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Pulmonary

Pathology
Situational Analysis
Part II
Rosella L. Montano, MD
Emmanuel R. Dela Fuente, MD
Alejandro E. Arevalo, MD
Situation no. 1-1

Albert, a 59 year old businessman


complained of chronic cough and
exertional dyspnea for 3 years. He
has a 70 pack-year smoking history.
1-A. Interpret the following CXR.
Which is more compatible with the
patient symptoms?

A B
1-B. These are two gross specimens of
the lung in relation to the CXRs
shown earlier. Describe the
pathology and explain the
etiopathogenesis of each.
A B
1-C. These are the microscopic
findings of the lungs shown
previously. Discussion should
include the following:

i. morphological changes in the


lungs
ii. Clinical manifestions of the
patient
iii. Outcome and Complications
A B
Situation no. 1-2

He claims that he used to have blood


streaks in his sputum 2 months ago,
but in the past week, he has been
coughing up to 1-2 tsps of blood
daily.
2. Arrange the sequence of events
from normal to dysplasia to
carcinoma. Explain the
etiopathogenesis as well as the
predisposing factors/risk factors.
1
4

3
Situation no. 1-3

Albert also has a 1 x 1 cm hard, fixed


lymph node on the right
supraclavicular area.
3-A. Shown are sections from the right
supraclavicular node. Which of the
following is more compatible with
this patient? Describe the gross
findings in the lymph nodes.
A

B
3-B. The following are the respective
histologic findings in the nodes. Discuss
according to:

i. Morphology
ii. Etiopathogenesis
iii. Outcome
A B
4. Chest X-ray and CT scan were
done. Interpret the results.
CXR

CT
5. This is a section from the right hilar
mass. Describe the gross findings and
explain the pathogenesis of
hemoptysis.
6. This is the histologic section. Classify the
tumor according to its behaviour (Benign
or Malignant), origin (Epithelial,
Mesenchymal or Lymphoid) and
differentiation ( Well-, mod.- or poorly
differentiated).