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Case A
Clinical History
• Female 41 years
• Complaining of IMB and PCB for several years
• Lesion on anterior lip of cervix biopsied ?HPV
Discussion – Score 1
• ‘Well differentiated SCC’
• ‘Moderately differentiated SCC’
• ‘Verrucous Carcinoma’
• ‘SCC + Probable vascular invasion’
• ‘SCC + Suggestive of lymphovascular invasion’
• ‘SCC - Need more history to excluded KA’
• ‘SCC - Need to see whole lesion to exclude KA’
Discussion – Score 2
• ‘Keratoacanthoma’ x 2
• ‘Keratoacanthoma – hard to diagnose without seeing whole lesion’
• Score 2 – fair?
• Subsequent excision biopsy showed dermal scarring and mild dysplasia only – no residual lesion
Case 5 Discussion
• Answers scored ‘1’ –
Giant cell tumour of tendon sheath
Localised nodular tenosynovitis
Fibrous histiocytoma of tendon sheath
Giant cell tumour
Localised pigmented villonodular synovitis
Tenosynovial giant cell tumour
CASE F
• 62 year old female
• Right groin lymph node excision
• 3 cm lymph node
• ICC: CD20, CD10, BCL2 and BCL6 positive
Follicular lymphoma
• Total responses 122
• Score 1 – 122
• Grade of lymphoma was mentioned in some responses
Adenocarcinoma arising on background of an adenoma
• Total responses – 122
• Responses mentioning adenocarcinoma were scored 1
• Score 1 – 122
• Some of the responses also included subtype of adenoma
High grade CGIN
• Total responses – 122
• Responses mentioning CGIN were scored 1
• Score 1 – 122
• Some responses further classified CGIN – low grade/high grade
Adenoid cystic carcinoma
• Total responses - 122
• Score 1 – 120
• Score 2 – 2
- Malignant salivary gland ?polymorphous low
grade ca – refer for expert opinion
- Salivary gland adenoca –D/D adenoid cystic ca and
polymorphous low grade adenoca –ICC and
specialist opinion required
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