Difference between revisions of "DZI20-205"
From MGH Learn Pathology
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|supportingInfo=Neuropathology | |supportingInfo=Neuropathology | ||
|reasonCode=MML NP | |reasonCode=MML NP | ||
| − | |subject= | + | |subject=MGH |
| − | |performer= | + | |performer=MML55 |
|authoredOn=October 16, 2020 07:14:00 PM | |authoredOn=October 16, 2020 07:14:00 PM | ||
|requester=Aja51 | |requester=Aja51 | ||
| + | |access=public | ||
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{{status | {{status | ||
Latest revision as of 15:23, June 21, 2022
Request details
- Request type Study
- Subspecialty Neuropathology
- Set Frozen Conference
- Topic MML NP
- Presenter Martinez-Lage Alvarez, Maria,MD
Toggle columns: Diagnosis
| Case | Clinical history | Requester | Diagnosis |
|---|---|---|---|
| Case | Clinical history | Requester | Diagnosis |
|
| 27-year-old man presenting with posterior fossa brain mass. | Mjf79 | Frozen: Medulloblastoma. permanent: MEDULLOBLASTOMA • CLASSICAL TYPE • WNT-ACTIVATED • WHO GRADE IV |
|
| 46 yo R posterior parietal rim-enhancing lesion. | Mjf79 | Frozen: Glial tumor • suspect high-grade. Rapid IDH and MGMT ordered. permanent: INTEGRATED DIAGNOSIS: GLIOBLASTOMA • IDH-WILDTYPE |
|
| 55 yo M with incidental pituitary mass | Mjf79 | Frozen: Consistent with Rathke's cleft cyst with strips of epithelium. permament: RATHKE'S CLEFT CYST |
|
| 80 yo M hypodense lesion with significant edema in R temporal lobe | Mjf79 | "Frozen: Infiltrating glioma. DH plus MGMT testing initiated."permament: INTEGRATED DIAGNOSIS: DIFFUSE ASTROCYTOMA • IDH-MUTANT. |
|
| 77 yo with sinus opacification and enhancing cystic lesion in sella | Mjf79 | Frozen: Largely acellular material with refractile material resembling fungal forms versus crystals. No definitive viable fungi seen. Permanent: ACELLULAR MATERIAL WITH FUNGAL HYPHAE |
|
| 68 yo M with MRI demonstrating R temporal expansile T2/FLAIR signal hyperintense lesion with at most punctate enhancement. | Mjf79 | "Frozen#1(slides 1-3): Brain with infiltrating atypical cells.
Frozen#2(slides 4-6): High-grade astrocytoma • at least grade 3. Rapid MGMT requested." Permanent: GBM • IDH-WT |
|
| 64 yo with CT showing a right temporal lobe mass. | Mjf79 | Frozen: Malignant neoplasm • favor melanoma. Rapid molecular initiated. Permanent: METASTATIC MELANOMA |
|
| 64 yo M with expansile enhancing intramedullary mass extending from C4 to T7. | Mjf79 | Frozen: Hypercellular glial tissue • suggestive of glioma. Permanent: INFILTRATING ASTROCYTOMA |
|
| 54 yo F with CT head that showed corpus callosum mass and associated edema in posterior parietal lobes | Mjf79 | Frozen: Lesional tissue • suspicious for lymphoma. Permanent: DIFFUSE LARGE B CELL LYMPHOMA (DLBCL) • NON-GERMINAL CENTER TYPE |
|
| 77 yo with CT showing extra-axial mass measuring 6.6x2.5cm with significant vasogenic edema in the right frontal lobe with effacement of the frontal horn of the right lateral ventricle and 0.4cm midline shift to the L | Mjf79 | Frozen: Atypical meningioma (sheeting • foci of hypercellularity • necrosis • mitosis). Permanent: ATYPICAL MENINGIOMA • WHO GRADE II |
|
| 51-year-old male with a cystic sellar mass | Mjf79 | Frozen: Consistent with craniopharyngioma. Permanent: PAPILLARY CRANIOPHARYNGIOMA |
