Difference between revisions of "Case 71"

Jump to navigation Jump to search
316 bytes added ,  04:58, 18 September 2015
 
(4 intermediate revisions by 2 users not shown)
Line 3: Line 3:


===Site===
===Site===
Lung Bx
Right lung biopsy


===Primary image===
===Primary image===
Line 15: Line 15:


===Differential diagnosis===
===Differential diagnosis===
{{hidden|Differential diagnosis|<center>Metastatic [[small cell carcinoma]], Poorly differentiated [[adenocarcinoma of the lung]], [[Lymphoma]], [[Atypical carcinoid]], Other [[small round blue cell tumours]], [[small cell carcinoma]]</center>}}
{{hidden|Differential diagnosis|<center>[[small cell carcinoma of the lung]], poorly differentiated carcinoma, basaloid [[squamous cell carcinoma of the lung]], [[lymphoma]], [[atypical carcinoid]], other [[small round blue cell tumours]], metastatic [[small cell carcinoma]]</center>}}


===Additional tests===
===Additional tests===
====More history====
====More history====
{{hidden|More history|<center>Patient has Gynecomastia</center>}}
{{hidden|More history|<center>Patient has [[gynecomastia]]. Central lung mass of 4 cm - right lower lobe. CT head/abdo/pelvis shows no other mass lesion - but mediastinal lymphadenopathy. 40 pack year smoking history.</center>}}


====Ask a colleague====
====Ask a colleague====
{{hidden|Ask a colleague|<center>This patient has a poor prognosis and is unlikely to be cured</center>}}
{{hidden|Ask a colleague|<center>This patient has a poor prognosis and is unlikely to be cured.</center>}}


====Stains====
====Stains====
Line 94: Line 94:
| cd15=  
| cd15=  
| cd1a=  
| cd1a=  
| cd20= -ve
| cd20= '''NEGATIVE'''
| cd21=  
| cd21=  
| cd23=  
| cd23=  
| cd3= -ve
| cd3= '''NEGATIVE'''
| cd30=  
| cd30=  
| cd31=  
| cd31=  
Line 104: Line 104:
| cd4=  
| cd4=  
| cd43=  
| cd43=  
| cd45= -ve
| cd45= '''NEGATIVE'''
| cd45=  
| cd45=  
| cd5=  
| cd5=  
| cd56= +ve
| cd56= '''POSITIVE'''
| cd57= +ve
| cd57=  
| cd68=  
| cd68=  
| cd7=  
| cd7=  
| cd79a=  
| cd79a=  
| cd8=  
| cd8=  
| cd99= -ve
| cd99=  
| cdx2=  
| cdx2=  
| cea=  
| cea=  
| chromo= +ve
| chromo= '''POSITIVE'''
| ck17=  
| ck17=  
| ck19=  
| ck19=  
| ck20=  
| ck20= '''NEGATIVE'''
| ck34be12=  
| ck34be12=  
| ck5_6=  
| ck5_6= '''NEGATIVE'''
| ck7=  
| ck7= '''NEGATIVE'''
| cmv=  
| cmv=  
| cmyc=  
| cmyc=  
Line 136: Line 136:
| fascin=  
| fascin=  
| fsh=  
| fsh=  
| gastrin= +ve
| gastrin=
| gcdfp=  
| gcdfp=  
| gfap=  
| gfap=  
Line 183: Line 183:
| p53=  
| p53=  
| p57=  
| p57=  
| p63= -ve
| p63= '''NEGATIVE'''
| panker= +ve
| panker= '''POSITIVE'''
| pax2=  
| pax2=  
| pax5=  
| pax5=  
Line 199: Line 199:
| sma=  
| sma=  
| somatsatin=  
| somatsatin=  
| synapto= weakly +ve
| synapto= weakly POSITIVE
| tdt=  
| tdt=  
| tfe3=  
| tfe3=  
Line 214: Line 214:
| wt1=  
| wt1=  
}}
}}
====Chromosomal translocations====
====Chromosomal translocations====
{{Case Translocations
{{Case Translocations
Line 240: Line 241:


===Diagnosis===
===Diagnosis===
{{hidden|Diagnosis|<center>[[small cell carcinoma]]</center>}}
{{hidden|Diagnosis|<center>[[small cell carcinoma of the lung|small cell carcinoma]]</center>}}
<br>
<br>
===Other cases===
===Other cases===
Line 249: Line 250:
[[Category:Cases]]
[[Category:Cases]]


<!-- SELECT A CATEGORY
[[Category:Cases in pulmonary pathology]]
[[Category:Cases in pulmonary pathology]]
-->
[[Category:Cases difficulty 2]]
 
[[Category:Cases in pulmonary pathology - junior]]
[[Category:Cases difficulty 2]] <!-- difficulty 1-7 -- should roughly correspond to the PGY level -->
48,466

edits

Navigation menu