DZI20-203: HNG PULM
From MGH Learn Pathology
Request details
- Request type Study
- Subspecialty Pulmonary Pathology
- Set Frozen Conference
- Topic HNG PULM
- Presenter Hung, Yin P.,MD, PhD
Toggle columns: Diagnosis
| Case | Clinical history | Requester | Diagnosis |
|---|---|---|---|
| Case | Clinical history | Requester | Diagnosis |
|
| 81 yo M with endobronchial mass | Mjf79 | FX1+level) Calc • f/o bronchus; FX2) bone • bone marrow • cartilage. Query hamartoma vs heterotopic ossification final: hamartoma |
|
| 76 yo M RUL lung nodule | Mjf79 | 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 |
|
| 73 yo M with RLL mass | Mjf79 | adenocarcinoma w/ mucinous features Final: invasive mucinous adenocarcinoma |
|
| 77 yo M with RML mass | Mjf79 | metastatic RCC final: metastatic RCC |
|
| 74 yo F with RLL mass | Mjf79 | 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 |
|
| 74 yo M with 2 RUL masses identified grossly. Frozens taken: FX1: Parenchymal margin • FX1A: Mass #1 • FX2B: Mass #2 (subpleural) | Mjf79 | FX1: Margin negative • FX1A: SCC. FX1B: fibroelastotic scarring Final: SCC • keratinizing. Prominent subpleural fibroelastotic scarring • which may represent prominent apical cap. |
|
| 73 yo M with h/o PDAC now with lung nodule LLL | Mjf79 | fibrosis • CI and collections of histiocytes. No tumor seen. Final: fibroinflammatory changes with organization and focal cavity formation |
|
| 52 yo F with RUL mass | Mjf79 | adenocarcinoma final: adenocarcinoma (acinar mod 90% • lepidic 10%) |
|
| 50 yo F with hilar adenopathy | Mjf79 | non-necrotizing granulomas in one lymph node and the other extensively hyalinized. Final: non-necrotizing granulomas • c/w sarcoid in the appropriate clinical context |
|
| 63 yo M with a RML nodule | Mjf79 | mucinous epithelial proliferation • favor ciliated mucondoular papillary tumor final: ciliated mucondoular papillary tumor |
|
| 57 yo M with lung mass RLL | Mjf79 | epithelial neoplasm • favor carcinoid. final: carcinoid |
