DZI20-203-Case-5
74 yo F with RLL mass
FX1) adenocarcinoma with lepidic, acinar and papillary patterns. FX3)Paranchymal LN = granulomatous inflammation in a nodular pattern
Final: adenocarcinoma (50% lepidic, 40% acinar, 10% papillary). Lymph node: granulomatous inflammation
December 31, 1969 7:00:00 PM
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Clinical history
74 yo F with RLL mass
Diagnosis
FX1) adenocarcinoma with lepidic, acinar and papillary patterns. FX3)Paranchymal LN = granulomatous inflammation in a nodular pattern Final: adenocarcinoma (50% lepidic, 40% acinar, 10% papillary). Lymph node: granulomatous inflammation
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Associated requests
DZI20-203
Sequence | Case | Clinical history | Diagnosis |
---|---|---|---|
1 | DZI20-203-Case-1 DZI20-203-Case-1 | 81 yo M with endobronchial mass 81 yo M with endobronchial mass | FX1+level) Calc, f/o bronchus; FX2) bone, bone marrow, cartilage. Query hamartoma vs heterotopic ossification
final: hamartoma FX1+level) Calc, f/o bronchus; FX2) bone, bone marrow, cartilage. Query hamartoma vs heterotopic ossification
final: hamartoma |
2 | DZI20-203-Case-2 DZI20-203-Case-2 | 76 yo M RUL lung nodule 76 yo M RUL lung nodule | Lymphocytes, plasma cells and spindle cells. Infection vs IMT. Negative for carcinoma
Final: fibroinflammatory changes and bronchiectasis with necrosis, palisading granulomas and rare giant cells Lymphocytes, plasma cells and spindle cells. Infection vs IMT. Negative for carcinoma
Final: fibroinflammatory changes and bronchiectasis with necrosis, palisading granulomas and rare giant cells |
3 | DZI20-203-Case-3 DZI20-203-Case-3 | 73 yo M with RLL mass 73 yo M with RLL mass | adenocarcinoma w/ mucinous features
Final: invasive mucinous adenocarcinoma adenocarcinoma w/ mucinous features
Final: invasive mucinous adenocarcinoma |
4 | DZI20-203-Case-4 DZI20-203-Case-4 | 77 yo M with RML mass 77 yo M with RML mass | metastatic RCC
final: metastatic RCC metastatic RCC
final: metastatic RCC |
5 | DZI20-203-Case-5 DZI20-203-Case-5 | 74 yo F with RLL mass 74 yo F with RLL mass | FX1) adenocarcinoma with lepidic, acinar and papillary patterns. FX3)Paranchymal LN = granulomatous inflammation in a nodular pattern
Final: adenocarcinoma (50% lepidic, 40% acinar, 10% papillary). Lymph node: granulomatous inflammation FX1) adenocarcinoma with lepidic, acinar and papillary patterns. FX3)Paranchymal LN = granulomatous inflammation in a nodular pattern
Final: adenocarcinoma (50% lepidic, 40% acinar, 10% papillary). Lymph node: granulomatous inflammation |
6 | DZI20-203-Case-6 DZI20-203-Case-6 | 74 yo M with 2 RUL masses identified grossly. Frozens taken: FX1: Parenchymal margin, FX1A: Mass #1, FX2B: Mass #2 (subpleural) 74 yo M with 2 RUL masses identified grossly. Frozens taken: FX1: Parenchymal margin, FX1A: Mass #1, FX2B: Mass #2 (subpleural) | FX1: Margin negative, FX1A: SCC. FX1B: fibroelastotic scarring
Final: SCC, keratinizing. Prominent subpleural fibroelastotic scarring, which may represent prominent apical cap. FX1: Margin negative, FX1A: SCC. FX1B: fibroelastotic scarring
Final: SCC, keratinizing. Prominent subpleural fibroelastotic scarring, which may represent prominent apical cap. |
7 | DZI20-203-Case-7 DZI20-203-Case-7 | 73 yo M with h/o PDAC now with lung nodule LLL 73 yo M with h/o PDAC now with lung nodule LLL | fibrosis, CI and collections of histiocytes. No tumor seen.
Final: fibroinflammatory changes with organization and focal cavity formation fibrosis, CI and collections of histiocytes. No tumor seen.
Final: fibroinflammatory changes with organization and focal cavity formation |
8 | DZI20-203-Case-8 DZI20-203-Case-8 | 52 yo F with RUL mass 52 yo F with RUL mass | adenocarcinoma
final: adenocarcinoma (acinar mod 90%, lepidic 10%) adenocarcinoma
final: adenocarcinoma (acinar mod 90%, lepidic 10%) |
9 | DZI20-203-Case-9 DZI20-203-Case-9 | 50 yo F with hilar adenopathy 50 yo F with hilar adenopathy | non-necrotizing granulomas in one lymph node and the other extensively hyalinized.
Final: non-necrotizing granulomas, c/w sarcoid in the appropriate clinical context non-necrotizing granulomas in one lymph node and the other extensively hyalinized.
Final: non-necrotizing granulomas, c/w sarcoid in the appropriate clinical context |
10 | DZI20-203-Case-10 DZI20-203-Case-10 | 63 yo M with a RML nodule 63 yo M with a RML nodule | mucinous epithelial proliferation, favor ciliated mucondoular papillary tumor
final: ciliated mucondoular papillary tumor mucinous epithelial proliferation, favor ciliated mucondoular papillary tumor
final: ciliated mucondoular papillary tumor |
12
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