投票結果


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第209回(2013年5月12日)

* 発表者診断    # 討論での主な対抗意見

1363左鼠径部腫瘤(物部泰昌先生)
*Extra-skeletal myxoid chondrosarcoma13
  EMA(++), CD56(+), Synaptophysin(+); dot-like pattern, CD99(+); focal, S100(+); focal, CK(-), CD34(-), D2-40(-), CD10(-), p63(-), Ki-67: <20%
 融合遺伝子(EWS-NR4A3, TAF15-NR4A3, TCF12-NR4A3)は認められなかったが…
  Histopathol 1999: 35, 201-, Mod Pathol 2000: 13, 900-
   chondroid sarcoma1
 Hemagioendothelioma/Angiosarcoma10
   hemangioendothelioma2
   epithelioid hemangioendothelioma5
   angiosarcoma (hemangiosarcoma) 2
   composite hemangioendothelioma with angiosarcoma1
 Myxoid liposarcoma3
#Myoepithelioma2
 Peripheral nerve sheath tumor2
 Rhabdomyosarcoma2
   myxoid1
 Parachordoma1
 Myxoid fibrosarcoma with rhabdoid features, soft tissue1
 Malignant chondroid syringoma1
 Mixed tumor, skin1
 
1364左胸壁腫瘍(黒田直人先生)
 Solitary/localized fibrous tumor19
   * malignant16
  原発巣発生部位は左肺葉間胸膜。剖検時の材料でも腫瘍の大半はlow cellular。
 CAM5.2(-), αSMA(-), calretinin(-), IGF-II(++), bcl-2(±)

   Intern Med 2001: 40, 341-, Intern Med 2012: 51, 3627-, Pathol Int 2007: 57, 791-
     dedifferentiated(1)
     with malignant transformation(1)
     with anaplastic transformation(1)
     malignant change(1)
 Poorly differentiaed squamous cell carcinoma + solitary fibrous tumor1
 Malignant fibrous tumor of pleura1
 Synovial sarcoma4
   poorly differentiated2
 Malignant melnoma2
 Germ cell tumor2
   mixed germ cell & sex-cord stromal tumor1
#Malignant mesothelioma (>> melanoma)2
   non-islet cell tumor hypoglycemia1
   small cell type1
 PNET1
 Undifferentiated round cell sarcoma1
 Pulmonary blastoma1
 Large cell neuroendocrine carcinoma (IGF producing?)1
 
1365足部皮膚腫瘤(藤原久美先生)
 Poroma (Hydracanthoma)22
   eccrine12
     with treatment(1)
    * post-cryotherapeutic state(1)
  AE1/3(+), CK7(+), CK20(-), CD56(-), GCDFP15(-), HMB45(-), Ki-67; 低値
   hidracanthoma simplex4
   hidracanthoma1
 Seborrheic keratosis2
   clonal type2
     with treatment(1)
 Pyogenic granuloma1
 Pseudoepitheliomatous hyperplasia1
 Angiokeratoma1
 Angiolymphoid hyperplasia with eosinophilia1
 
 Porocarcinoma2
   eccrine1
 Squamous cell carcinoma4
   arising in eccrine poroma1
   with seborrheic keratosis1
 Bowen's disease1
 
1366臀部皮膚腫瘤(伊藤利洋先生)
*(Intradermal) Spindle cell lipoma9
  CD34(++), Desmin(-), αSMA(-), S100(+);表層部の細胞に, ER(-), PgR(-)
   Am J Dermatopathol 2000: 22, 496- J Cutaneous Pathol 2001: 29, 59-
   myxoid variant2
 Myxoma/Superficial angiomyxoma5
   (cutaneous) myxoma3
   superficial angiomyxoma2
 Nerve sheath myxoma4
 Mucinosis4
   focal cutaneous2
   dermal1
   reticular erythematous mucinosis (plaque-like mucinosis)1
 Myxolipoma2
 Syringoma2
   chondroid sarcoma 1
 Neurofibroma2
   myxoid1
   extranodal spoladic cutaneous1
 Neurothekeoma1
 Nevus liomatosus superficialis with myxoid change1
 Myxoid liposarcoma1
 Fibromyxoid tumor (benign)1
 Eccrine angiomatous hamartoma1
 Aggressive angiomyxoma1
 IDK1