投票結果


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第191回(2007年 4月13日)

* 発表者診断    # 討論での主な対抗意見

1276 甲状腺腫瘍 (高橋也尚先生)
* Follicular adenoma, clear cell variant/type 13
   一部に濾胞構造あり。PAS(-)
 thyroglobin(++), TTF-1(++), CK7(+), CK20(-),CD10(-), S100(-), p53・MIB-1 indexはlow
  Follicular adenoma with clear cell features/change 4
  Follicular adenoma, trabecular and clear cell variant 1
  Clear cell follicular adenoma 2
  Clear cell follicular adenoma/carcinoma 1
  Follicular carcinoma, clear cell variant 3
  Lipid-rich cell adenoma 1
  Clear cell adenoma of thyroid 2
  Clear cell carcinoma of thyroid 1
  Oncocytoma with clear cell change 1
  Hypernephroid tumor 1
  Parathyroid adenoma 2
  Paraganglioma 2
  Metastasis of renal cell carcinoma 5
 
1277 上顎腫瘍 (市村浩一先生)
* Adenoid cystic carcinoma 24
   腺上皮(高分子ケラチン陽性)と筋上皮(p63陽性)の二層パターンが明瞭。偽腺腔面にlamininが線状に(+)。
 MIB-1:N/C比が大きく,異型のより強い細胞に高率に(+)
# Polymorphous low-grade adenocarcinoma 9
  Epithelial-myoepithelial carcinoma 5
  Pleomorphic adenoma 1
 
1278 腎腫瘍 (内野かおり先生)
* Renal cell carcinoma (RCC) associated with acquired cystic disease 21
   腫瘍内・腎実質内に偏光で光る結晶(おそらく蓚酸カルシウム)あり。一部に乳頭状構造あり。CD10(++),p504S(++)。
 AJSP 29; 443-, 2005, AJSP 30; 141-, 2006, Mod Pathol 19; 780-, 2006
    with choriocarcinomatous differentiation 1
    granular cell carcinoma 2
    with intratumoral calcium oxalate crystal deposition 2
    papillary carcinoma, with oxalate crystal 1
  RCC (clear cell ca., G3) originating in a cyst 1
  RCC, cyst-associated 1
  RCC, granular cell carcinoma (G3) 1
  Granular cell ca. (or papillary RCC type II) with pleomorphic ca. 1
  Multilocular cystic RCC with tophaceous deposit 1
  Papillary RCC 3
  RCC with oncocytic features 1
  RCC with choriocarcinomatous differentiation 1
  RCC, NOS 6
  Collecting duct carcinoma 1
  Undifferentiated (urothelial) carcinoma 1
 
1279 脾臓病変 (佐藤康晴先生)
* Follicular lymphoma (hyaline vascular variant) 6
   増生細胞に核異型あり。CD20(++),CD10(+),bcl-2(++)。
  Pathol Int 52; 794-, 2002.
  (Splenic) marzinal zone lymphoma 6
  Malignant lymphoma, NOS 2
  Castleman's tumor, hyaline-vascular type 3
  Castleman's disease 16
#   hyaline-vascular type 1
    multicentric 1
  Castleman's disease vs low-grade B-cell lymphoma 1
  EBV-ralated lymphoproliferative disorder 1
  Spleen by ITP 1
  Marzinal zone hyperplasia 1
  Chronic congestion 1
  Splenoma 1
 
1280 卵巣腫瘍 (柳井広之先生)
  Small cell carcinoma 19
*   hypercalcemic type 7
  Rhabdomyosarcoma 6
    embryonal 1
  Juvenile granulosa cell tumor 4
    malignant 1
  Primitive neuroectodermal tumor 1
  Sertori-stromal cell tumor, poorly differentiated 1
  Priminitive germ cell tumor / dysgerminoma 2
  Yolk sac tumor 1
  Immature teratoma 1
  Rhabdoid tumor derived from immature teratoma 1
  Malignant rhabdoid tumor 2
  Burkitt's lymphoma 1