投票結果


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第181回(2004年9月17日)

* 発表者診断    # 討論での主な対抗意見

1219 巨大腎腫瘤 西村広健先生
  Angiomyolipoma 11
   epithelioid 2
   malignant 1
  PEComa 2
  Angiomyoliposarcoma 1
  Urothelial carcinoma 7
   *infiltrating 2
   EMA(+),各種cytokeratin(-),Vimentin(+),HMB45(-),CGA(-),CD56(-),S100一部(-),MIB-1<5%
 Urothelial ca. (TCC)でよいが,いわゆる"infiltrating TCC"とは浸潤態度が異なるように思う(Dr. K Kawabata)
   poorly diff. 1
   (arising from renal pelvis) 1
   sarcomatoid 1
  Spindle cell carcinoma 1
  Renal cell carcinoma 4
   papillary 1
  Rhabdoid tumor 2
   malignant 1
  Hemangioendothelioma 1
   epithelioid 1
  Paraganglioma 1
  Oncocytoma 1
  IDK 1
 
1220 髄膜腫瘍 橋本吉規先生
  Meningioma 32
   *chordoid 23
   EMA(+),cytokeratin(-),GFAP(-),S100(-)
 chordoid meningiomaはリンパ球・形質細胞浸潤を伴うことが多く,その少ない/ないものは再発率が高い
   myxoid 5
   metaplastic 2
  Epidural chordoid sarcoma 1
  Chordoma 1
 
1221 膵腫瘍 新宅雅幸先生
  *Serous cystadenocarcinoma 20
  PAS:グリコーゲン(++),MIB-1(-),一部に末梢神経(周囲)浸潤(+)。
 Digestion 68: 24-33, 2003.  胆と膵 24: 4月号, 2003.
   microcystic 1
  Serous cystadenoma 5
   microcystic 2
  Serous cystic tumor 1
  Mucinous cystadenocarcinoma 1
  Mucinous cystadenoma 3
  Microcystic adenocarcinoma 1
  Acinic cell cystadenocarcinoma 1
  Pancreatic struma 1
  Anormaly of pancreas and spleen 1
 
1222 十二指腸・腸間膜腫瘍 川端健二先生
  Desmoid tumor (Fibromatosis) 22
   *intraabdominal 6
   c-kit(-),CD34(-),αSMA(+),ER(-),PgR(-)
 AJSP 24: 947-957, 2000.Am J Clin P 121: 93-98, 2004.AJSP 26: 1296-1301, 2002
   mesenteric 4
  Aggressive fibromatosis 1
  Solitary fibrous tumor 3
  Inflammatory pseudotumor 3
   (infalmmatory myofibroblastic tumor) 1
  GIST 1
  Nodular fasciitis 1
  Liposarcoma, sclerosing type 1
  Leiomyoma 1
1223 皮膚腫瘍 能登原憲司先生
  Basal cell carcinoma 29
  *Langerhans cell histiocytosis 18
   BCC:cytokeratin(++),Langerhans cell:S100(+),CD1a(+),CD3(-),CD20(-),CD68(-)
 J Cutaneous Pathol 27: 476-478, 2000.Am J Dermatopathol 18: 527-532, 1996
   arising from solitary trichoepithelioma 1
   with follicular differentiation 1
  +Merkel cell carcinoma 1
  +dermal melanocytic nevus 1
   with eosinophilic granulomatous reaction 1
  Trichoblastoma 4
  +Langerhans cell histiocytosis 1
   associated with intradermal nevus 1
   Langerhans cell proliferation 1
  Malignant change of Basal cell epithelioma 1
  Adenoid cystic eccrine carcinoma 1