Scotland and Northern Ireland EQA Scheme Circulation XX

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  • 1.Scotland and Northern Ireland EQA SchemeCirculation 46 Cases A to E Presented by Dr G Stenhouse Raigmore Hospital, Inverness
  • 2.Case A 46 year old Female Thyroid lobectomy
  • 3.Scotland and Northern Ireland EQA SchemeCirculation 46 Cases F to J Cases provided by Dr C Boyd
  • 4.Case F 64 year old female History of rheumatoid arthritis. Nodule in right thumb
  • 5.
  • 6.20x
  • 7.100x
  • 8.Case F Diagnosis: Rheumatoid nodule
  • 9.Case F Responses: Score 1 116- rheumatoid nodule (some suggested ICC to exclude epithelioid sarcoma)
  • 10.
  • 11.Case G 91 year old female Enlarging nodular lesion on left forearm
  • 12.
  • 13.20x
  • 14.40x
  • 15.200x
  • 16.Case G Diagnosis: Melanoma
  • 17.Case G Responses: Score 1 115 – melanoma
  • 18.Case G Responses: Score 2 1 – extraocular sebaceous carcinoma
  • 19.
  • 20.Case H 36 year old female Left breast lump excised
  • 21.
  • 22.20x
  • 23.100x
  • 24.Case H Diagnosis: Fibroadenoma
  • 25.Case H Responses: Score 1 114 – fibroadenoma
  • 26.Case H Responses: Score 2 2 – benign phyllodes tumour/ phyllodes tumour
  • 27.
  • 28.Case I 67 year old male Tumour in terminal ileum
  • 29.
  • 30.20x
  • 31.100x
  • 32.200x
  • 33.Case I Diagnosis: Well differentiated neuroendocrine tumour
  • 34.Case I Responses: Score 1 116 – well differentiated neuroendocrine tumour
  • 35.
  • 36.Case J 7 year old male Small tag on neck since birth
  • 37.20x
  • 38.40x
  • 39.Case J Diagnosis: Accessory tragus
  • 40.Case J Responses: Score 1 112 – accessory tragus/ accessory auricle
  • 41.Case J Responses: Score 2 3 – extraosseous chondroma/ extraskeletal chondroma/ chondroma 1 – fibroepithelial polyp with cartilage
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.Case A Diagnosis: Chronic lymphocytic thyroiditis
  • 47.Case A Responses: Score 1 107- Chronic lymphocytic thyroiditis /Hashimoto’s thyroiditis
  • 48.Case A Responses: Score 2 7 – Autoimmune thyroidits 1 – Graves Disease Score 3 1 – Follicular Carcinoma
  • 49.
  • 50.Case B 66 year old female Gastrectomy for peritonitis
  • 51.
  • 52.
  • 53.Case B Diagnosis: Benign gastric ulceration/perforation
  • 54.Case B Responses: Score 1 114 – Benign gastric ulcer/perforation
  • 55.Case B Responses: Score 2 1 – Fungal Ulcer Score 3 1 – Perforation likely lymphoma destroyed by chemo. Small residual focus
  • 56.
  • 57.Case C 63 year old male Supraclavicular lymph node. Previous follicular lymphoma
  • 58.
  • 59.
  • 60.
  • 61.Case C Diagnosis: Follicular lymphoma
  • 62.Case C Responses: Score 1 110 – Follicular Lymphoma
  • 63.Case C Responses: Score 3 1 – Reactive lymph node, Follicular Hyperplasia 2 – As above but will do IHC 1 – Benign reactive (no mention of IHC) 1 – Follicular hyperplasia I might do IHC 1 – Follicular lymphoma versus reactive – IHC/Mol Gen
  • 64.
  • 65.Case D 76 year old male Gastric polyp. EMR.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.Case D Diagnosis: Inflammatory Fibroid Polyp
  • 71.Case D Responses: Score 1 114 – Inflammatory fibroid polyp
  • 72.Case D Responses: Score 2 1 – Inflammatory or hyperplastic polyp Score 3 1 - GIST
  • 73.
  • 74.Case E 53 year old female Right Parotid Mass
  • 75.
  • 76.
  • 77.
  • 78.Case E Diagnosis: Pleomorphic salivary adenoma
  • 79.Case E Responses: Score 1 115 – Pleomorphic adenoma
  • 80.Case E Responses: Score 3 1 – Pleomorphic salivary carcinoma
  • 81.