DZI20-197: AMY PULM

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Request type Study

Subspecialty Pulmonary Pathology

Set Frozen Conference

Topic AMY PULM

Presenter Ly, Amy,MD

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Case	Clinical history	Requester	Diagnosis
Case	Clinical history	Requester	Diagnosis
Case 1	65 yo F with RUL mass	Mjf79	FX: adenocarcinoma • predominantly lepidic • focally extending to inked parenchymal margin Final: minimally invasive adenocarcinoma (95% lepidic • 5% acinar well-diff)
Case 2	63 yo M with mediastinal lymphadenopathy	Mjf79	poorly differentiated carcinoma favor small cell permanent: metastatic small cell carcinoma
Case 3	46 yo M with round lingula lesion	Mjf79	hamartoma • benign final: hamartoma • 1.5 cm with surgical clearance of 0.5 cm
Case 4	74 yo F with a pleural effusion	Mjf79	atypical epithelioid cells infiltrating skeletal muscle • favor mesothelioma final: malignant mesothelioma • epithelioid type
Case 5	69 yo F with a LUL mass	Mjf79	poorly diff carcinoma (?neuroendocrine) final: LCNEC
Case 6	75 yo M with multiple lung nodules	Mjf79	FX1 (RML wedge): benign intraparenchymal lymph node • no carcinoma seen. FX2 (RUL subpleural nodule): adenocarcinoma with features suggestive of metastasis • FX2A (RUL dominant mass): Adenocarcinoma with papillary • micropapillary and acinar patterns. Final: FX1: one benign intrapulmonary lymph node. FX2: Multiple foci of metastatic prostatic adenocarcinoma FX2A: Papillary adenocarcinoma of the lung (lepidic 30% • acinar mod diff 20% • papillary 45% • micropapillary 5%)
Case 7	57 yo F with GGO	Mjf79	Organizing pneumonia. No malignancy identified. Final: organizing pneumonia with fibrosis and lymphoid aggregates.
Case 8	69 yo F with lung mass	Mjf79	Consistent with small cell carcinoma final: small cell carcinoma
Case 9	69 yo F with RML mass	Mjf79	carcinoid final: carcinoid • typical
Case 10	62 yo F with lung mass	Mjf79	metastatic osteosarcoma final: metastatic osteosarcoma
Case 11	68 yo M with lung mass	Mjf79	NSCLC • favor SCC final: SCC