OSPA

投票結果

第222回（2017年10月13日）

　演題番号をクリックすると発表スライド（pdf書類）が表示されます。

*　発表者診断　　　　#　討論での主な対抗意見

1424 左肩軟部腫瘍 物部泰昌先生（川崎医大医療センター）

* Cellular fibrous histiocytoma 5

　F XIIIa(+), D2-40(+), Ki-67 12% / 核分裂像 2/50HPF　　　Mod Pathol 23; 434-, 2016.

Dermatofibroma 5

　　atypical 1

　　associated with IgG4-related skin disease 1

# Dermatofibrosarcoma protuberans 12

　　fibrosarcomatous transformation 1

Atypical fibroxathoma 2

CD34-positive fibroblastic tumor 1

Soliltary fibrous tumor 2

Spindle cell xanthogranuloma 1

Inflammatory myofibroblastic tumor 1

Malignant peripheral nerve sheath tumor 2

Leiomyosarcoma 1

Low-grade fibromyxoid sarcoma 1

IgG4-ralated disease 1

IDK 1

1425 頭部腫瘍 佐貫史明先生（川崎医大病理学2）

Proliferating trichilemmal tumor (cyst) 25

　* and/with metastatic adenocarcinoma /
　　　intra-hepatic cholangiocarcinoma 21

　乳がんの臨床 Vol 30 No.2, 141(51)

　　with glandular differentiation 1

　　and adenocarcinoma 1

Malignant proliferating trichilemmal tumor 3

　　with apocrine differentiation 1

　　and metastatic adenocarcinoma 1

Malignant trichilemmal cyst 1

Metastatic intra-hepatic bile duct carcinoma in folliculosebaceous cystic hamartoma 1

Pilar tumor with malignant change (adenoca. & SqCC) 1

Sweat-gland adenocarcinoma wth squamous metaplasia 1

Adenosquamous carcinoma 1

Mixed tumor 1

IDK 1

1426 虫垂病変 能勢聡一郎先生（岡山済生会総合病院）

Amebic dysentery (Amebiasis) 32

　* (acute/purulent) amebic appendicitis 14

　海外居住歴あり，HIV陰性
　World J Surg 37:2061-2073,2013.　J Clin Microbiol 55(1):313-320,2017.

Eosinophilic appendicitis 1

Inflammatory myofibroblastic tumor 1

Dedifferentiated liposarcoma 1

1427 右耳下腺病変 黒田直人先生（高知赤十字病院）

# Warthin’s tumor 22

　　infarcted 7

　　necrosis of 5

　　ruptured 1

　　degenerated 1

　　lipogranuloma in Warthin’s tumor 1

　　necrotizing change with xanthogranulomatous reaction 1

　　with extensive inflammatory change & necrotizing
　　　sialometaplasia 1

* Necrotizing sialometaplasia 3

　柳井：トギン染色でWarthinの構築が残っているかどうかをみては？

→ トギン染色を追加しました

Necrotizing sialadenitis 1

Necrosis with granulomatous inflammation 1

Coagulation necrosis and granulation 1

Granulomatous sialadenitis 1

Epidermal cyst 1

Salivary duct carcinoma with Warthin’s tumor 1

Dedifferentiated adenoid cystic carcinoma with Warthin’s tumor 1

Sebaceous adenocarcinoma with epithelial myoepithelial carcinoma 1

IDK 2

1428 後腹膜腫瘍 河原明奈先生（神戸赤十字病院）

Liposarcoma 29

　　dedifferentiated 17

　　　with rhabdomyosarcomatous differentiation 9

　　* with rhabdomyoblastic differentiation 2

　MDM2(+), CDK4(+), 5年前に撮影されていた腹部CT：左腎周囲脂肪織のわずかな毛羽立ち(+)
　J Pathol 203:822-830, 2004.　AJSP 31:1476-1489,2007.

　　　with features of rhabdomyosarcoma 2

　　　with rhabdoid feature 1

　　myxoid 3

　　　with features of rhabdomyomatous differentiation 1

　　well differentiated 2

　　　with microscopic foci of undifferentiated pleomorphic
　　　sarcoma and myxofibrosarcomatous area 1

　　sclerosing 1

Rhabdomyosarcoma 4

Leiomyosarcoma 1

Myxofibrosarcoma 1

1424	左肩軟部腫瘍	物部泰昌先生	（川崎医大医療センター）
*	Cellular fibrous histiocytoma			5
	F XIIIa(+), D2-40(+), Ki-67 12% / 核分裂像 2/50HPF　　　Mod Pathol 23; 434-, 2016.
	Dermatofibroma			5
	atypical		1
	associated with IgG4-related skin disease		1
#	Dermatofibrosarcoma protuberans			12
	fibrosarcomatous transformation		1
	Atypical fibroxathoma			2
	CD34-positive fibroblastic tumor			1
	Soliltary fibrous tumor			2
	Spindle cell xanthogranuloma			1
	Inflammatory myofibroblastic tumor			1
	Malignant peripheral nerve sheath tumor			2
	Leiomyosarcoma			1
	Low-grade fibromyxoid sarcoma			1
	IgG4-ralated disease			1
	IDK			1

1425	頭部腫瘍	佐貫史明先生	（川崎医大病理学2）
	Proliferating trichilemmal tumor (cyst)			25
	* and/with metastatic adenocarcinoma / 　　　intra-hepatic cholangiocarcinoma		21
	乳がんの臨床 Vol 30 No.2, 141(51)
	with glandular differentiation		1
	and adenocarcinoma		1
	Malignant proliferating trichilemmal tumor			3
	with apocrine differentiation		1
	and metastatic adenocarcinoma		1
	Malignant trichilemmal cyst			1
	Metastatic intra-hepatic bile duct carcinoma in folliculosebaceous cystic hamartoma			1
	Pilar tumor with malignant change (adenoca. & SqCC)			1
	Sweat-gland adenocarcinoma wth squamous metaplasia			1
	Adenosquamous carcinoma			1
	Mixed tumor			1
	IDK			1

1426	虫垂病変	能勢聡一郎先生	（岡山済生会総合病院）
	Amebic dysentery (Amebiasis)			32
	* (acute/purulent) amebic appendicitis		14
	海外居住歴あり，HIV陰性　World J Surg 37:2061-2073,2013.　J Clin Microbiol 55(1):313-320,2017.
	Eosinophilic appendicitis			1
	Inflammatory myofibroblastic tumor			1
	Dedifferentiated liposarcoma			1

1427	右耳下腺病変	黒田直人先生	（高知赤十字病院）
#	Warthin’s tumor			22
	infarcted		7
	necrosis of		5
	ruptured		1
	degenerated		1
	lipogranuloma in Warthin’s tumor		1
	necrotizing change with xanthogranulomatous reaction		1
	with extensive inflammatory change & necrotizing 　　　sialometaplasia		1
*	Necrotizing sialometaplasia			3
	柳井：トギン染色でWarthinの構築が残っているかどうかをみては？
	→ トギン染色を追加しました
	Necrotizing sialadenitis			1
	Necrosis with granulomatous inflammation			1
	Coagulation necrosis and granulation			1
	Granulomatous sialadenitis			1
	Epidermal cyst			1
	Salivary duct carcinoma with Warthin’s tumor			1
	Dedifferentiated adenoid cystic carcinoma with Warthin’s tumor			1
	Sebaceous adenocarcinoma with epithelial myoepithelial carcinoma			1
	IDK			2

1428	後腹膜腫瘍	河原明奈先生	（神戸赤十字病院）
	Liposarcoma			29
	dedifferentiated		17
	with rhabdomyosarcomatous differentiation		9
	* with rhabdomyoblastic differentiation		2
	MDM2(+), CDK4(+), 5年前に撮影されていた腹部CT：左腎周囲脂肪織のわずかな毛羽立ち(+) 　J Pathol 203:822-830, 2004.　AJSP 31:1476-1489,2007.
	with features of rhabdomyosarcoma		2
	with rhabdoid feature		1
	myxoid		3
	with features of rhabdomyomatous differentiation		1
	well differentiated		2
	with microscopic foci of undifferentiated pleomorphic 　　　sarcoma and myxofibrosarcomatous area		1
	sclerosing		1
	Rhabdomyosarcoma			4
	Leiomyosarcoma			1
	Myxofibrosarcoma			1