|
|
| Line 68: |
Line 68: |
| ====IHC==== | | ====IHC==== |
| {{Case IHC | | {{Case IHC |
| | blank=Dr Torres would ask why! | | | blank= |
| | ae1ae3= | | | ae1ae3= |
| | a1at= | | | a1at= |
| Line 74: |
Line 74: |
| | afp= | | | afp= |
| | alk1= | | | alk1= |
| | amacr= | | | amacr= -ve |
| | b2microgl= | | | ar= |
| | b723= | | | b2microglobulin= |
| | | b72_3= |
| | bcatenin= | | | bcatenin= |
| | bcl2= | | | bcl2= |
| Line 82: |
Line 83: |
| | bclxl= | | | bclxl= |
| | c3= | | | c3= |
| | calcit= | | | calcitonin= |
| | calponin= | | | calponin= |
| | calretinin= | | | calretinin= |
| | | cam5p2= |
| | cd10= | | | cd10= |
| | cd117= | | | cd117= |
| | | cd138= |
| | cd15= | | | cd15= |
| | cd1a= | | | cd1a= |
| Line 99: |
Line 102: |
| | cd4= | | | cd4= |
| | cd43= | | | cd43= |
| | | cd45= |
| | cd45= | | | cd45= |
| | cd5= | | | cd5= |
| | cd56= | | | cd56= |
| | cd68= | | | cd68= |
| | cd7= | | | cd7= +ve |
| | cd79a= | | | cd79a= |
| | cd8= | | | cd8= |
| | cd99= | | | cd99= |
| | cea= | | | cdx2= |
| | | cea= -ve |
| | | chromo= |
| | chromo= | | | chromo= |
| | | ck17= |
| | ck19= | | | ck19= |
| | ck20= | | | ck20= |
| | ck34be12= | | | ck34be12= |
| | | ck5_6= |
| | ck7= | | | ck7= |
| | cmv= | | | cmv= |
| | cmyc= | | | cmyc= |
| | cyclind1= | | | cyclin_d1= |
| | desmin= | | | desmin= |
| | | dog1= |
| | ebv= | | | ebv= |
| | ema= | | | ema= |
| | erpr= | | | erpr= |
| | | f_viii= |
| | | f_xiiia= |
| | fascin= | | | fascin= |
| | fsh= | | | fsh= |
| | fviii=
| |
| | fxiiia=
| |
| | gastrin= | | | gastrin= |
| | gcdfp= | | | gcdfp= |
| | | gfap= |
| | gh= | | | gh= |
| | glucag= | | | glucagon= |
| | hbme1= | | | hbme1= |
| | hbvc= | | | hbv_core= |
| | hbvs= | | | hbv_surf= |
| | | hcaldesmon= |
| | hcg= | | | hcg= |
| | | helicobacter= |
| | hepatocyte= | | | hepatocyte= |
| | her2= | | | her2= |
| | | hhv8= |
| | hmb45= | | | hmb45= |
| | | hnf1beta= |
| | hpv= | | | hpv= |
| | hsv1= | | | hsv1= |
| | hsv2= | | | hsv2= |
| | | Idh-1= |
| | inhibin= | | | inhibin= |
| | insulin= | | | insulin= |
| | kappa= | | | kappa= |
| | ki67= | | | ki67= <5% |
| | lambda= | | | lambda= |
| | lca=
| |
| | leu7= | | | leu7= |
| | lga= | | | lga= |
| Line 150: |
Line 164: |
| | lh= | | | lh= |
| | lysozyme= | | | lysozyme= |
| | melanina= | | | mammogl= |
| | | melanin_a= |
| | mitf= | | | mitf= |
| | myleoperox= | | | myleoperox= |
| | myod1= | | | myo_d1= |
| | myog= | | | myog= |
| | myog= | | | myog= |
| | | nf= |
| | nse= | | | nse= |
| | | oct3_4= |
| | p16= | | | p16= |
| | p53= | | | p53= -ve |
| | p63= | | | p63= |
| | panker= | | | panker= |
| | | pax2= +ve |
| | | pax5= |
| | | pax8= +ve |
| | pcna= | | | pcna= |
| | | pdgfr= |
| | plap= | | | plap= |
| | pnl2c= | | | pnl-2c= |
| | prolac= | | | prolactin= |
| | psa= | | | psa= -ve |
| | | psap= -ve |
| | s100= | | | s100= |
| | sma= | | | sma= |
| | somatsat= | | | somatsatin= |
| | synapto= | | | synapto= |
| | tdt= | | | tdt= |
| Line 178: |
Line 200: |
| | ubiquitin= | | | ubiquitin= |
| | uchl1= | | | uchl1= |
| | ulexeurope= | | | ulex_europe= |
| | vim= | | | vim= |
| | vip= | | | vip= |
| Line 184: |
Line 206: |
| | wt1= | | | wt1= |
| }} | | }} |
| | |
| ====Chromosomal translocations==== | | ====Chromosomal translocations==== |
| {{Case Translocations | | {{Case Translocations |
Revision as of 19:33, 1 February 2014
Provided clinical history
62 year old man, bladder tumour
Site
Urinary bladder
Primary image
Low magnification. H&E stain.
Intermediate magnification
|
Intermediate magnification. H&E stain.
|
Very high magnification
|
Very high magnification. H&E stain.
|
Differential diagnosis
Additional tests
More history
More history
|
|
No history of bladder cancer. PSA normal.
|
Ask a colleague
Ask a colleague
|
|
Looks glandular.
|
Stains
| Alcian blue/PAS to Bilirubin |
|---|
| Test | Result |
| Alcian blue/PAS | Dr Torres would ask why! |
| Alican blue pH 1.0 | Dr Torres would ask why! |
| Alcian blue pH 2.5 | Dr Torres would ask why! |
| Auramine | Dr Torres would ask why! |
| Bielchowsky | Dr Torres would ask why! |
| Bilirubin | Dr Torres would ask why! |
|
|---|
|
| Colloidal iron to Fontana-Masson |
|---|
| Test | Result |
| Colloidal iron | Dr Torres would ask why! |
| Congo red | Dr Torres would ask why! |
| Cresyl violet | Dr Torres would ask why! |
| Dieterle | Dr Torres would ask why! |
| Diff Quik | Dr Torres would ask why! |
| Fontana-Masson | Dr Torres would ask why! |
|
|---|
|
| Gallyas to Gremelius |
|---|
| Test | Result |
| Gallyas | Dr Torres would ask why! |
| Giemsa | Dr Torres would ask why! |
| GMS | Dr Torres would ask why! |
| Gomori's trichrome | Dr Torres would ask why! |
| Gram | Dr Torres would ask why! |
| Gremelius | Dr Torres would ask why! |
|
|---|
|
| JMS to Mucicarmine |
|---|
| Test | Result |
| JMS | Dr Torres would ask why! |
| Jones | Dr Torres would ask why! |
| Kinyoun | Dr Torres would ask why! |
| Luxol fast blue | Dr Torres would ask why! |
| Masson trichrome | Dr Torres would ask why! |
| M-MAS | Dr Torres would ask why! |
| Movat | Dr Torres would ask why! |
| Mucicarmine | Dr Torres would ask why! |
|
|---|
|
| Oil red O to Prussian blue |
|---|
| Test | Result |
| Oil red O | Dr Torres would ask why! |
| Orecein | Dr Torres would ask why! |
| PAS | Dr Torres would ask why! |
| PASD | Dr Torres would ask why! |
| PASF | Dr Torres would ask why! |
| PTAH | Dr Torres would ask why! |
| Prussian blue | Dr Torres would ask why! |
|
|---|
|
| Reticulin to Ziehl-Neelsen |
|---|
| Test | Result |
| Reticulin | Dr Torres would ask why! |
| Sudan black B | Dr Torres would ask why! |
| Toluidine blue | Dr Torres would ask why! |
| Verhoeff | Dr Torres would ask why! |
| Von Kossa | Dr Torres would ask why! |
| Warthin-Starry | Dr Torres would ask why! |
| Ziehl-Neeslen | Dr Torres would ask why! |
|
|---|
|
IHC
| Alpha-1 AT to Cathepsin K |
|---|
| Test | Result |
| alpha-1 AT | |
| ACTH | |
| AE1/AE1 | |
| alpha-fetoprotein | |
| Alk-I | |
| AMACR | -ve |
| AR | |
| ATRX | |
| Beta2-microglobulin | |
| B72.3 | |
| Beta-catenin | |
| BCL2 | |
| BCL6 | |
| BCLxL | |
| C3 comp | |
| CA9 | |
| Calcitonin | |
| Calponin | |
| Calretinin | |
| CAM5.2 | |
| Cathepsin K | |
|
|---|
|
| CD10 to Chromogranin |
|---|
| Test | Result |
| CD10 | |
| CD117 | |
| CD138 | |
| CD15 | |
| CD1a | |
| CD20 | |
| CD21 | |
| CD23 | |
| CD3 | |
| CD30 | |
| CD31 | |
| CD34 | |
| CD35 | |
| CD4 | |
| CD43 | |
| CD45 (LCA) | |
| CD5 | |
| CD56 | |
| CD57 | |
| CD68 | |
| CD7 | +ve |
| CD79a | |
| CD8 | |
| CD99 | |
| CDX2 | |
| CEA-m | -ve |
| Chromogranin | |
|
|---|
|
| CK17 to Glypican 3 |
|---|
| Test | Result |
| CK17 | |
| CK19 | |
| CK20 | |
| CK34betaE12 | |
| CK5/6 | |
| CK7 | |
| CMV | |
| c-MYC | |
| Cyclin D1 | |
| D2-40 | |
| Desmin | |
| DOG1 | |
| EBV | |
| EMA | |
| ER and PR | |
| Factor VIII | |
| Factor XIIIa | |
| Fascin | |
| FH | |
| FSH | |
| Gastrin | |
| GATA3 | |
| GCDFP-15 (BRST2) | |
| GFAP | |
| GH | |
| Glucagon | |
| Glypican-3 | |
|
|---|
|
| HBME-1 to IgM |
|---|
| Test | Result |
| HBME-1 | |
| HBV core | |
| HBV surface | |
| H-caldesmon | |
| HCG | |
| Helicobacter | |
| Hepatocyte | |
| HER2/neu | |
| HHV-8 | |
| HMB-45 | |
| HNF1beta | |
| HPV | |
| HSV-I | |
| HSV-II | |
| IDH-1 | |
| Inhibin | |
| INI1 (BAF47) | |
| Insulin | |
| Kappa | |
| Ki-67 | <5% |
| Lambda | |
| Leu 7 | |
| IgA | |
| IgG | |
| IgM | |
|
|---|
|
| LH to PDGFR |
|---|
| Test | Result |
| LH | |
| LIN28 | |
| Lysozyme | |
| mammoglobin | |
| MAP2 | |
| MCV | |
| Melanin A | |
| MHC class I | |
| MITF | |
| MUM1 | |
| Myeloperoxidase | |
| MYO D1 | |
| Myoglobin | |
| Napsin | |
| NF | |
| NKX3.1 | |
| NSE | |
| OCT3/4 | |
| p16 | |
| P501S | |
| p53 | -ve |
| p57 | |
| p63 | |
| Pankeratin | |
| PAX2 | +ve |
| PAX5 | |
| PAX8 | +ve |
| PCNA | |
| PDGFR | |
|
|---|
|
| PLAP to WT1 |
|---|
| Test | Result |
| PLAP | |
| PNL-2C | |
| Prolactin | |
| PSA | -ve |
| PSAP | -ve |
| RCC | |
| S-100 | |
| SALL4 | |
| Smooth muscle actin | |
| Somatostatin | |
| STAT6 | |
| Synaptophysin | |
| TdT | |
| TFE3 | |
| TFEB | |
| Thyroglobulin | |
| Toxoplasma | |
| TSH | |
| TTF-1 | |
| Ubiquitin | |
| UCHL1 (PGP9.5) | |
| Ulex Europaeus | |
| Vimentin | |
| VIP | |
| VZV | |
| WT-1 | |
|
|---|
|
Chromosomal translocations
| Translocations Chr 1-10 |
|---|
| Test | Result |
| t(1;13) PAX7-FKHR | Dr Torres would ask why! |
| t(2,13) PAX3-FKHR | Dr Torres would ask why! |
| t(8;14) MYC-IGH | Dr Torres would ask why! |
| t(9;22) BCR-ABL | Dr Torres would ask why! |
| t(9;22) CHN-EWS | Dr Torres would ask why! |
|
|---|
|
| Translocations Chr 11-13 |
|---|
| Test | Result |
| t(11;14) CCND1-IGH | Dr Torres would ask why! |
| t(11;22) EWS-WT1 | Dr Torres would ask why! |
| t(11;22) FLI1-EWS | Dr Torres would ask why! |
| t(12;15) ETV6-NTRK3 | Dr Torres would ask why! |
| t(12;16) FUS-ATF1 | Dr Torres would ask why! |
| t(12;16) CHOP-TLS | Dr Torres would ask why! |
| t(12;22) EWS-ATF1 | Dr Torres would ask why! |
|
|---|
|
| Translocations Chr 14-22 |
|---|
| Test | Result |
| t(14,18) IGH-BCL2 | Dr Torres would ask why! |
| t(15;17) PML-RARA | Dr Torres would ask why! |
| t(16;21) FUS-ERG | Dr Torres would ask why! |
| t(17;22) COLA1-PDGFB | Dr Torres would ask why! |
| t(21;22) EWS-ERG | Dr Torres would ask why! |
|
|---|
|
| Translocations Chr X & Y |
|---|
| Test | Result |
| t(X;1) PRCC-TFE3 | Dr Torres would ask why! |
| t(X;17) TFE3-ASPL | Dr Torres would ask why! |
| t(X;18) SYT-SSX | Dr Torres would ask why! |
|
|---|
|
Diagnosis
Other cases
|
|---|
| | Number | |
|---|
| Subspecialty (Difficulty) |
Autopsy pathology (jr,sr, f/e)
Breast pathology (jr,sr, f/e)
Cardiovascular pathology (jr,sr, f/e)
Cytopathology (jr,sr, f/e)
Dermatopathology (jr,sr, f/e)
Endocrine pathology (jr,sr, f/e)
Forensic pathology (jr,sr, f/e)
Gastrointestinal pathology (jr,sr, f/e)
Genitourinary pathology (jr,sr, f/e)
Gynecologic pathology (jr,sr, f/e)
Hematopathology (jr,sr, f/e)
Head and neck pathology (jr,sr, f/e)
Lymph node pathology (jr,sr, f/e)
Medical kidney pathology (jr,sr, f/e)
Molecular pathology (jr,sr, f/e)
Neuropathology (jr,sr, f/e)
Pediatric pathology (jr,sr, f/e)
Pulmonary pathology (jr,sr, f/e)
Placental pathology (jr,sr, f/e)
Soft tissue pathology (jr,sr, f/e) |
|---|
| | Difficulty | |
|---|
|