投票結果


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第201回(2010年6月11日)

* 発表者診断    # 討論での主な対抗意見

1324 膵腫瘍 (増田 渉先生)
  Intraductal tublar (adeno)carcinoma 13
  Intraductal papillary adenocarcinoma 2
  Intraductal papillotubular adenocarcinoma 1
* Intraductal tubulopapillary neoplasm 3
   粘液(-),MUC1(++), MUC2(-), MUC5AC(-), MUC6(++), CD10(-), anti-trypsin(-), MIB-1:8%程度, p53:20%
   AJSP 33; 1164-, 2009.
    carcinoma 1
  Intraductal tublar adenoma 2
  Adenocarcinoma 4
    ductal 1
  Serous cystadenocarcinoma 1
  Acinar (/acinic) cell (adeno)carcinoma 6
  Acinic cell cystadenocarcinoma 1
  Well diff. endocrine tumor, uncertain behavior 1
  Non-functioning endocrine adenoma 1
 
1325 食道腫瘍 (黒田直人先生)
  Adenocarcinoma 31
    * Barrette's adenocarcinoma 16
   clear cellはAFP・hepatocyte・α1AT・α1ACT・CDX2, MUC6(++)
 "hepatoid"あるいは"enteroblastic"とすべきか?
   Hum Pathol 38 857-, 2007. Histopathol 37; 1304-, 2004.
    AFP-producing 1
    with clear cell pattern 2
  AFP-producing carcinoma 1
  Carcinoma with enteroblastic differentiation 1
  Metastasis of thyroid papillary carcinoma 1
  Tubular adenocarcinoma (r/o metastatic) 1
 
1326 頚部腫瘤 (岩谷佳代子先生)
  Rhabdomyosarcoma 3
    * spindle cell variant 2
   desmin(++), αSMA(++), myogenin(+), S100(-), h-caldesmon(-), 横紋を確認することはできなかった
   Pathol Res Pract 189; 1002-, 1993. AJSP 17; 221-,1993.
   腫瘍細胞内のglycogenを確認すべき(Dr.田口)
  Malignant peripheral nerve sheath tumor 9
  Schwannoma 2
    mitotic active / cellular 1
  Neurothkeoma 1
  Neurofibroma 2
  Liposarcoma 5
    dedifferentiated 3
  Leiomyosarcoma 1
  Spindle cell hemangioma 1
  Hemangiopericytoma (malignant?) 1
  Hemangioendothelioma 2
    malignant 1
  Angiosarcoma 2
  Solitary fibrous tumor 3
  Fibrosarcoma, fibromyxoid type 1
  Dermatofibrosarcoma protuberans 1
  Intranodal myofibroblastoma 1
 
1327 腋窩リンパ節病変 (大原信哉先生)
* Vascular transformation of lymph node sinuses 17
   左上肢の浮腫(++)。CD34(++), D2-40(+)[CD34>D2-40]。CD31はやや大きな脈管に(+)。S100(+)細胞やLZM(+)細胞は少ない。
  LN皮膜の破壊・皮膜外への広がり(-) --- angiosarcomaとの違い
  Nodal angiomatosis 1
  Hemangioma 4
    capillary 2
  Hemangioendothelioma 3
    epithelioid 1
    Kaposiform 1
  Kaposi's sarcoma 1
  Angiosarcoma 6
  LAM 1
  LAM+capillary hemangioma 1
  Amyloidosis 1
 
1328 卵巣腫瘍 (中山宏文先生)
  Mucinous borderline tumor / Mucinous cystic tumor, borderline malig 19
    * endocervical-like / endocerical type 7
   MIB-1: 低異型高円柱上皮はほとんど染まらないが,低乳頭状異型上皮は数%
    intestinal type 1
    + endometriosis 2
  Mucinous borderline tumor with intraepithelial carcinoma 3
    + adenofibroma 1
  Mucinous cystadenoma, borderline malig. with microinvasion 1
  Mucinous adenocarcinoma 1
  Mucinous cystadenoma 2
    + endometriosis+Toxoplasma 1
  Granular cell tumor+Mucinous cystadenoma 1
  Mixed epithelioid tumor, borderline malig. 1
  Endometriosis 1
  Endometriotic cyst 2
    with mucinous metaplasia 1
  Endometrial cyst with mucinous & hobnail cell metaplasia 1
  Luteinzed lesion & follicular cysts showing Arias-Stella phenomeno 1
  Lipid cell tumor 1
  Toxoplasma infection 1