DZI20-196: LEE GU
From MGH Learn Pathology
Request details
- Request type Study
- Subspecialty Genitourinary
- Set Frozen Conference
- Topic LEE GU
- Presenter Wu, Chin-Lee,MD, PhD
Toggle columns: Diagnosis
| Case | Clinical history | Requester | Diagnosis |
|---|---|---|---|
| Case | Clinical history | Requester | Diagnosis |
|
| 83 yo M with urothelial carcinoma • urethral margin | Mjf79 | FX2) Proximal urtheral margin: HG TCC within vessels Permanent: High-grade urothelial carcinoma within lymphovascular spaces. |
|
| 49 yo F with a h/o colorectal adenocarcinoma • ureter margin | Mjf79 | Positive for carcinoma Permanent: Adenocarcinoma |
|
| 65 yo M with prostate cancer • urethral margin | Mjf79 | Prostatic tissue with focal adenocarcinoma Permanent: Prostatic adenocarcinoma grade 3/5 |
|
| 60 yo M with urothelial carcinoma • left distal ureter margin | Mjf79 | At least high-grade dysplasia (permanent: urothelial carcinoma in-situ) |
|
| 68 yo M with a bladder mass | Mjf79 | positive for carcinoma permanent: papillary urothelial carcinoma • high-grade • with squamous differentiation |
|
| 61 yo F with urothelial carcinoma • left bladder margin and level | Mjf79 | Suspicious for carcinoma Permanent: One minute focus (<0.5 mm) of high-grade urothelial carcinoma • present as lymphatic invasion only |
|
| 60 yo M with urothelial carcinoma • FX2: right ureter margin • FX3: right ureter margin #2 | Mjf79 | FX2) Positive for invasive carcinoma
Permanent: Invasive urothelial carcinoma. FX3) Negative for carcinoma |
|
| 61 yo F with a 3.5 cm adrenal mass (FX2) and a 3.5 cm soft tissue mass (FX3) | Mjf79 | FX2) Adrenal neoplasm • c/w pheochromocytoma (Permanent: Pheochromocytoma) FX3) Epithelioid neoplasm with some nuclear atypia • favor paraganglioma. Defer to permanents. (Permanent: Paraganglioma) |
|
| 29 yo F with a 1.6 cm adrenal cortical mass | Mjf79 | Adrenal cortical nodule • consistent with cortical adenoma Permanent: cortical adenoma |
|
| 76 yo F with a 4.2 cm adrenal gland with heterogeneous • solid and hemorrhagic cut surfaces. Two sections of mass are frozen. | Mjf79 | FX1 • 1A: Adrenal cortical neoplasm Permanent: Adrenal cortical carcinoma |
|
| 36 yo M with a 1.4 cm testicle mass | Mjf79 | germ cell tumor • favor seminoma permanent: seminoma and germ cell neoplasia in situ |
|
| 32 yo M with a 5.4 cm tan to red and partially hemorrhagic mass | Mjf79 | GCT • favor yolk sac permanent: mixed malignant GCT (5.4cm) 70% yolk sac • 25% seminoma • 5% embryonal • intratubular germ-cell neoplasia |
|
| 46 yo M with an ill-defined 2.5 cm firm testicular lesion | Mjf79 | scar • possibly burnt out tumor • await extensive sampling permanent: fibrotic testicular parenchyma with diffuse fibrosis • atrophic tubules • intratubular granulomatous inflammation and leydig cell hyperplasia c/w regressed GCT. No evidence of residual viable tumor cells |
