Bringing this blog back to life - Hemepath 

So... I'm bringing the blog back to life from its hiatus with a couple hemepath cases. I'll try to make them follow some order, so I'm starting with lymph nodes. 

Here go two cases:

CASE 1:

50-something year-old woman with parotid mass:

The case
Immunophenotype:
Negative: CD3, CD5, CD10, CD23, BCL-2, BCL-1
Positive: CD20, CD21, sIg

CASE 2:

60 year-old male with asymptomatic lymphadenopathy:

The case

Immunophenotype:

Negative: CD3, CD5, BCL-1

Positive: CD20, CD10, BCL-2

Answer form:

Week 5, Day 1 Slides.. (who knows!)

We're Back! With renewed vim and vigor lets get this week going...
Continuing with Jose's theme lets roll with more Kidney lesions

Case 1
45 Year old with a multiple facial fibrofolliculomas found to have an incidental renal mass by ultrasound
SLIDE

Case 2

20 Year old with large bilateral renal tumors.

SLIDE

2-26-14

2/26/2014

In Yitz's absence, I will continue posting cases as much as I can this week. 

The answers for Monday's cases were:

1. Medullary RCC

2. Multilocular cystic nephroma - Ovarian-type stroma

For today, I'll add 3 cases:

1. Infant with congenital renal mass: Virtual slide

2. 50 year-old woman with multifocal lesions in the right kidney: Virtual slide

3. 66 year-old man with renal mass: Virtual slide 

2/24/14

In Yitz's absence I'll try to post a couple entries. This week will be all about kidney, with random cases not sorted by difficulty. 

Case 1

23 year-old man with flank pain and hematuria:

See virtual slide

Case 2

68 year-old woman with renal mass

See virtual slide

Week 4, Day 2, Slides 31-32

To the two of you who keep coming back... Thanks


31) The 65-year-old male patient was admitted for a hernia operation at which time a mass(es) was noted extraperitoneal, in the scrotum and was thought to be an incarcerated hernia.
http://bit.ly/1jGHGVi


32) A 62 year old man had a 5 year history of increasing right scrotal swelling
http://bit.ly/1blnsQX

Peds Spindle Lesion Day

OK guys.. last week of soft tissue lesions.

29) Female 13 years Lump from palm of hand, not attached to tendon sheath
http://bit.ly/1dYb2t7


30) A 14-month-old Hispanic female presented with a right axillary mass. An excisional biopsy was performed.
http://bit.ly/1jtv2Jb

Reminder

**You will only see the correct responses if/when you submit your answers!**

Week 3, Day 3, Slides 27-28

Romantic Colon Biopsy 

27) 15-year-old boy with a deeply situated 4.6-cm mass of the calf region, present for at least four years and slowly growing.
http://bit.ly/1ohfg7S


28) Male 25 years with an intramuscular mass left upper back.
Immunohistochemistry: POS: Vimentin / NEG: Desmin, S100, Cytokeratin, EMA, CD34
http://bit.ly/1m4tYAw

Week 3, Day 3, Slides

Week 3, Day 3

Case 1:

35 year-old man with shoulder mass .LINK
Hint:  The mass is painful

Case 2:

45 year old male with gastric lesion . LINK
Hint: HIV positive patient

Week 3, Day 2, Slides 22-23

Hi guys I have heard your comments and Links will now open in new windows! You already can see what other people wrote once you fill out the poll (but that means you have to fill out the poll!)


41 year old female with a mass in her right deltoid
http://bit.ly/1jrlcdG    Hint --->  what if I said it grew rapidly


81 year old male with a soft tissue of right chest wall.
http://bit.ly/MGxNvm   Hint---> what if this was on the scapula?

Let's start Soft tissue!

Week 3 and still going strong!

 Ok Guys, time for some fun stuff... SOFT TISSUE! and I think we need at least 2 weeks on these..

I will try to give classic examples and nothing that isn't going to be a learning experience (for me included). If I have some time (and the Olympics may just give me that time) I will add more questions to the polls (if you guys like it).

21) A 78-year-old female presented with a recurrent mass in her right breast

http://bit.ly/1nnsGfg    HINT--> Characteristic plexiform vasculature

22) A 33-year-old male presented with a skin and subcutaneous mass of the scalp and head.

http://bit.ly/1iDRrDJ  HINT --> Listed in WHO on skin not ST

Week 2, Day 4

For those of you who have an iPad... please get the Hopkins pancreas app... it's awesome!

19) This 54 year old man presented with weight loss and abdominal pain of approximately three months' duration.
http://bit.ly/1dry7nF

20) A 64-year-old man with a recent onset of severe diarrhea and epigastric pain was found to have a left upper abdominal mass. A laparotomy was performed revealing a 34 x 18 x 13 em. multicystic mass in the tail of the pancreas.
http://bit.ly/1g3Vcjx

Week 2 (Pancreas), Day 3, Slides 17-18

Might be the last post for this week.... as I rethink the utility / ultimate goal of the blog.

17) A 23-year-old woman presented with vague abdominal discomfort and mild pain. A CT scan revealed a well-demarcated heterogeneous mass in the tail of her pancreas. The mass on resection was partially cystic with multinodular yellow-tan areas.

http://bit.ly/1kaoLVH

18) A 53-year-old man underwent a CT scan during the work up of abdominal pain, which revealed a tumor in the tail of the pancreas. A distal pancreatectomy revealed a 3.0 cm solid tumor.

http://bit.ly/LNZCln

Thanks JM for the poll!

Week 2 (Pancreas), Day 2, Slides 15-16

Hey all, Looks like we stay with the current way of giving answers in the comments for now.

A 55-year-old woman underwent abdominal ultrasonography for abdominal pain. A 7.5 cm multiloculated cyst involving the distal pancreas was seen. on distal pancreatic resection no communication with the pancreatic ductal system was seen.

http://bit.ly/1cOl6cr

A 76-year-old man underwent abdominal ultrasonography for evaluation of abdominal pain, which revealed a large mass involving the body of the pancreas. Subsequent resection showed a delicately encapsulated 17.0 cm mass with cystic and necrotic-appearing areas and fleshy, tan-to-white cut surface.

http://bit.ly/MqwzV5

WEEK 2 - PANCREAS

Todays patient's may not be mile high...

Not a huge variety of pancreatic virtual slides out there but I will do my best

13) 55 year old male, watched his team lose bad last night and got wasted now with abdominal pain.
http://bit.ly/1n6B42z (careful the diagnosis is written there but it's the only example online I could find)

14) 69-year-old male has been drinking for weeks because he was a Colts fan (they lost in week 19) presented with abdominal pain, nausea and vomiting. The patient underwent a Whipple procedure.
http://bit.ly/1dkybWp

TGIF...

It's Friday... or will be soon... no more late nights people
So I kind of am taking after the NYT crossword whereby it might get harder as the week goes on so enjoy these fun cases!

10. 69-year-old woman with a familial history of chronic lymphocytic thyroiditis with a progressively increasing nodule in the left lobe.
http://bit.ly/1ckk47z

11. 45 yo woman with right thyroid nodule
http://bit.ly/1jVpmbf

12. BONUS CASE (not virtual slide but interesting diagnosis and associated conditions)
28-YEAR-OLD Hispanic woman presented with a 12-month history of a slowly enlarging, nontender mass in the left side of her neck
http://bit.ly/1i2pKEo

Week 1, Day 4, Slides 7-9

Ok guys had enough thyroid yet? Well then Vote what to do next week!

Well guess what today you get  3 cases!!

7. 68 yo woman with a rapidly enlarging neck mass
http://bit.ly/1gi17Ge

8. 50 yo Female with thyroid nodule, cold on radio-isotope scan
http://bit.ly/1brEx6n

9. 25 yo with family history of thyroid cancer
http://bit.ly/1eqLOEl



        

Week 1, Day 3, Slides 5&6

You guys are too good!

Have an amazing day!


5. 46-year-old female suffered from sore throat and fever. A partial resection of the unilaterally enlarged thyroid gland was performed.      
http://bit.ly/1f3ntaL
Highlight for hint --> Look at the edges for giant cells


 6. Female mid 60's, left thyroid mass, cytology follicular lesion, left thyroid lobectomy weighing 39g with a mass occupying most of the lobe.
http://bit.ly/1iBot9S
Highlight for hint--> Turin criteria

Week 1, Day2, Slides 3-4

Congrats to everyone who responded yesterday, you were all correct!

So today I have some young males for you... ya that sounded better in my head

Have an amazing day!

3. Male, 19yo with an uncomfortable lesion in his neck 
http://bit.ly/1iC0k34


4. Male, 24yo with chronic renal failure.
http://bit.ly/1e994dr

Week1, Day1, Slides1&2

Hi Guys This week will be focused on thyroid!

1. 

This 74 year old man had a rapidly enlarging goiter of four-month duration. He had concomitant shortness of breath and cough. 

http://bit.ly/1n3L5jO

2.

A 43-year-old woman presented with a palpable solitary nodule in the right lobe of her thyroid. TSH and T4 levels were within normal limits.

http://bit.ly/1aWcdfC