Scotland and Northern Ireland EQA Scheme Circulation 46

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Presentation transcript:

Scotland and Northern Ireland EQA Scheme Circulation 46 Cases A to E Presented by Dr G Stenhouse Raigmore Hospital, Inverness

Case A 46 year old Female Thyroid lobectomy

Scotland and Northern Ireland EQA Scheme Circulation 46 Cases F to J Cases provided by Dr C Boyd

Case F 64 year old female History of rheumatoid arthritis. Nodule in right thumb

20x

100x

Case F Diagnosis: Rheumatoid nodule

Case F Responses: Score 1 116- rheumatoid nodule (some suggested ICC to exclude epithelioid sarcoma)

Case G 91 year old female Enlarging nodular lesion on left forearm

20x

40x

200x

Case G Diagnosis: Melanoma

Case G Responses: Score 1 115 – melanoma

Case G Responses: Score 2 1 – extraocular sebaceous carcinoma

Case H 36 year old female Left breast lump excised

20x

100x

Case H Diagnosis: Fibroadenoma

Case H Responses: Score 1 114 – fibroadenoma

Case H Responses: Score 2 2 – benign phyllodes tumour/ phyllodes tumour

Case I 67 year old male Tumour in terminal ileum

20x

100x

200x

Case I Diagnosis: Well differentiated neuroendocrine tumour

Case I Responses: Score 1 116 – well differentiated neuroendocrine tumour

Case J 7 year old male Small tag on neck since birth

20x

40x

Case J Diagnosis: Accessory tragus

Case J Responses: Score 1 112 – accessory tragus/ accessory auricle

Case J Responses: Score 2 3 – extraosseous chondroma/ extraskeletal chondroma/ chondroma 1 – fibroepithelial polyp with cartilage

Case A Diagnosis: Chronic lymphocytic thyroiditis

Case A Responses: Score 1 107- Chronic lymphocytic thyroiditis /Hashimoto’s thyroiditis

Case A Responses: Score 2 7 – Autoimmune thyroidits 1 – Graves Disease 1 – Follicular Carcinoma

Case B 66 year old female Gastrectomy for peritonitis

Case B Diagnosis: Benign gastric ulceration/perforation

Case B Responses: Score 1 114 – Benign gastric ulcer/perforation

Case B Responses: Score 2 1 – Fungal Ulcer Score 3 1 – Perforation likely lymphoma destroyed by chemo. Small residual focus

Case C 63 year old male Supraclavicular lymph node. Previous follicular lymphoma

Case C Diagnosis: Follicular lymphoma

Case C Responses: Score 1 110 – Follicular Lymphoma

Case C Responses: Score 3 1 – Reactive lymph node, Follicular Hyperplasia 2 – As above but will do IHC 1 – Benign reactive (no mention of IHC) 1 – Follicular hyperplasia I might do IHC 1 – Follicular lymphoma versus reactive – IHC/Mol Gen

Case D 76 year old male Gastric polyp. EMR.

Case D Diagnosis: Inflammatory Fibroid Polyp

Case D Responses: Score 1 114 – Inflammatory fibroid polyp

Case D Responses: Score 2 1 – Inflammatory or hyperplastic polyp 1 - GIST

Case E 53 year old female Right Parotid Mass

Case E Diagnosis: Pleomorphic salivary adenoma

Case E Responses: Score 1 115 – Pleomorphic adenoma

Case E Responses: Score 3 1 – Pleomorphic salivary carcinoma