South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Response Sheets For Round d
Deadline for this circulation: 28th February 2017
Please return to: [email protected]
EQA Office, Cellular Pathology Dept, Maidstone Hospital, Hermitage Lane, Maidstone, Kent. ME16 9QQ
INSTRUCTIONS:
You should treat the material and information provided in the same manner as any routine
sample. Please provide a diagnosis, or a list of differential diagnoses, together with an
assessment of their certainty of each, by provision of scores that add up to 10.
Case Number: 671
Clinical
: F77. Ex-smoker. Progressive lethargy and persistent cough. Wedge resections 2 lung
nodules, RML & RUL.
Specimen
: Respiratory
Macro
: Sub-pleural grey/cream nodules approx. 1.5cm. Special stains: ZN and grocott stains
negative
Main Diagnoses
Diagnostic category: Respiratory
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 1 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 672
Clinical
: F14. RIF pain.
Specimen
: Appendix
Macro
: Pale appendix 90 x 7mm, the surface is slightly congested.
Main Diagnoses
Diagnostic category: GI
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 2 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 673
Clinical
: F28. Abdominal wall scar tissue.
Specimen
: Abdominal wall
Macro
: 50 x 40 x 25mm piece of fibrofatty tissue. Scarred and haemorrhagic on slicing.
Main Diagnoses
Diagnostic category: Miscellaneous
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 3 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 674
Clinical
: F45. Laparoscopic mesenteric lymph node biopsy.
Specimen
: Mesenteric lymph node excision Diagnostic category: Lymphoreticular
Macro
: Lymph node measuring 35 x 20 x 15mm with an off white homogenous cut surface.
Immuno: Cells in follicles positive for CD20, CD10, BCL2, BCL6, negative for CD3,
CD5,. MIB-1 15-20%. CD23 highlights FDC meshworks
Main Diagnoses
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 4 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 675
Clinical
: F55. Enlarged right thyroid lobe, right lobectomy
Specimen
: right thyroid lobectomy
Macro
: Right thyroid lobe weight 10gms measuring 45 x 32 x 16mm.
Main Diagnoses
Diagnostic category: Endocrine
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 5 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 676
Clinical
: F23. 23/40 IUD, ?Parvovirus.
Specimen
: Placenta
Macro
: This specimen comprises singleton placenta measuring 180 x 160 x 40mm bearing an
eccentric umbilical cord measuring up to 240mm in length. There is a left twist to the
cord and slicing reveals three vessels. The membranes show a marginal insertion and
appear translucent. The maternal surface appears intact although pallor is noted.
Trimmed weight 528g.
Main Diagnoses
Diagnostic category: Gynae
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 6 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 677
Clinical
: F14. Pigmented lesion left foot.
Specimen
: Skin
Macro
: Skin ellipse 28 x 14mm with warty plaque 14 x 10mm.
Main Diagnoses
Diagnostic category: Skin
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 7 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 678
Clinical
: M35. Lump. US ? malignant. Raised markers AFP 18.6 Beta HCG 208.0.
Specimen
: Testis
Macro
: Testis with nodular tumour 25mm in maximum size. Pale solid and haemorrhagic
cystic components.
Main Diagnoses
Diagnostic category: GU
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 8 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 679
Clinical
: F43. Guidewire localised retro-areolar lesion.
Specimen
: Breast lump
Macro
: Fibrofatty tissue ( 3 x 2 x 1.5cm) with guidewire, marking clips and sutures. No tumour
seen on the cut surface.
Main Diagnoses
Diagnostic category: Breast
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 9 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 680
Clinical
: F51. Hysterectomy for heavy bleeding.
Specimen
: Uterus
Macro
: Uterus 90 x 50 x 50mm. A fibroid nodule is present anteriorly. Endometrial cavity is
normal. Immuno: Focally D2-40, calretinin & AE1/AE3 positive.
Main Diagnoses
Diagnostic category: Gynae
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 10 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 681
Clinical
: M76. (R) Upper lobectomy.
Specimen
: Lung
Macro
: Right upper lobe – weighing 228g before inflation and measuring 17 x 10 x 5cm. In
the centre portion of the anterior pleural surface there is a depression with 2cm
diameter and a pleural adhesion. Cut section shows, underneath the pleural
depression, a grey tumour with well-defined borders measuring 3.5 x 2.5 x 3.5cm.
Diagnostic category: Educational
N.B. This is an Educational Case which will NOT form part of
the Personal Analysis.
Main Diagnoses
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 11 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database
South East England General
Histopathology EQA Scheme
RWF-CP-EQA-TEM2
Revision 4.8
Participant Code:
(Double click to insert code)
Digital images are available on our website: http://www.mtw.nhs.uk/gps/pathology/se-england-general-histopathology-eqa-scheme
Case Number: 682
Clinical
: F49. 7cm right breast cancer. Overseas blocks for review. Pre-operative
chemotherapy. Node negative.
Specimen
: Mastectomy
Macro
: Not available. 7cm tumour indicated. Immuno: Most non-acinar cells stain strongly
with CK5, 34BE12, S100 and SMA. ER+ in 10% of cells. Ki67<1%. PR/HER2 negative.
Neuroendocrine markers negative.
Diagnostic category: Educational
N.B. This is an Educational Case which will NOT form part of
the Personal Analysis.
Main Diagnoses
(NB: This section is compulsory )
Score
1
2
3
4
5
If a differential diagnosis is necessary, please indicate your opinion of the probability of each
diagnosis by assigning a score to each, such that the total adds up to 10.
Document title: Response Forms
Page 12 of 12
WARNING: This document is only controlled if viewed electronically from its original location if the hard copy is validated Printed Copy No.
Approved by: Scheme Manager
Validated by: (signature)
Date of issue: Mar 2016
Master copy registered on Pathology Qpulse database