投票結果


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第188回(2006年7月14日)

* 発表者診断    # 討論での主な対抗意見

1259 左背部腫瘍 (村尾 烈先生)
* Elastofibroma (dorsi) 23
   EVGで"毛虫"様構造が陽性となるが,中心にEVG不染の芯があり,これがMasson trichromeで赤く染まる
 患者の出身・職業などに就いての情報はない。
    with chrondroid metaplasia 1
  Lipoma 2
    spindle cell 1
  Lipofibroma 1
  Intramuscular hemangioma 1
  IDK 3
 
1260 右大腿部腫瘍 (高田尚良先生)
* Synovial sarcoma 3
  AE1/3(+), EMA(+), CK7(+), CD57(+), CD34(-), F-VIII(-), desmin(-), αSMA(-), S100(+)。
RT-PCRでSYT/ SSXが検出された。
# Intimal sarcoma 8
  Malignant fibrous histiocytoma 5
# Leiomyosarcoma 5
  Prof. 恒吉's comment
  Pleomorphic rhabdomyosarcoma 1
  Angiosarcoma 3
  Malignant epithelioid hemangioendothelioma 1
  Anaplastic liposarcoma 1
  Dedifferentiated liposarcoma with rhabdomyosarcomatous component 1
  Solitary fibrou tumor 2
    malignant 1
 
1261 下部食道病変 (大原信哉先生)
  Adenocarcinoma 28
    *in Barrett's esophagus,
Barrett adenocarcinoma
    tubular, well differentiated
    +CIS 1
  High-grade dysplasia in Barrett's esophagus 2
 
1262 子宮膣部腫瘍 (小林計太先生)
* Glassy cell carcinoma 19
  15Gy照射後2年;再発なし
  Adenosquamous carcinoma (glassy tumor) 2
  Lymphoepithelioma-like carcinoma 3
  Mucoepidermoid carcioma 1
  Squamous cell carcioma 4
    large cell carcinoma, SCC non-keratinizing
    Lympho-epithelial SCC 1
  Cervical cancer 1
 
1263 子宮頚部ポリープ様病変 (中山宏文先生)
* Adenosarcoma 4
  Peri-glandular cuffing patternあり。stromal cell:CD34(+), CD10(-), Vimentin(+), αSMA(-), Desmin(-), F-XIIIa(-)。mitosisは多いところで5個/HPF
    low-grade 1
  Adenofibroma 7
    polypoid 1
    papillary 2
    borderline 1
  Atypical polypoid adenomyoma 1
  Endometrial polyp 4
  Mixed endometrial and endocervical polyp with microglandular hyperplasia 1
  Endocervical polyp 4
    with microglandular hyperplasia 1
    with ciliated glandular metaplasia 1
    with endometrial tissue 1
  Cervical polyp 3
    atypical tubal metaplasia 1
    with microglandular hyperplasia 1
  Polypoid endometriosis 4
  Polypoid endometrioma 1
  Mesonephric hyperplasia 1
 
1264 脳腫瘍 (和仁洋治先生)
  Desmoplastic infantile astrocytoma/ganglioglioma (DIA/DIG) 10
    DIA 2
   * DIG 6
    DIA/DIG 2
  fibrous part:GFAP(+), synaptophysin(+), MIB-1少
cellular part:GFAP(+), synaptophysin (++)
small cell:GFAP(-), MIB-1(++)
  Atypical teratoid/rhabdoid tumor (AT/RT) 4
  Pleomorphic xanthoastrocytoma 1
  Pilocytic astroctyoma 2
    borderline 1
  Gliosarcoma 2
  Arachnoid cyst with meningioma 1
  Meningioma 9
    cystic 1
    atypical 4
    high-grade (papillary, rhabdoid)
    anaplastic 1
  Malignant transformation of meningioma (anaplastic) 1