Deccan Association of Pathologists October 2013

Slide Seminar
by Department of Pathology
Bharati Vidyapeeth University’s Medical College & Hospital.

1.15 /F presented with vesiculopapular warty lesions over skin on left thigh.

10X H&E

40X H&E

2. 25/F right suprarenal mass was received.
Encapsulated, firm mass measuring 4x3x2cm having whorled appearance on cut section.

10X H & E

40X H&E

3. 85/F had polypoidal mass in the nasal fossa
extending upto skull base on CT.

H&E 10X

40X H&E

40X H&E

4. 50/F right Nephrectomy specimen measuring
12x10x5 cm. The Gerota’s fascia is markedly thickened & shows ragged hemorrhagic appearance? Abscess. The capsule is adherent. External surface shows tiny abscesses. C/S shows dialated pelvicalyceal system & abscesses. Ureter measures 4.5 cm & is unremarkable.

H & E 4X

H&E 10X

H&E 40X

5. 4 yr/F, product of II degree consanguinous marriage, a diagnosed case of congenital icthyosis now presented with vomiting, abdominal distension and myopathic gait. O/E hepato-splenomegaly, muscle weakness USG revealed fatty liver which was confirmed on biopsy. LFT WNL except AST-ALT with mild rise. Peripheral blood smear of the patient is provided.

6. 5years/ Male C/o – Fever x 15 days, high grade Developed rash 15 days back, papulovesicular, diagnosed to have varicella.

Recurrent febrile illness and required 3 admission since last 2 years. - Hypopigmented patches over skin. - Light hairs since birth. - History of photosensitivity. - Born to non-consanguineous parents. - Elder sibling Healthy - Normal milestones. O/E - Febrile, Toxic look, Pallor, Cervical & axillary lymphadenopathy

Abdomen = Distended, umbilicus shifted downwards. No free fluid Firm hepatomegaly Massive splenomegaly, CNS = Irritable, Brisk DTR & Extensor plantar, Fundus – early papilloedema

40X Leishmann stain BONE MARROW ASPIRATE

40X Leishmann stain BM ASPIRATE

MPO

MPO

7. 35/F came with c/o retention of urine of 4 days duration, dysmenorrhea for 2 yrs and constipation off & on for last 3yrs. During her last delivery, 10 yrs ago she was investigated for difficulty in passing urine at 5 months gestation when a large encysted pelvic mass was identified on USG. The mass was aspirated & turbid fluid was obtained. CT scan revealed a cystic mass m 15X20 cm posterior to uterus, protruding into the vaginal cavity and compressing & displacing the rectum & urinary bladder anteriorly and to the right.

H & E 10X from cyst wall

40X H & E

8. 65/F received Neoadjuvant chemotherapy for carcinoma breast. Sections from Post NAT MRM specimen.

H&E Lymphnode-10 X & 40X

1.Incidental finding, section from fallopian tube

10X H &E

40X H &E

2. 40/F Lump in breast – 2 months duration. FNAC slides provided.

10X H&E

40X H&E

3. Endoscopic biopsy

4. 55/M solitary nodule in left lobe of thyroid. FNAC slides provided

10X H&E

40X H&E