Difference between revisions of "DZI20-210-Case-4"

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{{dziCase
+
{{ServiceRequestCase
|qc=yes
+
|identifier=DZI20-210-Case-4
|qcuser=Aja51
+
|intent=order
|qctime=Oct 26, 2020 14:38:22
+
|category=409073007
|order_date=October 21, 2020 02:31:03 PM
+
|priority=routine
|user=Vn048
+
|orderDetail=case
|dziorder=DZI20-210
+
|locationCode=learn
|case_id=4
+
|basedOn=DZI20-210
|publish_timestamp=Choose_date 13:00
+
|code=faculty
|clinical_hx=80 yo man with patch/plaques then tumors diagnosed as MF, then radiated. Now ? recurrent disease on hand and back.
+
|supportingInfo=Skin, left hand: Primary cutaneous T-cell lymphoma, CD8+, with high proliferation index.
|case_diagnosis=Skin, left hand: Primary cutaneous T-cell lymphoma, CD8+, with high proliferation index.
 
  
 
IHC shows the atypical lymphocytes are CD3+ CD2+ CD8+ granzyme B+, TIA1+, with loss of CD5 and CD7 (subset), CD4-, CD30-. Ki67 is close to 100%. Positive TCR beta and TCR gamma gene rearrangements.
 
IHC shows the atypical lymphocytes are CD3+ CD2+ CD8+ granzyme B+, TIA1+, with loss of CD5 and CD7 (subset), CD4-, CD30-. Ki67 is close to 100%. Positive TCR beta and TCR gamma gene rearrangements.
 +
|reasonCode=80 yo man with patch/plaques then tumors diagnosed as MF, then radiated. Now ? recurrent disease on hand and back.
 +
|subject=public
 +
|performer=Vn048
 +
|authoredOn=October 21, 2020 02:31:03 PM
 +
|requester=Vn048
 +
|sequence=4
 
}}
 
}}
{{dziSlide
+
{{Media
|order_date=October 21, 2020 02:31:03 PM
+
|basedOn=DZI20-210-Case-4
|user=Vn048
+
|type=image
|source_filename=Z0FBQUFBQmZrRWQtbGlNN1dGck05V1JoTzBZbVJDd2lGMWJZX1RUUWNMVklIbi1RaXNfaXlXZHdoRkxfQjViWDJFSUtDQ2N1eFAxc1pNbjZCb21FLVhCTUZ2MGRab29GX2c9PQ
+
|view=show
|slide_anatomy=Show
+
|partOf=DZI20-210
 +
|frames=1
 +
|identifier=DZI20-210-Case-4_1
 +
|createdDateTime=October 21, 2020 02:31:03 PM
 +
|operator=Vn048
 +
|subject=Z0FBQUFBQmZrRWQtbGlNN1dGck05V1JoTzBZbVJDd2lGMWJZX1RUUWNMVklIbi1RaXNfaXlXZHdoRkxfQjViWDJFSUtDQ2N1eFAxc1pNbjZCb21FLVhCTUZ2MGRab29GX2c9PQ
 +
|modality=mrxs
 
}}
 
}}

Revision as of 13:48, March 9, 2022

DZI20-210-Case-4
80 yo man with patch/plaques then tumors diagnosed as MF, then radiated. Now ? recurrent disease on hand and back.
Skin, left hand: Primary cutaneous T-cell lymphoma, CD8+, with high proliferation index. IHC shows the atypical lymphocytes are CD3+ CD2+ CD8+ granzyme B+, TIA1+, with loss of CD5 and CD7 (subset), CD4-, CD30-. Ki67 is close to 100%. Positive TCR beta and TCR gamma gene rearrangements.
December 31, 1969 7:00:00 PM