carcinoma.
- Wilms tumour.
Malignant - less common:
- Collecting duct carcinoma.
- Renal tumour with Xp11.2 translocation.
- Clear cell papillary renal cell carcinoma.
- Renal medullary carcinoma.
- Renal mucinous tubular and spindle cell carcinoma.
- Mixed epithelial stromal tumour.
- Cystic nephroma.
- Metanephric adenoma.
Uncommon - benign:
Medical kidney
Prostate gland
Benign:
- Normal.
- Chronic inflammation.
- Acute inflammation.
- Benign prostatic hyperplasia (prostectomy diagnosis only).
Malignant:
- Acinar adenocarcinoma.
Uncommon - malignant:
- Ductal adenocarcinoma.
- Urothelial carcinoma.
Urinary bladder
Benign:
- Inverted urothelial papilloma.
- Cystitis cystica.
Pre-malignant/malignant:
- Urothelial dysplasia.
- Papillary urothelial carcinoma, low grade.
- Papillary urothelial carcinoma, high grade.
- Flat urothelial carcinoma.
Uncommon - benign:
Gynecologic pathology
Uterus
Benign:
- Fibroids.
- Adenomyosis.
- Atrophy.
- Uterine prolapse.
- Proliferative phase endometrium.
- Secretory phase endometrium.
Pre-malignant:
Malignant:
- Endometrial carcinoma.
- Endometrioid.
- Mucinous.
- Serous.
Uncommon - benign:
- Decidua (change of pregnancy).
Uncommon - malignant:
- Clear cell carcinoma.
- Carcinosarcoma.
Cervix - cytology
Benign:
- Normal.
- Candida.
- Endometrial cells.
- Atrophy.
Pre-malignant/malignant:
- LSIL.
- HSIL.
- Squamous cell carcinoma.
- Adenocarcinoma.
Uncommon - benign:
- HSV changes.
- Trichomonas.
Ovary
Benign:
- Serous cystadenoma.
- Mucinous cystadenoma.
- Mature teratoma.
- Endometriosis.
Malignant:
- Serous carcinoma.
- Endometrioid carcinoma.
- Mucinous carcinoma.
Uncommon - malignant:
Fallopian tube
Benign:
- Paratubal cyst.
- Tubo-ovarian abscess.
- Salpingitis.
- Ectopic pregnancy.
- Adenomatoid tumour.
Malignant:
- Serous carcinoma.
Uncommon - benign:
Head and neck
General
Benign:
Malignant:
Uncommon - malignant:
- Paraganglioma (carotid body tumour).
Salivary gland
Benign:
- Pleomorphic adenoma.
- Warthin tumour.
- Basal cell adenoma.
- Oncocytoma of the salivary gland.
- Canalicular adenoma.
Malignant:
Uncommon benign:
Uncommon malignant:
- Acinic cell carcinoma.
- Polymorphous low grade adenocarcinoma.
- Carcinoma ex pleomorphic adenoma.
- Salivary duct carcinoma.
- Hyalinizing clear cell carcinoma.
Lymph node
Benign:
- Normal/resting.
- Reactive follicular hyperplasia.
- Sinus histiocytosis.
Malignant:
- Metastasis, esp. carcinoma.
- Follicular lymphoma.
- Diffuse large B cell lymphoma.
- Nodular sclerosis Hodgkin lymphoma.
- Mixed cellularity Hodgkin lymphoma.
- Nodular lymphocyte predominant Hodgkin lymphoma.
- Lymphocyte-rich Hodgkin lymphoma.
- Lymphocyte-depleted Hodgkin lymphoma.
- MALT lymphoma.
Benign - uncommon:
- Castleman disease.
- Progressive transformation of germinal centers.
- Dermatopathic lymphadenopathy.
- Sarcoidosis.
- Tuberculosis.
- Cat-scratch disease.
- Rosai-Dorfman disease.
- Kimura disease.
- Toxoplasmosis.
Neuropathology
Brain
Benign:
- Epidural hemorrhage.
- Subdural hemorrhage.
- Subarachnoid hemorrhage.
- Intracerebral hemorrhage.
- Duret hemorrhage.
- Hypoxic-ischemic encephalopathy.
- Multiple sclerosis.
- Colloid cyst.
- Cerebral amyloid angiopathy.
Pediatric - tumour:
Adult - tumour:
- Meningioma.
- Schwannoma.
- Diffuse astrocytoma.
- Anaplastic astrocytoma.
- Glioblastoma.
- Myxopapillary ependymoma.
- Pituitary adenoma.
- Adamantinomatous craniopharyngioma.
- Papillary craniopharyngioma.
Neurodegenerative
Muscle
Pulmonary pathology
Benign:
- Normal.
Malignant:
Uncommon - benign:
- Tuberculosis.
- Sarcoidosis.
- Usual interstitial pneumonia.
- Solitary fibrous tumour - esp. pleural.
Uncommon - malignant:
Spleen
Benign:
- Trauma.
- Normal.
- Enlargement due to cirrhosis.
Malignant:
Pathologic characteristics
Non-skin tumours with skin
- Salivary gland tumours.
- Breast tumours.
Nuclear features
Pseudostratified nuclei
Tumours that commonly have pseudostratified nuclei:
Pseudoinclusions
Cytoplasmic features
Eosinophilic cytoplasm
- Squamous cell carcinoma.
- Oncocytoma/oncocytic tumours.
- Apocrine tumours.
- Anaplastic large cell lymphoma.
Clear cytoplasm
Cells
Tumours with lymphocytes
- Seminoma.
- Acinic cell carcinoma.
- Nasopharyngeal carcinoma.
- Lymphoepithelioma-like carcinoma.
- Medullary breast carcinoma.
Giant cells
Many eosinophils
- Infection.
- Inflammatory fibroid polyp.
- Hodgkin lymphoma.
- Churg-Strauss syndrome.
- Langerhans cell histiocytosis.
- Kimura disease.
Site specific:
- Eosinophilic esophagitis.
- Pulmonary Langerhans cell histiocytosis.
- Angiolymphoid hyperplasia with eosinophilia (ALHE) - skin.
Structures
Psammoma bodies
Myxoid lesions
Architecture
Classically nested
Stroma rich tumours
- Cholangiocarcinoma.
- Fibrolamellar hepatocellular carcinoma.
- Mesothelioma - lung.
- Hyalinizing trabecular tumour - thyroid.
- Hyalinizing clear cell carcinoma - salivary gland.
Spindle cell lesions
Neuropathology
Frustration lists
The following are diagnoses to think about if the answer isn't apparent.
General frustration list
If the pathology isn't apparent...
- Angiosarcoma.
- Amyloidosis.
- Neurofibroma.
- Granular cell tumour.
- Pheochromocytoma.
- Plasma cell neoplasm.
- Adenomatoid tumour.