Difference between revisions of "Case 57"

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172 bytes removed ,  12:13, 10 June 2014
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===Provided clinical history===
===Provided clinical history===
42 year old woman, 8 cm adnexal mass
57 year old woman, ASC-H


===Site===
===Site===
left ovary
uterine cervix (biopsy)


===Primary image===
===Primary image===
[[Image:Sex cord tumour with annular tubules - intermed mag.jpg |500px|link=|center|]]
[[Image:Atrophic cervix - 2 -- intermed mag.jpg |500px|link=|center|]]
<center>Intermediate magnification. [[H&E stain]].</center>
<center>Intermediate magnification. [[H&E stain]].</center>


{{hidden|High magnification|[[Image: Sex cord tumour with annular tubules - high mag.jpg |500px|link=|center|]]
{{hidden|High magnification|[[Image: Atrophic cervix - 2 -- high mag.jpg |500px|link=|center|]]
<center>High magnification. [[H&E stain]].</center>}}
<center>High magnification. [[H&E stain]].</center>}}


{{hidden|Very high magnification|[[Image: Sex cord tumour with annular tubules - very high mag.jpg |500px|link=|center|]]
{{hidden|Very high magnification|[[Image: Atrophic cervix - 2 -- very high mag.jpg |500px|link=|center|]]
<center>Very high magnification. [[H&E stain]].</center>}}
<center>Very high magnification. [[H&E stain]].</center>}}
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===Additional tests===
===Additional tests===
====More history====
====More history====
{{hidden|More history|<center>Ovarian mass with mass effect. CA-125 is 10. Solid mass on imaging.</center>}}
{{hidden|More history|<center>ASC-H, previous pap tests were NILM</center>}}


====Ask a colleague====
====Ask a colleague====
{{hidden|Ask a colleague|<center>Looks benign. May be seen in a syndrome.</center>}}
{{hidden|Ask a colleague|<center>Looks benign... but I'd do stains to be sure.</center>}}


====Stains====
====Stains====
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| acth=  
| acth=  
| ae1ae3=  
| ae1ae3=  
| afp= '''NEGATIVE'''
| afp=  
| alk1=  
| alk1=  
| amacr=  
| amacr=  
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| calcitonin=  
| calcitonin=  
| calponin=  
| calponin=  
| calretinin= '''POSITIVE'''
| calretinin=  
| cam5p2=  
| cam5p2=  
| cd10= '''NEGATIVE'''
| cd10=  
| cd117=  
| cd117=  
| cd138=  
| cd138=  
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| cd79a=  
| cd79a=  
| cd8=  
| cd8=  
| cd99= '''POSITIVE'''
| cd99=
| cdx2=  
| cdx2=  
| cea=  
| cea=  
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| dog1=  
| dog1=  
| ebv=  
| ebv=  
| ema= '''NEGATIVE'''
| ema=  
| erpr=  
| erpr=  
| f_viii=  
| f_viii=  
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| hsv2=  
| hsv2=  
| Idh-1=  
| Idh-1=  
| inhibin= '''POSITIVE'''
| inhibin=  
| insulin=  
| insulin=  
| kappa=  
| kappa=  
| ki67=  
| ki67= very rare basal cells positive
| lambda=  
| lambda=  
| leu7=  
| leu7=  
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| nse=  
| nse=  
| oct3_4=  
| oct3_4=  
| p16=  
| p16= '''NEGATIVE'''
| p53=  
| p53=  
| p57=  
| p57=  
| p63=  
| p63=  
| panker= '''POSITIVE'''
| panker=  
| pax2=  
| pax2=  
| pax5=  
| pax5=  
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| psap=  
| psap=  
| rcc=  
| rcc=  
| s100= '''NEGATIVE'''
| s100=
| sma=  
| sma=  
| somatsatin=  
| somatsatin=  
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| uchl1=  
| uchl1=  
| ulex_europe=  
| ulex_europe=  
| vim= '''POSITIVE'''
| vim=  
| vip=  
| vip=  
| vzv=  
| vzv=  
| wt1= '''POSITIVE'''
| wt1=  
}}
}}


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===Diagnosis===
===Diagnosis===
{{hidden|Diagnosis|<center>[[Sex cord tumour with annular tubules]]</center>}}
{{hidden|Diagnosis|<center>[[Uterine cervix with atrophic changes]]</center>}}
<br>
<br>
===Other cases===
===Other cases===
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[[Category:Cases in gynecologic pathology]]
[[Category:Cases in gynecologic pathology]]
[[Category:Cases in gynecologic pathology - senior]]
[[Category:Cases in gynecologic pathology - junior]]




[[Category:Cases difficulty 4]] <!-- difficulty 1-7 -- should roughly correspond to the PGY level -->
[[Category:Cases difficulty 3]] <!-- difficulty 1-7 -- should roughly correspond to the PGY level -->
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