投票結果


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第216回(2015年10月9日)

* 発表者診断    # 討論での主な対抗意見

1397咽頭腫瘍多喜友香先生(川崎医大病理1)
*Calcifying fibrous tumor13
  他臓器の病変(-) vimentin(++), CD34(-/±), αSMA・S100・ALK・βcatenin・bcl-2:いずれも(-)
 IgG4は20個/HPF程度で,IgG4/IgG比は25%程度。  APMIS 123: 72-76, 2014.
  IgG4-related disease1
Solitary fibrous tumor3
Fibroma2
IgG4-related disease4
  Fibrosclerosis1
Inflammatory myofibroblastic tumor4
  collagenized1
Inflammatory pseudotumor1
Neurofibroma1
Amyloidosis1
IDK1
 
1398尿道病変鹿股直樹先生(川崎医大病理2)
Nephrogenic adenoma5
 * fibromyoid
  AE1/3(++), CAM5.2(+), thrombomodulin(-), AMACR(±), PSA(-), CD10一部(+)
 AJSP 31, 1231-, 2007.←放射線治療との関連(?)
Angiomyxoma4
Aggressive angiomyxoma, urethra2
Myxoma2
Pseudomyxomatous inflammation, urethra1
Inflammatory myofibroblastic tumor2
Inflammatory pseudotumor2
Sarcomatoid urothelial carcinoma1
Myxoid liposarcoma1
Epithelioid hemangioendothelioma1
Angiosarcoma1
Prostatic carcinoma invasion with myxoid stroma1
Myxomatous degeneration of Accessory urethral gland1
Radiation (- induced) urethritis2
Polpoid urethritis1
Hematoma1
Lichen sclerosis1
Coagulativer necrosis of adipose tissue1
IDK1
 
1399腸間膜〜S状結腸病変黒田直人先生(高知赤十字病院)
*Mucinous cystadenoma12
  前回手術中に腫瘤の破綻あり,同部近傍から生じた病変。上皮下に卵巣様間質あり。内膜症はなし。
 CK&(+), CK20(-), CDX2(-), ER(+), Ki-67少, spindle cellはαSMA(+)
 腸間膜症例;Pathol Int 56: 71-, 2006. Gastroenterol 141: 1160-, 2011.
Dr.三上:後腹膜との関係は? secodary Müllerian systemから生じた可能性は?
  recurrence2
  arising in endometriosis1
  metastasizing1
Mucinous borderline tumor8
  recurrence5
  intestinal type1
Mucinous (adeno)carcinoma4
  metastatic1
Mucinous cystadenocarcinoma1
Mucinous tumor, recurrence1
Adenocarcinoma, recurrence1
Low-grade appendiceal mucinous neoplasm/carcinoma3
  metastatic1
Pseudomyxoma peritonei2
  appendix1
 
1400左口蓋扁桃腫瘍大西信彦先生(岡大腫瘍病理)
*Follicular dentritic cell sarcoma11
  核分裂像 3/10HPF程度 S100 diffuse(+), Nestin・SMA・HHF35・Keratin・EMA・HMB45・CGA・Synaptophysin いずれも陰性
 CD21(+), CD23(+), CD35(+), D2-40細胞膜に(+), Ki67:10%程度
 Am J Clin Pathol 128, 776-, 2007.
Myoepithelial carcinoma4
 (malignant myoepithelioma)
Spindle cell carcinoma, tonsil3
Undifferentiated carcinoma1
Synovial sarcoma2
Malignant peripheral nerve sheath tumor2
Peripheral nerve sheath tumor1
Inflammatory myofibroblastic tumor3
Meningioma2
IDK2
 
1401腎腫瘍小田晋輔先生(岡大免疫病理)
*Mucinous tubular and spindle cell carcinoma15
  CT:石灰化(+),造影効果(-)。組織像が多彩(好酸性,泡沫状,clear)
  CD10一部(+), AE1/3(++), 34βE12(+), MUC1 diffuse(+)
 AJSP 30: 1554-60, 2006.
Papillary renal cell carcinoma12
  clear cell2
  type II, eosinophililc variant1
Renal cell carcinoma2
  unclassified1
Clear cell papillary carcinoma1
Invasive micropapillary adenocarcinoma1
 
1402喉頭腫瘍沖田千佳先生(倉敷中央病院)
Chondrosarcoma21
  grade 14
  grade 2*2
  extraskeletal1
(En)chondroma7
Osteochondroma2
  cricoid cartilage1
Hyperchondroplasia1
Osteosarcoma1