投票結果


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第207回(2012年9月28日)

* 発表者診断    # 討論での主な対抗意見

1355腎腫瘍(鹿股直樹先生)
Renal cell carcinoma 30
  clear cell type RCC3
 *clear cell papillary RCC12
    of end-stage kidney1
    dialysis-related1
  clear cell tubulopapillary RCC4
  papillo-cystic RCC, clear cell type1
  in acquired cystic kidney disease6
  dialysis-related1
  associated with Xp11.2 translocation1
  multilocular cystic RCC1
  multilocular clear cell RCC1
Renal angiomyoadenomatous tumor2
 
1356腎腫瘍(柳井広之先生)
Angiomyolipoma (AML)16
 *with epithelial cysts8
 上皮細胞;CK7(++), CD10(+), ER(-), PgR(-), 上皮下の小型細胞;CD10(±), HMB45(++), αSMA(-), ER(+), PgR(+),
紡錘形細胞;αSMA(+), HMB45(±), ER(+), PgR(+)
 AJSP 2006; 30: 593-, Mod Pathol 2006; 19: 669-, Pathol Int 2008; 58: 664-
  epithelioid AML with epithelial cyst1
  cystic AML1
Mixed epithelial and stromal tumor8
Angiomyoadenomatous tumor1
Lymphangiomyoma1
Multilocular cyst2
  solitary1
Mesoblastic nephroma1
Cystic nephroma1
Cystic RCC1
Mesenchymal tumor, kidney1
Fibrous tumor1
 
1357乳腺腫瘍(大森昌子先生)
Lobular carcinoma17
  in situ10
    pleomorphic8
    with apocrine change1
    histiocytoid1
  invasive4
    pleomorphic3
  *pleomorphic3
  病巣中央は一見invasiveだが,CD10(+)の筋上皮で囲まれる→pagetoid spread
 e-cadherin(-), GCDFP15(++), 34βE12(++), ER(-), PgR(-), HER2(-), βcatenin(-),p53(-)
 腫瘍から離れた部に通常型のLCIS病巣がみられた
 LCISの取り扱い;Mod Pathol 2010; 23: S14-S25
Lobular intraepithelial neoplasia, grade 31
Apocrine carcinoma8
  in situ1
Ductal carcinoma1
Oncocytic carcinoma1
Non-invasive ductal carcinoma1
Lipid-rich carcinoma 1
Squamous cell carcinoma, acantholytic1
Sebaceous carcinoma1
 
1358肺・胸膜腫瘍(堀田真智子先生)
*Synovial sarcoma24
  CD34(-), bcl-2(-), CD56(+), CD99(+), EMA(+)少, S100(-), desmin(-), αSMA(±), calretinin(±), WT-1(+)びまん性に,
 RT-PCRでSYT-SSX(+)     AJSP 2005; 29: 339-, AJSP 2010; 34: 1176-
  monophasic1
  monophasic,fibrous type1
Solitary fibrous tumor3
  malignant2
Malignant mesothelioma2
Fibrosarcoma1
Sarcomatoid spindle cell carcinoma1
Sarcoma1
 
1359胎盤病変(西村広健先生)
Umbilical venous thrombosis with calcification1
Umbilical artery calcification1
Calcifying concetric perivasculitis1
Placenteral venous calcification1
Neonatal arterial calcification1
Venous calcification + 18 trisomy syndrome1
Thrombosis in chronic plate1
Varice of placenta1
Telangiectasia1
Placnetal hemangioma1
Vascular anomaly of the fetal surface1
Endothelial cushion1
Fibrinous vasculosis1
*CMV infection3
  focalなリンパ球・形質細胞浸潤,および胎盤表面の静脈壁の石灰化→CMV感染の特徴
 (石灰化は18 trisomyでもみられる)
 免染で内皮細胞・間質細胞にCMV(+)
Parvovirus infection2
  B19 1
Toxoplasma villitis1
Chorioamnionitis1
Villits and chorioamnionitis1
Anti-phospholipid syndrome1
Blood type incompatible pregnancy1
Materno-fetal rhesus incompatibility1
Distal villous immaturiry + umbilical artery thrombosis with calcification, and chorioamnionitis1
18 trisomy2
IDK4