| 1265 |
右腎腫瘍 |
（物部泰昌先生） |
|
|
| * |
Malignant rhaboid tumor |
20 |
| |
陽性：Vimentin, AE1/AE3, CAM5.2，一部陽性：EMA, αSMA, HHF-35，
陰性：Desmin, CD56, Myoglobin, NF, MyoD1, MIC-2, S100, HMB-45, CD34, BCL-2, Calretinin |
| |
Clear cell sarcoma |
|
| |
Nephroblastoma |
5 |
| |
nephroblastic type, abortic type |
1 |
| |
fetal rhabdomyomatous |
1 |
| |
Rhabdomyosarcoma |
1 |
| |
Renal cell carcinoma |
1 |
| |
granular cell carcinoma |
|
| |
|
|
| 1266 |
偶然発見の肺小結節 |
（赤木制二先生） |
|
| |
Minute meningiothelial-like nodule |
10 |
| |
(=Chemodectoma) |
|
| |
* Minute, multiple |
1 |
| |
Minute meningiothelioid nodule |
4 |
| |
Minute meningiothelial nodule |
4 |
| |
Adenocarcinoma with chemodectoma |
1 |
| |
BAC mucinous type＋chemodectoma |
3 |
| |
Pericyte heperplasia in BAC |
1 |
| |
Tumolet |
1 |
| |
Carcinoid tumor |
1 |
| |
Glomoid tumor |
1 |
| |
Masson body |
1 |
| |
IDK |
1 |
| |
|
|
| 1267 |
右下腿軟部腫瘍 |
（村尾 烈先生） |
|
| |
Malignant peripheral nerve sheath tumor |
14 |
| |
Extragastrointestinal stromal tumor (GIST) |
1 |
| |
GIST-type stromal tumor |
1 |
| |
Malignant triton tumor |
1 |
| |
Rhabdomyosarcoma |
1 |
| |
Leiomyosarcoma |
1 |
| |
Synovial sarcoma |
1 |
| |
Round cell liposarcoma |
1 |
| |
Ewing sarcoma |
1 |
| * |
Sarcoma, high-grade |
1 |
| |
診断するためには分子レベルの検索が必要。
患者は岡大に転院してその後、岡大での検索は滑膜肉腫の融合遺伝子は検出されず。未だ、診断つかず。 |
|
IDK |
1 |
| |
| 1268 |
陰嚢腫瘍 |
（川端健二先生） |
|
| |
Leiomyosarcoma |
21 |
| * |
＋ Osteosarcoma |
1 |
| |
caldesmon(+), desmin(+)だが，再発部位では類骨形成あり→OS
Low-grade LSからhigh-grade(pleomorphic) LSへと変化し，さらにOSへ。表層型LSでもhigh-gradeのものは要注意
AJSP 25:1143-,2001 Virchows Arch 448:85-,2006 Histopathology 46:111-,2005. |
| |
Liposarcoma, dedifferentiated |
2 |
| |
Epithelioid sarcoma |
1 |
| |
Extraskeletal osteosarcoma |
1 |
| |
Embryonal rhabdomyosarcoma |
1 |
| |
Undifferentiated pleomorphic sarcoma |
1 |
| |
Mesothelioma |
1 |
| |
Schwannoma with angiosarcoma |
1 |
| |
Sex-cord tumor |
1 |
| |
| 1269 |
脳室内腫瘍 |
（三宅孝佳先生） |
|
|
| * |
Central neurocytoma |
23 |
| |
NSE・Synaptphysinともに陽性 |
| |
vs. Clear cell ependymoma |
1 |
| |
Neurocytoma |
1 |
| |
Ependymoma, clear cell |
3 |
| |
increased anaplasia |
1 |
| |
Anaplastic ependymoma |
1 |
| |
Oligodendroglioma |
2 |
| |
grade II |
1 |
|
| 1270 |
左鼠径リンパ節病変 |
（定平吉都先生） |
|
|
| |
Malignant lymphoma |
18 |
| |
diffuse large cell, immunoblastic |
4 |
| |
diffuse large B-cell |
3 |
| |
non-Hodgkin |
3 |
| |
ALK positive |
1 |
| |
Anaplastic large cell lymphoma, primary cutaneous |
2 |
| |
Granulocytic sarcima |
5 |
| |
myeloid sarcoma |
1 |
| |
Plasmacytoma |
1 |
| |
Lymph node invasion of mycosis fungoides / Sezary syndrome |
1 |
| |
Malignant melanoma, metastatic |
1 |
| * |
IDK |
1 |
| |
陽性: CD3ε, CD43, CD45, CD45RA, CD74，bcl-2, vimentin, 少数陽性:TdT
陰性: κ, λ, CD15, CD20, CD30, CD34, CD56, CD68 (KP-1, PG-M1), Ki-M1p, CDw75, S100, TIA-1, cyclinD1, EMA, Myeloperoxidase lysozyme
鑑別：Myeloid sacroma？or Dendritic precuror cell tumor
Bone marrowへの再発なく，悪性リンパ腫の治療で12年間の再発なし。 |