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第176回(2003年6月13日)

* 発表者診断    # 討論での主な対抗意見

1188 胃腫瘍 岡崎泰昌先生
  Hyperplastic polyp 9
    *inverted 7
   ( J Gastroenterol 33; 720-, 1998)
    with heterotopic glands 1
  Submucosal gastric heterotopia/glands 7
    - polyp 1
    with carcinoma 1
  Hamartomatous polyp 6
    inverted 2
  Gastritis cystica polyposa/polypoid mucosal prolapse 3
  Heterotopic pancreas 2
  Adenoma, pyloric gland type 2
  Mixed cystadenoma 1
  Juvenile polyp 1
 
1189 右顎下部腫瘍 霧生孝弘先生
  Malignant lymphom 18
    Anaplastic large cell lymphoma 5
    Follicular lymphoma 4
    Large cell lymphoma/lymphocytoma 2
    *Large B-cell lymphoma 2
   (腫瘍細胞はCD20(++),CD3(-),CD30(++),Ki-67(++)
  Plasmacytoma 2
  Metastatic tumors 7
    Undifferentiated carcinoma 2
    Nasopharyngeal carcinoma 2
    Dysgerminoma 1
    Melanoma 1
  Malignant lymphoepithelial lesion 1
  Clear cell sarcoma 1
  Alveolar soft part sarcoma 1
  Rosai-Dorfman's disease 1
 
1190 耳下腺腫瘍 藤澤真義先生
  *Granular cell tumor 29
   (増生細胞はS100・NSE・CD56・CD68・Calretininが陽性.AE1/3・CEA・αSMAは陰性)
  Acinic cell carcinoma 1
  Oncocytoma 1
 
1191 腸間膜腫瘍 新宅雅幸先生
  Inflammatory pseudotumor/myofibroblastic tumor 12
  Follicular dendritic cell sarcoma 6
    in Castleman's disease 3
  Castleman's disease 6
    *stroma-rich variant 1
   (AJSP 21(11); 1295-, 1997,Virch Arch 441; 400-, 2002)
    hyaline-vascular 1
  Dendritic cell tumor 2
    malignant 1
    fibroblastic 1
  MFH 2
  Low-grade myofibroblastic sarcoma 1
  Solitary fibrous tumor with lymphoid response 1
  Vascular transformation of lymph node sinus 1
 
1192 強皮症経過中の急性腎不全 川端健二先生
  Scleroderma/PSS kidney 17
    with pyelonephritis
  *Scleroderma renal crisis 1
   (内科 84; 1414-, 2001)
  Acute exacerbation in nephrosclerosis of scleroderma 1
  DIC 3
    with pyelonephritis 1
  Hemolytic uremic syndrome 2
  Vasculitis, necrotizing/PN-type 2
  Endoarteritis obliterans 1
  Arteriolosclerosis 1
  IDK 2
 
1193 傍大動脈リンパ節病変 柳井広之先生
  Malignant lymphoma 26
    Hodgkin's disease 16
      ( NS 2 )
      ( LD 1 )
    Anaplastic large cell lymphoma 2
    *Diffuse large B-cell lymphoma 2
    (大型異型細胞はCD20(++),CD3(-),CD30(++),CD15(-),EBER-1(+).背景の中型異型細胞は大部分がCD3(+)
    with CMV infection 1
  Malignant histiocytosis 1
  Histiocytic sarcoma 1
  Rhabdomyosarcoma 1
  Cytomegalovirus infection 1
  IDK 1
 
1194 胸膜病変 和仁洋治先生
  Mesothelioma 14
    desmoplastic 5
  Localized fibrous tumor 2
  *Epithelioid hemangioendothelioma 2
   (上皮様細胞はEMA・AE1/3・CEA・TTF-1(-),FactorVIII・CD31・CD34が陽性).
    Arch Pathol Lab Med 111; 459-, 1987. Hum Pathol 31; 29-, 2000)
  Poorly diff. adenocarcinoma 1
  Pyothorax-associated large B-cell lymphoma 1
  Malignant tumor 1
  Mixed tumor 1
  Angiomyolipoma 1
  Carcinoid tumorlet 1
  Slerosing mesenteritis 1
  Myxoid degnenration 1
  IDK 5
 
1195 大腸腫瘍 能登原憲司先生
  Adenocarcinoma 19
    *microsatellite unstable 1
   (MLH1(-),MSH2・MSH6(+). AJSP 27; 563-, 2003)
    mucinous 4
    moderately diff. 2
    mod & mucinous 2
    with angiomyolipoma 2
    poorly diff. 2
    metastatic 1
  Neuroendocrine carcinoma 6
    in adenocarcinoma 5
    large cell 1
  Adenoid cystic carcinoma 2
  Adenofibrocarcinoma 2
  Carcinosarcoma 1