投票結果


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第186回(2005年12月9日)

* 発表者診断    # 討論での主な対抗意見

1248 乳腺腫瘍 (村尾 烈先生)
  Primary breast cancer 22
   * papillary carcinoma 8
   * papillotubular carcinoma 3
  CK7(+), CK20(-), ER(++), PgR(++), HER2(-)
   # intracystic/intraductal papillary carcinoma 7
 
   inavasive papillary carcinoma 2
   inavasive ductal carcinoma 1
  Metastatic cancer (adenocarcinoma) 8
   colon 5
  Papillary adenocarcinoma 1
  Adenocarcinoma 1
 
1249 著明な粘液変性を示す子宮体部腫瘍 (新宅雅幸先生)
  Leiomyosarcoma 17
   # myxoid 15
  Leiomyoma (myxoid, myxomatous change / degeneration) 9
  Myxoid leiomyomatous tumor 1
* Inflammatory myofibroblastic tumor 1
  PTAH(+), αSMA(+), h-caldesmon(+), CD34(-), CD10(+), ALK-1(+), MIB-1:10〜20%
 AJSP 29: 1348-1355, 2005
  Inflammatory pseudotumor 1
  Myxoid liposarcoma 1
  Myxoma 1
  Fibrous tumor 1
 
1250 骨盤内腫瘍の一例 (中村聡子先生)
  Angiosarcoma 6
   association with pre-existing condition 1
  Hemangioendothelioma 4
   epithelioid 1
  Capillary hemangioma 1
  PEComa 2
  Solitary fibrous tumor 7
   *malignant 1
  CD34(+), CD99(+), MIB-1: 5%程度
 S100・SMA・CD31・FVIII・h-caldesmonなどは陰性。以前の腫瘍も同様で,良性SFTの悪性転化・転移
   recurrence 1
  Hemangiopericytoma 2
  Myopericytoma, low malignant potential 1
  Epithelioid leiomyosarcoma 2
  Endometrial stromal sarcoma 2
  Ependymoma 2
  IDK 3
 
1251 S状結腸病変 (國友忠義先生)
  Pneumatosis 6
   -cystoides intestinalis, - coli 3
   peritoneal, + diverticulum 1
  Lymphatic foreign-body granuloma due to enterovesical fistula 1
  Cholesterol (crystal) embolism/ atheroma emboli 4
  Vasculitis syndrome + cholesterol emboli 1
  Eosinophilic vasculitis (Churg-Strauss syndrome) 1
  Allergic granulomatous angitis 1
  Phlebitis 1
  Crohn's disease 2
  Ischemic colitis 1
  Diverticulum + thrombus + granuloma 1
  Diverticulum + foreign-body granuloma 1
  Diverticulum 2
  Elastofibromatous lesion/change 1
  漿膜下〜一部粘膜下層に淡い鋸歯状のアミロイド様物質→弾性線維染色(++)
 2004年のAJCPと1993年のAJSPに文献あり
  Infection 1
  IDK 9
 
1252 肝腫瘍の一例 (和仁洋治先生)
  Hepatocellular carcinoma 12
   moderately > poorly diff. 1
   with undifferentiated cancer 1
   with anaplastic change 1
  Mixed hepatocellular and cholangiocarcinoma 2
   *with progenitor cells 1
  定型的なHCC細胞(AFP・hepper-1陽性),腺管構造・杯細胞を示すCCC細胞(CA19-9・CK7陽性)とともに,小型の分化不明瞭な細胞(CD10・CD56・MIB-1など陽性)が混在。
 Mod Pathol 18: 864-, 2005
  Combined hepatocellular and cholangiocarcinoma 6
  Hepatoblastoma 5
  Neuroendocrine carcinoma 1
  Carcinosarcoma 1
  Liver cell adenoma 1
  Metastatic cancer (gastric cancer) 3
   hepatoid, AFP-producing
  HCC or metastasis of gastric hepatoid carcinoma 1
 
1253 若年男性の肝腫瘍 (大原信哉先生)
* Liver cell (hepatocellular) adenoma 26
  MIB-1<1%,類洞は保たれているが,胆管がない。
 抗てんかん薬との関連→Histopathology 35; 92-, 1999
  Hepatocellular carcinoma 2
   well differentiated 1
  Focal nodular hyperplasia 3
  IDK 1