投票結果


戻 る  


第199回(2009年12月11日)

* 発表者診断    # 討論での主な対抗意見

1316 十二指腸乳頭部腫瘍 (國友忠義先生)
  (前回集計結果)
  Gangliocytic paraganglioma 25
  Carcinoid 4
    with neurofibroma 1
    with ganglioneurofibromatous stroma 1
  Endocrine carcinoma 1
 
1317 左胸壁腫瘍 (物部泰昌先生)
  Synovial sarcoma 18
    poorly diff. 2
    monomorphic type 1
  High grade sarcoma with neuroendocrine (and vascular) differentiation 1
   (carcinosarcoma)
  Ewing's sarcoma/PNET 8
    with melanoma or melaninn producing differentiation 1
    Askin tumor 1
  Malignant peripheral nerve sheath tumor 2
  Sarcomatous mesothelioma 1
  Undifferentiated carcinoma 1
 
1318 肺腫瘤 (内野かおり先生)
  Malignant lymphoma 3
    *diffuse large B-cell lymphoma 1
   EBER1(+), CD20(+), CD30(+), methotrexate投与あり
  Lymphoproliferative disorder (*diffuse large B-cell lymphoma) 1
  Rheumatoid nodule 5
  Inflammatory pseudotumor 4
    IgG4 1
  Inflammatory myofibroblastic tumor 2
  Epithelioid hemangioendothelioma 4
  Wegener's granulomatosis 2
  Lymphomatoid granulomatosis 2
  Langerhans cell histiocytosis 1
  Langerhans cell sarcoma 1
  Follicular dendritic cell tumor 1
  Pulmonary angiosarcoma 1
  Malignant fibrous histiocytoma 1
  Metastatic anaplastic carcinoma 1
  IDK 2
 
1319 虫垂腫瘍 (伏見聡一郎先生)
  Goblet cell carcinoid 25
    with signet-ring cells 1
  Adenocarcinoid 2
   *(mixed adenocarcinoma and goblet carcinoid)
   CGA(+), Symaptophysin(+), CD56(±??), serotonin(+), CK7(?), CK20(+), CEA(++)
  Mucinous adenocarcinoma with goblet cell carcinoid 1
  Mucinous (adeno)carcinoma 2
 
1320 多発性小腸粘膜下腫瘍 (黒田直人先生)
  Gastrointestinal stromal tumor 30
    *familial 1
    c-kit(++), CD34(-), αSMA(+), S100(-), h-caldesmon(±)
   周囲神経叢の過形成像あり,遺伝子検索でexon 11にpoint mutation(+)
  追加情報)患者の妹が多発GISTを発症した。また,家族性GISTの遺伝形式は常染色体優性遺伝。
    multiple 2
    malignant 1
    with Cajal cell hyperplasia 1
    with schwannian differentiation 1
  Leiomyomatosis 1
 
1321 肝腫瘍 (増田 渉先生)
  Angiomyolipoma 23
   HMB45(++), αSMA(+), 患者に結節性硬化症はない
  PEComa 1
  Hemangioendothelioma 3
  Angiosarcoma 3
  Cavernous hemangioma 1
 
1322 頚部腫瘍 (安藤 翠先生)
  Low grade fibromyxoid sarcoma 16
   Vimentin(++), CK7(++), CD10(-), RCC(-), c-kit(-), MIB-1少
 CD34:網目状細血管(++), αSMA:被膜部分に陽性細胞
  Low grade myxofibrosarcoma 1
  Fibromyxoma 1
  Desmoplastic fibroblastoma 1
  Dermatofibrosarcoma protuberans 1
  Nodular fasciitis 3
  Desmoid tumor 1
  Mediastinal fibromatosis 1
  Ectopic hamartomatous thymoma 2
  Metaplastic thymoma 1
  Epithelioid hemangioendothelioma 1
  Inflammatory pseudotumor 1
  IDK 1
 
1323 腎腫瘍 (溝渕光一先生)
  Renal angiomyoadenomatous tumor 3
  Renal clear cell carcinoma (clear cell RCC) 13
    constitutional chromosome 3 translocations 1
    with papillary structure 1
  RCC, clear cell variant/type/subtype 4
    metastasis 2
  Papillary RCC, clear cell type 1
  Multilocular cystic RCC 4
  Renal cell carcinoma 3
  Translocation carcinoma 1
  IDK 2