投票結果


戻 る  


第206回(2012年3月9日)

* 発表者診断    # 討論での主な対抗意見

1350胃腫瘍(物部泰昌先生)
Undifferentiated (anaplastic) carcinoma 8
  with rhabdoid features1
Carcinoma with rhabdoid feature1
Choriocarcinoma2
Sarcomatoid carcinoma1
Poorly differentiated neuroendocrine carcinoma1
*Endocrine cell carcinoma with rhabdomyosarcomatous differentiation1
 CD56(++), CGA(+)focal, Synaptophysin(+), AE1/3(-), EMA(-), CEA(-), CAM5.2(+)focal,
bcl-2(++)←high grade NECのマーカー, HHF35(+), myoglobin(+), desmin(+)←これは小型の細胞にも
Carcinosarcoma (endocrine cell carcinoma with sarcoma component)1
Poorly cohesive carcinoma (WHO)1
Epithelioid (gastrointestinal) stromal tumor2
Rhabdomyosarcoma1
Leiomyosarcoma1
Ewing/PNET1
Malignant lymphoma6
  Mixed Hodgkin and DLBCL1
Histiocytic sarcoma2
 
1351食道腫瘤(中山宏文先生)
*Leiomyoma16
Leiomyomatosis2
 αSMA(+), smoothelin(++), desmin(+), h-caldesmon(+), c-kit(-), S100(-), C34(-), Ki-67 <1%
娘結節様のものは接線方向に切れた病変の一部? mast cell(類円形〜紡錘形)多数あり
  Leiomyomatosis in Alport syndrome1
Gastrointestinal stromal tumor8
  low grade GIST1
Schwannoma1
Solitary fibrous tumor1
Desmoid type fibromatosis1
 
1352頭頂部皮膚病変(能勢聡一郎先生)
Ectopic meningothelial hamartoma10
Meningeal heterotopia2
Cutaneous meningioma2
*Rudimentary meningocele2
 投票上位4つは同じ病変を指している
CD31(-), CD34(-), D2-40(+)focal, PgR(+), EMA(-)
表層部ではEMAが陰性だった(下記 Arch Dermatol)。通常の髄膜腫でもEMAは染まりにくい。
Arch Dermatol 137; 445-50, 2001. Histopathol 59; 407-420, 2011.
  (sub)cutaneous meningioma with melanocytes1
Extracranial meningioma1
Lymphangioma3
Nevus sebaceous1
Giant cell fibroblastoma1
Angiomatosis1
Neurofibroma1
Xanthogranuloma 1
Aplasia cutis congenita1
IDK4
 
1353子宮内膜腫瘍(新宅雅之先生)
Endometrioid (adeno)carcinoma14
 * with APA
 APA(M)は残っている。加えて類内膜癌を認めるか?→一部に間質浸潤・脈管浸襲あり
Ki-67:腺管上皮(++), morule(-)
Histopathol 27; 35-42, 1995. AJSP 20; 1-20, 1996. Hum Pathol 39; 1446-1453, 2008.
  > adenoacanthosis in APA1
  involving adenomyosis1
  with leiomyoma1
Endometrioid adenocarcinoma with squamous differentiation8
Adenosquamous carcinoma2
Adenocarcinoma1
Atypical polypoid adenomyoma2
  with adenocarcinoma1
Carcinosarcoma1
Endometrial adenomyomatosis1
 
1354子宮体部腫瘍(伏見聡一郎先生)
Carcinosarcoma6
Malignant Mullerian mixed tumor2
*Uterine tumor resembling ovarian sex cord tumor5
 vimentin(++), calretinin(+), AE1/3(-), EMA(-), CAM5.2(-), ER(+), CD99(-), Inhibinα(-)
Ki-67: 〜23%, spindle cellはCD10(+)
Mod Pathol 19; 17-24, 2006.  J Clin Pathol 60; 1148-, 2007.
Carcinofibroma2
  clear cell adenocarcinofibroma 1
Adenocarcinoma5
  Serous adenocarcinoma2
  Clear cell adenocarcinoma1
  Papillary adenocarcinoma1
  Type 2 adenocarcinoma with melanocytic differentiation1
Endometrial stromal sarcoma4
  with sex cord-like elements2
  low grade2
Epithelioid leiomyoma2
  STUMP相当1
  wth sex cord-like features1
Cellular leiomyoma with leiomyosaroma1
Solid pseudopapillary carcinoma1
IDK1