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21st European Congress of Pathology
Istanbul, Turkey, September 08-13, 2007
http://www.ecp2007istanbul.org/
Slide Seminar 7, September 11th
General Surgical Pathology
Chairpersons: V. Eusebi (Italy), S.Lax (Austria) |
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Case 1
Presented by: Dr. Hayes
Clinical History
This 43-year-old man noticed slight protuberance of the lower abdomen that increased over several months. Otherwise , he was asymptomatic. Ultrasound, CT and MRI scans of the pelvis revelaed a complex mass suspicious for sarcoma arising from the prostate. Surgical exploration showed an origin from the seminal vesicles but the tumor was separate from the prostate. The tumor as removed togeter with a cystoprostatectomy.
Gross findings: A 16 cm tumor weighing 587 grams with a homogenous grey cut surface was received. Areas of hemorrhage and necrosis were evident. The surface was smooth and mainly covered by a layer of intact peritoneum. An area of irregularity was present corresponding to the site of removal from the area of the seminal vesicles
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Diagnosis & discussion |
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Case 2
Presented by: Michal Michal
Clinical History
64-year-old male presented with gross hematuria and abdominal discomfort. Tumor of the right kidney was reveled using ultrasonography. The size of the tumor ranged was 5,7x5,5x4 cm. The tumor had a tan-brown color. Patient is alive and well 2 years after nephrectomy.
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Diagnosis & discussion |
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Case 3
Presented by: Michal Michal
Clinical History
Female 48 years of age had a tumor of the skin of the neck 8 mm in size. The lesion was located in the superficial dermis. 9 years after the excision, the patient is free of recurrences.
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Diagnosis & discussion |
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Case 4
Presented by: Dr. Damiani
Clinical History
The patient, a female aging 72, without any history of asbestos exposure, presented with recurrent right pleural effusion. CT scan failed to reveal any mass or pleural thickening. Several smears obtained after thoracentesis showed neoplastic cells consisted wtih malignant mesothelioma. Therefore, the patient underwent right pleuro-pneumonectomy after neo-adjuvant chemotheraphy. At surgery, the resected lung showed a smooth pleural surface except for some tiny nodules not exceeding 2 or 3 millimeters in major axis. The patient is alive and well 5 years after diagnosis.
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Diagnosis & discussion |
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Case 5
Presented by: Dr. S. Lax
Clinical History
75 year-old female with history of myocardial infarction and current medication of acetysalicylic acid, presenting with massive vaginal bleeding. Transvaginal ultrasound shows a suspicious endometrium. Diagnostic hysteroscopy and curretage lead to TAH&BSO. Grossly, the endometrium shows a 3x2 cm measuring fat grey-white tumour confined to the inner third of the myometrium.
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Diagnosis & discussion |
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Case 6
Presented by: Prof F. Facchetti
Clinical History
Male, 47-year-old. Cholelithiasis, splenomegaly. Spleen echography: solid mass, 18,6 cm in max. diameter.
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Diagnosis & discussion |
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Case 7
Presented by: Prof F. Facchetti
Clinical History
Male, 75-year-old. Mediastinal mass (anterior mediastinum), 8x6x2 cm. Left pneumectomy: residual hilar mass, (6x6x3cm) involving the mediastinal pleura, but apparenty not infiltrating the lung parenchyma.
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Diagnosis & discussion |
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Case 8
Presented by: Dr Vincenzo Eusebi
Clinical History
A 30-year-old lady abruptly developed episodes of epilepsy. MR with and without contrast evidenced a 2cm nodule attached to the meninges. The nodule had pushing borders, was located in the left temporal lobe and the pre-operatory diagnosis was that of possible meningioma
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Diagnosis & discussion |
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Case 9
Presented by: Thomas Mentzel
Clinical History
A 48-year-old female patient developed a slightly indurated dermal neoplasm on the right lower leg. The tumour was completely excised, and there is no sign of reccurence at 36 months
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Diagnosis & discussion |
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Case 10
Presented by: Dr. Thomas Mentzel
Clinical History
A 63-year-old lady developed a deep-seated tumour on her left lower leg. Grossly, a subfascial neoplasm measuring 15x9,5x4,5 cm, with firm and greywhite cut surfaces has been described. Follow-up informations are not available.
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Diagnosis & discussion |
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