投票結果


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第180回(2004年5月14日)

* 発表者診断    # 討論での主な対抗意見

1213 肺腫瘍 (田中健大先生)    
  *#Sclerosing hemangioma 32
  増生細胞はEMA・TTF-1が陽性,Surfactant protein A・carletinin・HMB45は陰性。また乳頭状の表面細胞はAE1/3(+)だが,充実性の細胞は陰性
  Pneumocytoma 3
  PEComa 1
 
1214 後腹膜腫瘍の一例 (白川敦子先生)    
  Solitary fibrous tumor 13
    *#malignant 4
  NSE(++),CD34・vimentin・bcl-2が(+)。S100・HHF35・αSMA・CD56などは陰性
p53<1%,MIB-1は5〜10%
  Localized fibrous tumor 1
  Giant cell angiofibroma 1
  Sclerosing epithelioid fibrosarcoma 1
  Low-grade fibromyxoid sarcoma 1
  Fibrous tumor with anaplastic change 1
  Fibrous histiocytoma 1
  Stromal tumor of retroperitoneum 1
  PEC tumor (benign) 1
  Synovial sarcoma 1
  Liposarcoma 6
   dedifferentiated 2
  MPNST 4
  Schwannoma 2
   ancient 1
  Ganglioneuroma 1
  Composite pheochromocytoma 1
 
1215 “筋腫分娩”の一例 (三上芳喜先生)    
  Adenosarcoma 19
    *#heterologous 5
  腺管の間のmyoid cellはmyoglobin・desminが陽性だが,αSMAは陰性→横紋筋への分化(胎児期のmyotube)。腺管周囲の間葉細胞の一部はCD10陽性。
    rhabdomyosarcoma / rhabdomyoblastic diff 5
  Endometrial stromal tumor 2
    sarcoma, low-grade 1
    endometrioid glandular diff.+skeletal muscle diff. 1
  Stromal sarcoma with rhabdomyomatous diff. 1
  Rhabdomyoma 5
  Adenomyofibroma with skeletal muscle diff. 1
  Adenomyoma 1
  Adenomyosis 2
  Sarcoma component of carcinosarcoma 1
  Carcinosarcoma 1
  Mixed mullerian tumor 1
  Immature teratoma / MMMT 1
  IDK 1
 
1216 腎病変の一例 (川端健二先生)    
  *Polyarteritis (periarteritis) nodosa 10
  肝・腸管・胆嚢・膵などにも同様の病変あった。“古典的PN”と思うが,大動脈〜一次分枝はよく保たれていた点がunusual
  Semin Diag Pathol 18: 3-23, 2001
  Scleroderma / systemic sclerosis 3
  Mixed connective tissue disease 1
  RA 2
   malignant 1
   抗リン脂質抗体陽性 1
  Vasculitis (syndrome) 5
  Acute tubular necrosis 2
    ischemic 1
  Ischemic necrosis 1
  Acute tubulo-interstitial nephritis 1
  Benign hypertension 1
  Degos' disease 1
  Lyme disease 1
  IDK 8
 
1217 口腔底腫瘍 (濱崎周次先生)    
  *Acinic cell (adeno)carcinoma 10
  腫瘍細胞はamylase・α1AT・EMA・AE1/3・CK7が陽性,S100は一部(+),CD10・34βE13は陰性
  Clear cell carcinoma 4
  Clear cell adenocarcinoma 3
  Myoepithelioma 7
   malignant 4
  Clear cell oncocytoma 1
  Epithelial-myoepithelial carcinoma 1
  Adenocarcinoma with hepatoid feature 1
  Paraganglioma 5
  Carcinoid tumor 1
  PEComa 1
  IDK 2
 
1218 肝内胆管腫瘍 (大原信哉先生)    
  Bile duct (hepatobiliary) cystadenocarcinoma 8
    in cystadenoma 1
    mucinous 1
  Bile duct (hepatobiliary) (cyst)adenoma 4
  Intraductal papillary mucinous tumor (neoplasm) 7
    *#adenocarcinoma 1
  CEA・CA19-9陽性,HIK1083は陰性,p53陰性,MIB-1は場所によって種々の程度に陽性
   AJSP 28(3): 327-338, 2004
    non-invasive, with adenoma component 1
  Intraductal papillary oncocytic tumor 4
    adenocarcinoma 1
  Intracystic papillary adenoma 1
  Intraductal papillary adenocarcinoma in situ 1
  Intraductal papillary neoplasia, borderline malignancy 1
  Cancer in intracystic adenoma 1
  Adenocarcinoma 3
    papillary 1
    intraductal 1
  Mucinous carcinoma 1
  Biliary papilloma(tosis) 5