Difference between revisions of "DZI20-207"
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| − | | | + | |supportingInfo=Head and Neck |
| + | |reasonCode=PET ENT | ||
| + | |subject=MGH | ||
| + | |performer=PMS36 | ||
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| + | |authoredOn=March 09, 2022 01:49:34 PM | ||
| + | |requester=Si787 | ||
| + | |identifier=DZI20-207 | ||
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Latest revision as of 15:17, June 21, 2022
Request details
- Request type Study
- Subspecialty Head and Neck
- Set Frozen Conference
- Topic PET ENT
- Presenter Sadow, Peter M.,MD, PhD
Toggle columns: Diagnosis
| Case | Clinical history | Requester | Diagnosis |
|---|---|---|---|
| Case | Clinical history | Requester | Diagnosis |
|
| 55 yo M with dysphagia and left anterior vocal cord lesion. | Mjf79 | FROZEN SECTION DIAGNOSIS #1; (LEFT ANTERIOR CORD):
Invasive squamous cell carcinoma. Permanent: LEFT ANTERIOR CORD BIOPSY: Invasive and in situ keratinizing squamous cell carcinoma • moderately differentiated. |
|
| neck lymph node • patient with thyroid cancer | Mjf79 | FROZEN SECTION DIAGNOSIS #1; (PRETRACHEAL LYMPH NODES):
Metastatic papillary thyroid carcinoma to 1 of 1 lymph node. Permanent: PRETRACHEAL LYMPH NODES EXCISION: Metastatic papillary thyroid carcinoma to 1 out of 1 lymph node (1/1). |
|
| parathyroid • 1.594 g | Mjf79 | FROZEN SECTION DIAGNOSIS #1; (RIGHT UPPER PARATHYROID) Enlarged (1.594 g) variably hypercellular parathyroid with preserved intracellular fat and absent stromal fat with variably cellular rim area with preserved stromal fat on oil red O stain. |
|
| left tonsil biopsy | Mjf79 | FROZEN SECTION DIAGNOSIS #1; (LEFT TONSIL BIOPSY): Invasive squamous cell carcinoma • non-keratinizing. |
|
| Parotid mass | Mjf79 | Pleomorphic adenoma |
|
| sinus mass | Mjf79 | Inverted papilloma. Negative for malignancy. |
|
| maxillary cyst | Mjf79 | Consistent with odontogenic keratocyst |
|
| 47 yo M with DLBCL on chemotherapy. CT shows moderate mucosal thickening in the left maxillary sinus with internal areas of hyperdensity | Mjf79 | FROZEN SECTION DIAGNOSIS #2; (LEFT POSTERIOR MAXILLA):
Invasive fungal disease most consistent with Mucor. Permanent: LEFT POSTERIOR MAXILLA • BIOPSY: Extensive invasive fungal disease • histomorphologically compatible with mucor • within viable and necrotic tissue. |
|
| First slide "right nasal mass" Second slide: "right nasal mass - deeper biopsy") | Mjf79 | FROZEN SECTION DIAGNOSIS #1 (Right nasal mass):
Non-specific adenomatous changes. Bone not frozen. ? Hamartoma. FROZEN SECTION DIAGNOSIS #2 (Right nasal mass - deeper biopsy): Polypoid tissue • edematous • with scattered vessels and smooth muscle; ? Hamartoma vs. reactive changes. Permanent: A. RIGHT NASAL MASS BIOPSY: Inflammatory sinonasal polyp B. RIGHT NASAL MASS • DEEPER BIOPSY: Inflammatory sinonasal polyp |
|
| Vocal fold lesion | Mjf79 | FROZEN SECTION DIAGNOSIS #1; (LEFT VOCAL FOLD LESION):
Benign squamous mucosa with subepithelial hyaline vascular changes consistent with vocal cord polyp. Permanent: LEFT VOCAL FOLD LESION EXCISION: Vocal cord polyp with myxoid and hemorrhagic stroma. |
