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S61 腎腫瘍 [ 岡山大学医歯薬学総合研究科病理学 ( 腫瘍 )] Renal cell carcinoma *Clear cell papillary renal cell carcinoma Clear cell tubulopapillary RCC (carcinoma) Clear ce

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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

(2)

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

(3)

(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

(4)

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

(5)

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

(6)

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

(7)

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

(8)

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

(9)

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

(10)

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

(11)

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

参照

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