Histopathology Flashcards
Mobile rubbery breast lump
Fibroadenoma
Bloody discharge without a lump
ductal papilloma
calcification, discharge, lump
DCIS
incidental finding with no calcification or mass found and can recur and can be bilateral
LCIS
Loss of e-cadherin and single file chain cells
Lobular carcinoma
Rough nipple with discharge and retraction
Paget’s disease of the nipple
Leaf like fibroepithelial and stromal proliferation, artichoke like appearance
Phylloides tumour
Stellate pattern sclerosing lesion proliferating glandular tissue
Radial scar
Drug side effect breast enlargement
gynaecomastia
Thyroid cancers associated with RET mutation and raised calcitonin. linked to MEN 2B.
Medullary
Thyroid cancer with BRAF mutation and psammoma bodies. Most common
Papillary
Thyroid cancer with RAS mutation well differentiated but mets quite early
Follicular
Thyroid cancer that is poorly differentiated with TP53 mutation. Very aggressive and seen in older people and rare
Anaplastic
Type 1 endometrial cancer
Oestrogen related in younger women
Type 2 endometrial cancer
Older women with atrophic endometriosis, papillary clear cell cancer
Liver disease with copper affecting Basal ganglia
Wilson’s
Portal HTN, ANA antibody positive and liver disease
PBC
Aflatoxin and thorotrast exposure old man
Hepatocellular Carcinoma
What indicatres colectomy for a UC patient when you biopsy the polyp
Dysplastic Polyps
What would you see on Crohn’s histology
Transmural inflammation, non-caseating granulomas
Cancer marker for colon
CEA
Continuous colonic lesions
UC
IBD is associated with what liver condition
PSC
Thunder clap headache, ruptured berry aneurysm
sub-arachnoid haemorrhage
old alcoholic with a fall and slow bleed
subdural haemorrhage
lucid interval brain haemorrhage due to trauma
extradural haemorrhage
young omnivore with psychiatric and then motor symptoms
CJD
plaques tau tangles and beta amyloid plaques
Alzheimers
alpha synuclein plaques basal ganglia
Parkinson’s
optic nerve tumour excised and now has lump on hands
NF type 1?
Epileptic patient had patch on back and now lots of lumps in brain
Tuberous sclerosis