日本病理学会中国四国支部学術集会
(第
120 回スライドカンファレンス)診断投票結果
日時:平成28 年 6 月 26 日(日) 会場:香川大学医学部 臨床講義棟2 階 * Speaker’s diagnosis S2620 腎生検 [香川大学医学部附属病院 病理診断科]Glomerular deposition disease 3 Light chain deposition disease 8 *Fibronectin glomerulopathy 4
Fibrillary glomerulonephritis 1
Collagenofibrotic glomerulopathy 3
Cryoglobulinemia 1
Membranoproliferative glomerulonephritis, MPGN 4 Mesangial proliferative glomerulonephritis 3 Focal segmental glomerulosclerosis 1 Diffuse mesangial hypercellularity (Minimal-change nephrotic
syndrome (variant)) 2
Obesity-related nephropathy 3
Diffuse membranoproliferative GN (Obesity related nephropathy) //Obesity-related nephropathy, MPGN 2
Hyperlipidemia-related nephropathy (nephritis) 2
Fabry's disease 1
Lipoprotein glomerulopathy 1
Familial nephropathy associated with hyperuricemia 1
Gouty nephropathy 2
Deposit disease 1
Nephrosis syndrome 1
S2621 腎腫瘍 [岡山大学医歯薬学総合研究科 病理学(腫瘍)]
Renal cell carcinoma 3
*Clear cell papillary renal cell carcinoma 23 Clear cell tubulopapillary RCC (carcinoma) 3 Clear cell renal cell carcinoma 16
Clear cell RCC, G1 1
Xp11.2 translocation carcinoma (RCC) // RCC associated with Xp11.2t/TFE3 fusion // TFE3-RCC // Translocation carcinoma (Renal carcinoma with Xp11.2 associated translocation) // Clear cell carcinoma with TFE3 gene fusion
7
Mucinous tubular and spindle cell carcinoma 9
MTSCC vs CCC 1
Tubulocystic RCC (carcinoma) 2
Multilocular cystic clear cell RCC 1 RCC with angioleiomyoma-like stroma 1
Papillary carcinoma 1
Renal angiomyoadenomatous tumor 2
No answer 1
S2622 陰嚢皮膚病変 [高知赤十字病院]
*Extramammary Paget’s disease 40 Pigmented Paget’s disease 1
Extramammary Paget’s disease (r/o Malignant melanoma) 1 Paget’s disease // Paget’s disease caused by extension of an
adenocarcinoma 9
Extra-mammary Paget’s disease + Nevocellular nevus 1
Malignant melanoma 24
Malignant melanoma in situ 7 Superficial spreading melanoma in situ 2 Pagetoid melanoma // Malignant melanoma, Pagetoid type
(Extramammary) Paget’s disease+ Malignant melanoma in situ 2
Pagetoid Bowen’s disease 2
Metastatic adenocarcinoma 1
No answer 0
S2623 左乳腺腫瘤 [高知赤十字病院]
Invasive ductal carcinoma, solid-tubular carcinoma 1
Secretory carcinoma 2
Microinvasive carcinoma 1
DCIS 4
DCIS in intraductal papilloma // Intraductal papilloma with DCIS 2 DCIS with sclerosing adenosis 1
Atypical ductal hyperplasia 1
Papillary carcinoma of the breast (Papillary thyroid carcinoma-like) 1
Ductal adenoma 11
Ductal adenoma with apocrine differentiation // Apocrine
ductal adenoma 2
Intraductal papilloma 8
Intraductal papilloma with usual ductal hyperplasia 1 Intraductal papilloma + Adenosis 1 Atypical intraductal papilloma 1
Ductal hyperplasia 1
Sclerosing adenosis 1
*Adenomyoepithelioma 19
Adenomyoepithelioma, benign 1
Adenomyoepithelioma with carcinoma 1 Adenomyoepitheliomatous hyperplasia 1
S2624 左大腿骨頭腫瘍 [姫路赤十字病院 病理診断科]
Chondrosarcoma 37
*Clear cell chondrosarcoma 26
Periosteal chondrosarcoma 1
Chondroblastoma 16
Osteosarcoma 8
Chondroblastic osteosarcoma // Osteosarcoma, chondroblastic type 4 Chondromyxoid fibroma-like osteosarcoma 1
Chondroid chordoma 1 Chondromyxoid fibroma 4 Aggressive osteoblastoma 1 Osteioid osteoma 1 No answer 1 S2625 右上顎歯肉腫瘍 [姫路赤十字病院 病理診断科]
Ameloblastic carcinoma (Malignant ameloblastoma) 32 *Ameloblastic carcinoma, secondary type/dedifferentiated type
, peripheral // Secondary peripheral ameloblastic carcinoma // Ameloblastic Carcinoma, secondary, peripheral // Carcinoma ex ameloblastoma
5
Ameloblastic carcinoma, peripheral type // Peripheral ameloblastic
carcinoma 2
Ameloblastic carcinoma + Ameloblastoma 1 Odontogenic carcinoma, ameloblastic carcinoma 1 Ameloblastic carcinoma and Odontogenic sarcoma 1
Ameloblastic fibrosarcoma 1
Ameloblastoma 15
Ameloblastoma, extraosseous/peripheral type 7 Ameloblastoma, desmoplastic type 2
Myoepithelial carcinoma (Malignant myoepithelioma) 4 Epithelial-myoepithelial carcinoma 1
Basal cell adenocarcinoma 4
Adenoid cystic carcinoma, solid variant 1 Polymorphous low-grade adenocarcinoma 1 Basaloid squamous cell carcinoma with spindle cell component 1
Basal cell carcinoma 1
Adenoid basal carcinoma 1
Clear cell sarcoma 1
Synovial sarcoma 1
Epithelioid angiosarcoma 1
No answer 3
S2626 舌腫瘍 [島根大学医学部 器官病理学]
Granular cell tumor 39
*Granular cell tumor with squamous hyperplasia 1 Granular cell tumor + Pseudoepitheliomatous hyperplasia //
+Pseudoepitheliomatosis // +Pseudocarcinomatous hyperplasia (proliferation)
15 Granular cell tumor and Squamous cell carcinoma 25
Collision tumor of squamous cell carcinoma and granular cell tumor 1 Coexistence of Granular cell tumor with invasive Squamous cell
carcinoma 1
Well differentiated Squamous cell carcinoma and Granular cell
tumor 1
Squamous cell carcinoma 4
Squamous cell carcinoma with xanthogranuloma 1
Adenosquamous cell carcinoma 1
S2627 肺腫瘍 [広島大学医歯薬学総合研究科]
*Epithelial-myoepithelial carcinoma 29 Epithelial-myoepithelial carcinoma with squamous metaplasia 1
Myoepithelial carcinoma 2
Mucoepidermoid carcinoma 17
Carcinoma ex pleomorphic adenoma 2
Malignant pleomorphic adenoma 1
Pleomorphic adenoma 1
Myoepithelioma 1
Salivary gland type carcinoma 3
Salivary gland type adenoma 1
Adenosquamous carcinoma 1
Mucoepidermoid carcinoma or Adenosquamous carcinoma 1 Squamous cell carcinoma with neuroendocrine differentiation 1 Sarcomatoid squamous cell carcinoma 1
Carcinosarcoma 2
NUT carcinoma 1
Mixed squamous cell and glandular papilloma 1
Neuroendocrine carcinoma 1
Neuroendocrine tumor, G2 1
Carcinoid tumor 1
S2628 肝腫瘍 [呉医療センター・中国がんセンター 病理診断科]
Hepatocellular carcinoma 34
*Lymphoepithelioma-like HCC 10 HCC with lymphoid (cell) // lymphocytic // lymphoplasmacytic
infiltration // HCC with lymphoid stroma 6 HCC with lymphoid cell infiltration (EBV infection)
// EBV associated HCC 2
Inflammatory pseudotumor (IgG4 disease) mimicking HCC 1
Inflammatory HCC 1
HCC with osteoclast-like giant cells 1 HCC, moderately differentiated type 1 Combined HCC and CCC with stem cell feature 1
HCC and Malignant lymphoma 1
Inflammatory hepatocellular adenoma 4
Inflammatory pseudotumor 10
Inflammatory pseudotumor with granuloma 1
IgG4-related disease 2
Pseudolymphoma 2
Malignant lymphoma 4
MALT lymphoma 2
Marginal zone lymphoma 1
Lymphoepithelioma-like carcinoma 5 Metastasis of gastric hepatoid carcinoma 1
Epithelioid angiomyolipoma 1
S2629 腸管虚血 [倉敷中央病院 病理検査科]
*Intestinal involvement of systemic sclerosis, with mesenteric ischemia 1 Chemotherapy induced acute ischemic enterocolitis // Ischemic lesion,
drug induced? // Drug-associated ischemic injury 3 (Acute) ischemic enteritis // Ischemic colitis // Ischemic enterocolitis
// (Acute) ischemic change // Acute ischemic injury // Ischemia of intestine // Bowel infarction // Mesenteric ischemia
18
Occlusive mesenteric ischemia 9
Ischemic enteritis with intimal thickening (drug toxicity?) 1 Ischemic enterocolitis associated with arterial intimal thickening
// Necrotizing enterocolitis due to arterial intimal thickening // Ischemia, 動脈壁の肥厚 // Occlusive arteriopathy, due to intimal
thickening
4
Acute superior mesenteric artery occlusion // Acute mesenteric
vascular occlusion 2
Acute ischemia with arteriosclerosis 1
Vascular malformation 1
Non-occlusive mesenteric ischemia (NOMI) 12 Non-occlusive mesenteric ischemia due to EC therapy 1
Infarction due to arterial spasm(NOMI?) // Ischemic necrosis(NOMI?) 2 SMA thrombosis and NOMI 1 Severe arteriosclerosis with NOMI 1
Congestive circulatory failure 1 EC therapy related vasculopathy // Chemotherapy-related endothelial
injury // Epirubicin-induced neointima proliferation 3
Fibromuscular dysplasia 5
Atrophy of internal muscular layer and fibromuscular dysplasia 1
Fibromuscular intimal thickening 1 Idiopathic myointimal hyperplasia 1
Regimen-related toxicity 1
Drug-induced enterocolitis 1
Hemorrhagic necrosis 1
Necrosis of the ileum + metastasis of carcinoma 1
Amebic dysentery 1
No answer 8
S2630 甲状腺腫瘍 [広島大学医歯薬学総合研究科 分子病理]
Papillary carcinoma 57
*Warthin tumor-like papillary carcinoma // Papillary carcinoma, Warthin tumor-like variant // Warthin-like papillary carcinoma // Papillary carcinoma, Warthin-like variant (Warthin variant)
29 Warthin tumor-like papillary carcinoma+ Hashimoto's
thyroiditis 3
Papillary carcinoma, oxyphilic cell (oncocytic) variant 7 Papillary carcinoma, oxyphilic cell variant+ Hashimoto's
thyroiditis 2
Papillary carcinoma, tall cell variant 4 Papillary carcinoma, tall-columnar variant + Hashimoto's disease 1 Papillary carcinoma, solid variant 1 Papillary carcinoma, follicular variant 1 Papillary carcinoma + Hashimoto's thyroiditis 3 Papillary carcinoma with lymphoplasmacytic stroma 1 Follicular carcinoma, oncocytic variant 1 Hurthle cell carcinoma in Hashimoto's thyroiditis 1 Hurthle cell neoplasm arising in Hashimoto thyroiditis // Hurthle cell
neoplasm (Warthin’s tumor-like)+ Hashimoto's thyroiditis 2
Follicular adenoma 1
Oncocytic adenoma // Oncocytoma 2 Mixed medullary and follicular carcinoma 1
Warthin tumor 1
Hashimoto's disease 1
Nodular hyperplasia 1
S2631 骨髄病変 [川崎医科大学附属川崎病院 病理部]
Acute myeloid leukemia (Acute myelogenous leukemia) 8 Acute megakaryoblastic (megakaryocytic) leukemia 2
AML with myelodysplasia-related changes 1 Acute myeloid leukemia with myelodysplastic syndrome 1 Blastic plasmacytoid dendritic cell neoplasm 1
*Myelodysplastic syndrome 22
MDS with megaloblastic change 1 Refractory anemia with multilineage dysplasia 2
MDS / MPN 2
Chronic myelomonocytic leukemia 1
Myeloproliferative neoplasm 4
Primary myelofibrosis // Primary myelofibrosis, prefibrotic stage 2
Myeloproliferative disease, NOS 1
Malignant lymphoma 2
Bone marrow involvement of malignant lymphoma 1
Adult T-cell leukemia 1
Megaloblastic anemia // Megaloblastic anemia, type A gastritis
// Pernicious anemia 5
Severe fever and thrombocytopenia syndrome 1
S2632 皮膚生検の一例 [川崎医科大学 病理学1]
*Neuronal intranuclear hyalin inclusion disease // NIID (Neuronal
intranuclear inclusion disease) 11 CADASIL (Cerebral autosomal dominant arteriopathy with subcortical
infarcts and leukoencephalopathy) 11 CARASIL (Cerebral autosomal recessive arteriopathy with subcortical
infarcts and leukoencephalopathy) 1 HDLS(Hereditary Diffuse Leukoencephalopathy with spheroids)
// Hereditary diffuse leukoencephalopathy 3
Dementia with Lewy bodies 1
Dementia 1 Amyloidosis 2 Scleroderma (PSS) 5 Scleroderma(SLE) 1 Fibrosing dermatitis 1 Sclerosing dermatitis 1 SLE 1
Intravascular malignant lymphoma
// Intravascular large B-cell lymphoma 3
No evidence of disease 1