RCPA Examinations in Anatomical pathology - Questions ... - Rcpa.tv

More documents

Recommendations

Info

Case 8: Female 35 – enlarging painful soft tissue mass in left foot • MICROSCOPIC • There is a tumour present within a tendon or aponeurosis with adjacent skeletal muscle. The tumour shows central necrosis. The viable tumour consists of cells with large vesicular nuclei, prominent nucleoli and a moderate amount of eccentrically located d eosinophilic cytoplasm arranged in nests separated by fibrous septa. Focally there is streaming of cells within nests. The tumour is well circumscribed but not encapsulated. Mitotic figures are present. • Comment • The histologic appearance is that of a soft tissue malignant tumour. The location of the tumour and the histology would favour a clear cell sarcoma of tendon and d aponeurosis with a differential diagnosis which includes metastatic melanoma, synovial sarcoma, epitheloid sarcoma, malignant peripheral nerve sheath tumour and metastatic carcinoma. • Investigations • Cytogenetic for characteristic t(12;22) of clear cell sarcoma • Immunoperoxidase stains: S100, HMB45, Leu7, NSE– positive in clear cell sarcoma . • Keratin, EMA, CD99, Bcl2 – positive in synovial sarcoma • CAM5.2, EMA, vimentin, , CD34 – positive in epitheloid sarcoma • S100 – variable positive in malignant peripheral nerve sheath tumour • AE1/AE3, CK5/6, CAM5.2 – positive in carcinoma • SUMMARY • Left foot: Clear cell sarcoma of tendon and aponeurosis
Case 9: Male 60 – left pleural mass
Page 1 and 2:
Exam Update 2008 Anatomical Patholo
Page 3 and 4:
Available Information What is the B
Page 5 and 6:
Available Information (cont.) Polic
Page 7 and 8:
Available Information (cont.) Polic
Page 9 and 10:
Available Information (cont.) Train
Page 11 and 12:
Available Information (cont.) Train
Page 13 and 14:
Available Information (cont.) Infor
Page 15 and 16:
Available Information 10.3.06
Page 17 and 18:
No More Slanted Part II Exams in AP
Page 19 and 20:
To avoid confusion (and to also avo
Page 21 and 22:
Current Examination Format in AP Pa
Page 23 and 24:
Part I Current Examination Format i
Page 25 and 26:
Sample portions of Letter To Examin
Page 27 and 28:
Some of the points we had in mind w
Page 29 and 30:
Question 2 Write short notes on thr
Page 31 and 32:
Some of the points we had in mind w
Page 33 and 34: Part II - Casebook Current Examinat
Page 35 and 36: Part II - Casebook Current Examinat
Page 37 and 38: Part II - Cytopathology Practical C
Page 39 and 40: Marking of the Part I and Part II p
Page 41 and 42: The Autopsy Assessment in AP • Th
Page 43 and 44: Feedback on the performance and int
Page 45 and 46: “Markers should be selected from
Page 47 and 48: “If it is essential to keep the s
Page 49 and 50: “A A recurring problem has been t
Page 51 and 52: Indication as to what is required f
Page 53 and 54: Indication as to what is required f
Page 55 and 56: 1“Are slides weighted?’ 2“Are
Page 57 and 58: This is the overall format of the l
Page 59 and 60: Part 2 Practical
Page 61 and 62: Analytical Assessment of Cases •
Page 64 and 65: Case 1: Female 36 - suspicious lesi
Page 66: Case 3: Male 19 - cystic lesion in
Page 70: Case 4: Female 42 - right thyroid n
Page 73: Case 5: Male 38 - right retroperito
Page 76: Case 6:Female 29 - persistent bleed
Page 79: Case 7: Male 68 - left scrotal mass
Page 82: Case 8: Female 35 - enlarging painf
Page 88: Case 10: Male 4 days old - neonatal
Page 91: Case 11: Female 52 - nausea, abdomi
Page 94: Case 12: Male 52 - burns on hands,
Page 98: Case 13: Male 65 - tumour at the ba
Page 101: Case 14: Female 45 - left temporal
Page 105: Case 15: Female 40 - right orbital
Page 108 and 109: “At some point ….. Genuine rega
Page 110 and 111: What’s s under consideration? •
Page 112: References for relevant information
show all

RCPA Examinations in Anatomical pathology - Questions ... - Rcpa.tv

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?