投票結果


戻 る  


第183回(2005年3月11日)

* 発表者診断    # 討論での主な対抗意見

1232 肺腫瘤の1例 (伊禮 功先生)
* Histplasmosis 8
  (グロコット染色で径4〜6μの円形物あり。日本での報告例も増加中。患者血清中の抗体は測定中)
# Cryptococcosis 6
  (病原体の大きさに不揃いがあるのでは?)
  Coccidiomycosis 1
  Phaeohyphomycosis 1
  Malakoplakia 2
  Mycosis, NOS 1
  Old tuberculoma 1
  Pulmonary hyalinizing granuloma 2
  Calcified nodules 1
  Pulmonary silicosis with calcification 1
  IDK 2
 
1233 頚部腫瘍の1例 (新宅雅幸先生)
# Liposarcoma 7
    dedifferentiated 2
    myxoid 2
    cellular 1
  Myxofibrosarcoma 5
  MFH 2
    myxoid 1
  Clear cell sarcoma 2
  Malignant melanoma, metastatic 1
* Leiomyosarcoma 2
  (vimentin(++),αSMA(-),S100(-),ケラチン(-),Sudan染色では変性脂肪のみ。)
    myxoid type 1
  Synovial sarcoma 1
  Rhabdomyosarcoma 1
  FDC sarcoma 1
  Spindel cell carcinoma, unknown origin 1
  undifferentiated pleomorphic sarcoma 1
  Sarcoma, NOS 1
  Malignant myoepithelioma 1
 
1234 膵腫瘍の1例 (川端健二先生)
  Acinic cell carcinoma 17
  Endocrine carcinoma (pancreas) 2
    well differentiated 1
  Islet cell tumor 1
  Endocrine tumor 3
    hepatoid 1
  Hepatoid carcinoma 1
* Hepatoid adenocarcinoma 1
  (術後1週間で呼吸不全で死亡。CGA(±),CD56(-),Trypsin(-),Chymotrypsin(-),αFP(+),Hepatocyte-paraffin antigen(+),PAS(+)→glycogen,CK20(-),CK7・CK19はlumenの部に(+))
  Medullary carcinoma 1
  Solid pseudopapillary tumor 1
 
1235 若年女性に発症した肺腫瘍の1例 (河原邦光先生)
Choriocarcinoma 17
    metstatic 9
* Poorly diff. carcinoma with trophoblastic differentiation 1
  (骨盤内に腫瘍性病変はない。hPL(+; giant cellも),hCGβ(±),pAP(-),inhibin(-),AE1/3(++; giant cellは陰性),TTF-1(-)  (参)Hum Pathol 30(11); 1321-, 1999)
  Carcinoma with choriocarcinomatous feature 1
  Epithelioid trophoblastic tumor 4
    dedifferentiated 1
  Squamous cell carcinoma with giant cell 2
  Pleomorphic carcioma 1
  Bronchogenic adenocarcioma with large cell 1
  undifferentiated carcinoma foci 1
 
1236 肝内胆管癌症例に認められる非腫瘍部肝病変 (和仁洋治先生)
  Sclerosing cholangitis 4
   * primary 3
  (4年前から肝機能異常が認められていた。ERCPで両葉とも末梢胆管が途絶。IBDの合併はない。PSCとして典型的とされる同心円状の線維化はむしろ稀な所見
    secondary 1
  Liver fibrosis 3
  Large cell neuroendocrine carcinoma 1
  Chronic cholangitis 1
  Secondary biliary cirrhosis-like lesion 1
  Obstructive cholangitis 1
    with cholangiocellular carcinoma 1
  Localized bile ductular hyperplasia 1
  Marginal bile duct proliferation of the liver 1
  Ductular reaction in-associated with chlestasis 1
  Bile duct hyperplasia 1
  FNH-like nodule 2
  Nodular regenerative hyperplasia 1
  Non-alcoholic steatohepatitis 1
  Angiomatosis 1
  Extrahepatic portal venous obstruction 1
  Venous occlusive disease 1
  Cholangiocellular carcinoma 1
  Epithelioid hemangioendothelioma 1