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
Mass underneath dura mater compressing parietal lobr
Meningioma
In adult above the tentorium in the cerebrum brain tumour
Glioma
Capillary loops surrounded by epithelial cells
AV malformation
Raised ICP symptoms and then loss of consciousness
Herniation of brain
Thickened pleura in a asbestos exposure worker with FLAWS
Mesothelioma
farmer with cough SOB clubbing and mouldy hay
EAA
Amyloidosis affects what lung lobes
lower
Pneumoconiosis affects what lung lobes
upper lobes
smoker with SIADH and FLAWS
small cell carcinoma
smoker with cancer that has poor prognosis. cells show mucin production
squamous cell carcinoma
SOB and collapse in a young man
PE
Bronchiectasis cause
recurrent infections, CF patients get it
Asthma lung injury pattern
Eosinophilic inflammation, epithelium mucus plugs shed
Ship worker with pleural plaques
asbestosis
A1 anti trypsin deficiency lung injury pattern
Emphysema
Red sputum pneumonia
Strep pneumoniae
testicular tumour that secretes AFP
germ cell tumours
granulomatous scrotum in man from India
TB
lesion on penis excised but returned
HPV causing condylomata
Painless penile ulcer that has healed but now ulcers in mouth
Syphilis
Smoker with FLAWS pancrease disease
pancreatic cancer
Abdo pain raised amylase
Acute pancreatitis
Painless jaundice large GB
Pancreatic cancer
pancreas collection of fluid thick wall fibrous capsule with epithelial cell lining
Pseudocyst
T1DM first diagnosis most of the times
DKA
Pancreatitis with anti-IgG deposition suggests…
Autoimmune pancreatitis with PBC, IBD, SLE, T1DM
Childhood pancreatic tumour
Pancreablastoma
Pancreatic squamous tumour
No such thing, doesn’t exist
Pancreatic cancer with fat necrosis and nodules
Acinar cell carcinoma
Macrocysts on USS pancreatic cancer
tail of pancreas
Barrett’s oesophagus progresses to
squamous cell carcinoma of oesophagus
signet ring cells cancer
gastric carcinoma
CF patient tumour causing intestinal obstruction
lymphoma
Patient with pernicious anaemia has gastric ulcer
MALT lymphoma
Barrett’s oesophagus cell changes
dysplasia
Most common colon cancer type
Adenocarcinoma
FAP what do you see?
lots of polyps, cancer by 40
Gardner’s syndrome, what do you see?
same as FAP, but also bone problems
Polyps not associated with increased cancer risk
Hamartomatous polyps, juvenile polyposis
male with FLAWS concern
adenocarcinoma
sigmoid volvulus is
plevis to diaphragms coffee bean sign
caecal volvulus is
RLQ to LUQ
AA amyloidosis and AL amyloidossis
AA in inflammatory. AL in myeloma amyloidosis (anything secondary that causes it)
Benign renal tumour well circumscribed epithelial cell wall in tubular or papillary pattern
Renal adenoma
Oncocytoma
Benign, large pink granular cytoplasm with fibrosis in the middle
Renal cell carcinoma
Mostly clear cell, link to VHL which can mets to lung
Papillary renal carcinoma associated with
Dialysis
Renal tumour in children
Wilm’s