投票結果


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第192回(2007年 7月20日)

* 発表者診断    # 討論での主な対抗意見

1281 肺腫瘤 (物部泰昌先生)
  Adenocarcinoma 7
   *with neuroendocrine diff. 1
   CK7(++), CK20(-), TTF-1(+), CGA(++), PSA(-), calcitonin(-), thyroglobulin(-), MIB-1 idex:8%程度
   with apocrine and sebaceous diff. 1
# Metastatic carcinoma 14
   of prostatic ca. 10
   of oncocytic, hybrid ca. 1
  Oncocytic carcinoid 2
  Neuroendocrine carcinoma 1
  Mesothelioma 1
 
1282 副咽頭間隙腫瘍 (内野かおり先生)
  Pleomorphic adenoma 11
   with microinvasion 1
  Myoepithelioma 1
  Myoepithelial carcinoma 3
   *arising in pleomorphic adenoma 1
   αSMA(+), S100(++), GFAP(++), CD10(+), 34βE12(++), CK7(+)
 再発腫瘍は横紋筋内へ浸潤。  AJSP 24(6): 761-774, 2000.
  Malignant mixed tumor 4
   (Ca. ex pleomorphic adenoma) 1
  Carcinosarcoma arising in pleomorphic adenoma 1
  Adenoid cystic carcinoma 3
   in pleomorphic adenoma 1
 
1283 肺病変 (伊礼 功先生)
* Wegener's granulomatosis 11
   病変の分布が胸膜下〜隔壁に沿って。細菌・抗酸菌・真菌(−)。弾性線維染色で血管壁の崩壊像(+)
 腎臓:中等大動脈のfibrinoid necrosis(+)。    Pulmonary pathology 1027-, 1994.
  Microscopic polyangitis 4
   diffuse alveolar hemorrhage 1
  Churg-Strauss syndrome 3
  Necrotizing granulomatous angitis 1
  Giant cell angitis 1
  Hypersensitivity pneumonia 1
  Giant cell viral pneumonia 1
  Organizing pneumonia 1
  IDK 1
 
1284 膵体部腫瘍 (定平吉都先生)
  Solid-pseudopapillary tumor 15
   aggressive variant 1
   *clinically aggressive 1
   αAT(+), CD10(±), CD56(-), amylase(-), EMA(-), AE1/3(-), CGA(-), synaptophysin(+)
 核分裂像(++)かつMIB-1 index:very high
  AJSP 29: 512-519, 2005.
  Endocrine tumor, well diff. 1
  Undifferentiated carcinoma 1
  Small cell carcinoma 1
  PNET 1
  Neurblastoma 1
  Pancreatoblastoma 1
  Myeloid sarcoma 1
  Malignant lymphoma 1
 
1285 外尿道腫瘍 (大原信哉先生)
  Adenoma 9
   villous 1
   tubular 3
   tubulo-villous 2
   intestinal type 1
   gastric type 1
   papillo-tubular of the vestivular gland 1
   urethral orifice 1
  Mesonephric adenoma, urethra 1
  Adenocarcinoma 10
   arising tubular adenoma 4
   with TCC in-situ 1
   *in-situ in metaplastic enteric epithelium 1
   病的核分裂像あり
 形態異型の強い部でMIB-1・p53が(+)
   in urethral caruncle 1
   of the gland and dysplasa to carcinoma of urethra 1
   cloacogenic origin 1
  Mucinous adenocarcinoma, low grade 1
  Adenocarcinoma in-situ+metaplastic enteric epithelium 2