Slides Flashcards
Adenoid cystic carcinoma
Adenoid cystic carcinoma
Granular cell tumour
Granular cell tumour
Adult granulosa cell tumour
Adult granulosa cell tumour
Juvenile Granulosa cell tumour
Angiosarcoma
Angiosarcoma
Gynecomastia
Gynecomastia
Invasive lobular carcinoma
Invasive lobular carcinoma
Mucinous carcinoma
mucinous carcinoma
Benign Phyllodes
Benign Phyllodes
Malignant Phyllodes
Malignant Phyllodes
Tubular adenoma
Duct ectasia
Breast nipple adenoma
Nipple adenoma
Radial sclerosing lesion
Radial sclerosing lesion
Angiolipoma
Angiolipoma
Ischemia w/mucor infection
https://lmpimg.med.utoronto.ca/LMP59689.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
75 year-old woman with history of sinonasal mass.
Invasive aspergillosis
86F Red swollen left index finger
Gout
Gout
Myxoma
Superficial Angiomyxoma
Intramuscular myxoma
Masson tumour
Kaposi sarcoma
Kaposi sarcoma
Kaposi sarcoma
Male 52 years
Previous mass right knee, now lump right thigh.
Myxoid liposarcoma
Female 23 years
Painless mass, 10cm diameter, lower part of thigh encroaching on popliteal fossa. Present for some time, grown recently.
Predominantly myxoid liposarcoma
https://lmpimg.med.utoronto.ca/LMP62381.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
47F Skin lesion on the sole of the foot.
Superficial fibromatosis
Female 48 years
Knee pain - synovial polyp.
Pigmented villonodular synovitis
Female 35 years
Nodule left knee, deep to capsule.
Pigmented villonodular synovitis
https://lmpimg.med.utoronto.ca/LMP77437.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
40 year-old female with vaginal mass.
Biphasic synovial sarcoma
Female 56 years
Mass right gastrocnemius.
Synovial sarcoma
Female 19 years
Swelling in right little finger
Localised tenosynovial giant cell tumour
Female 51 years
Right thumb subcutaneous tumour
Localised tenosynovial giant cell tumour
https://lmpimg.med.utoronto.ca/LMP61379.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
61 year old female with right breast calcification.
Amyloidosis
https://lmpimg.med.utoronto.ca/LMP89845.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
69M Mass in left atrium.
Cardiac myxoma
https://lmpimg.med.utoronto.ca/LMP52641.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
75M Rapid onset of cardiac failure and atrial fibrillation over several months
Giant cell myocarditis
Male 55 years
Headache on one side, temporal artery biopsy.
Giant cell arteritis
Male 72 years
Bleeding per rectum, Tenesmus
Squamous cell carcinoma (basaloid type)
Female 72 years
Fleshy area, white nodule on forehead.
Cylindroma
https://lmpimg.med.utoronto.ca/LMP10211.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
right preauricular excision from a 58 year-old female
Cylindroma
https://lmpimg.med.utoronto.ca/LMP70094.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
46-year old with lesion on abdominal skin.
Granuloma annulare
https://lmpimg.med.utoronto.ca/LMP12132.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
Punch biopsy of left interior breast; skin is thick and edematous.
Morphea
https://lmpimg.med.utoronto.ca/LMP52028.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
74-year old male patient with a posterior neck lesion.
Interstitial granulomatous dermatitis
Dermatitis herpetiformis
Male 55 years
Skin rash for several months. Itchy - small blisters.
Dermatitis herpetiformis
Glomus tumour
Male 67 years
?Ganglion. Specimen: Lump right foot.
Glomus tumour
https://lmpimg.med.utoronto.ca/LMP14675.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
62-year-old male cigarette smoker is referred to a thoracic surgeon after a routine chest x-ray shows multiple pulmonary nodules.
LCH
https://lmpimg.med.utoronto.ca/LMP85818.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
59-year-old male with pruritic plaque on the left thigh.
Leukocytoclastic vasculitis
https://lmpimg.med.utoronto.ca/LMP33840.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
56F w/Anal lump present for past few months.
Melanoma
https://lmpimg.med.utoronto.ca/LMP13500.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
32 year-old woman with a history of a long-standing pigmented lesion on her buttocks.
Melanoma
https://lmpimg.med.utoronto.ca/LMP43330.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
82F. The patient presented with a wart-like abnormality of the left temple that grew in size.
Merkel cell carcinoma
Merkel cell carcinoma
https://lmpimg.med.utoronto.ca/LMP19511.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
15-year-old male with 9-month history of an eyebrow lesion with occasional bleeding and irritation
Molluscum
https://lmpimg.med.utoronto.ca/LMP66520.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
34 year-old patient, immunocompromised, with multiple, “severe” lesions involving the vulva and mons pubis.
Molluscum
Female 55 years
Peri-anal irritation
Paget’s disease of anus
Extramammary Paget’s disease
https://lmpimg.med.utoronto.ca/LMP59612.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
6 years excisional biopsy of left neck
Pilomatricoma
https://lmpimg.med.utoronto.ca/LMP39099.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
40 year-old female with a firm nodule on forehead.
Pilomatrixoma
https://lmpimg.med.utoronto.ca/LMP74298.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
63-year-old male patient with a nose lesion
Sebaceous adenoma
Male 86 years
Recurrent vascular lesions on dorsum of right hand
Sebaceous carcinoma
Male 87 years
Large fungating skin lesion
Sebaceous carcinoma
https://lmpimg.med.utoronto.ca/LMP67104.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
72M with a dime-sized, salmon coloured spot over the right buttocks
Mycosis fungoides
Anaplastic carcinoma
Male 29 years
Large multinodular goitre. Right hemithyroidectomy
Follicular variant of papillary thyroid carcinoma
Female in mid 20’s, hard node left lobe/isthmus of thyroid,
papillary thyroid carcinoma, diffuse sclerosing varian
Female, late 60’s, left thyroid lobectomy 16mm non-encapsulated hard white tumour.
Medullary thyroid carcinoma
https://lmpimg.med.utoronto.ca/LMP61160.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
Patient presents with bilateral thyroid nodules.
Medullary thyroid carcinoma
Paraganglioma
Female 70 years
Abdominal mass left retroperitoneum
Pheochromocytoma
Barrett esophagus
https://lmpimg.med.utoronto.ca/LMP61160.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
Patient with gastro-esophageal reflux disease and a history of proton pump inhibitor treatment
Barrett esophagus
https://lmpimg.med.utoronto.ca/LMP85908.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
A 66 year-old female with 2-3 months diarrhoea, weight loss with nausea and vomiting.
Olmesartan enteropathy
https://lmpimg.med.utoronto.ca/LMP17311.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
History of diarrhea for many years, normal colonoscopy.
Collagenous colitis
https://lmpimg.med.utoronto.ca/LMP44734.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
History of food bolus and dysphagia.
Eosinophilic esophagitis
https://lmpimg.med.utoronto.ca/LMP90098.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
Esophageal biopsy, history of Crohn’s disease.
Eosinophilic esophagitis
Signet ring adenocarcinoma
Male 65 years
Weight loss. Epigastric discomfort. On NSAIDs. Endoscopy revealed a haemorrhagic gastritis
Adenocarcinoma - signet ring / mucoid type
Female 65 years
Malabsorption. ?coeliac
Giardia <3
Male 63 years
Myeloma. Anaemia. Oesophageal ulceration.
Herpes esophagitis
Male 24 years
HIV positive. Dyspepsia and dysphagia. A few plaques in oesophagus. ? Candida
Herpes esophagitis
Patrick have you watched the Mandalorian yet?
Hyperplastic polyp
Female 76 years
Large polyp posterior wall of stomach
Hyperplastic polyp
Lymphocytic colitis
Male 79 years
Sigmoidoscopy - no lesion seen. Random biopsies
Melanosis coli
https://lmpimg.med.utoronto.ca/LMP77329.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
Resection of sigmoid colon. Patient presented with acute abdominal pain and increased serum lactate.
Ischemic colitis
Female 75 years
Anaemia and dysphagia. Random oesophageal biopsies taken at gastroscopy
Pill esophagitis
Pseudomembranous colitis
Female 55 years
Proctitis now limited to one area at 5cm
Rectal mucosal prolapse
https://lmpimg.med.utoronto.ca/LMP13829.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
54 year old male with no symptoms, screening colonoscopy. Cecum polypectomy.
Spirochetosis
TSA
https://lmpimg.med.utoronto.ca/LMP28939.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
44F. Patient presented with acute appendicitis and perforation.
Goblet cell adenocarcinoma
Well differentiated NET
Female 43 years
Menorrhagia. Previous tumour of right ovary at 23 years old. Hysterectomy - multiple fibroids.
adenomatoid tumour
adenomatoid tumour
Female 56 years
Fallopian tube. Left ovarian cyst
Adenomatoid tumour
Female 74 years
Cushing’s syndrome. Adrenal tumour. Adrenalectomy.
Adrenal cortical adenoma
https://lmpimg.med.utoronto.ca/LMP59692.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
60F. Left adrenal mass, incidental finding on work-up for kidney stones.
Adrenal cortical adenoma
https://lmpimg.med.utoronto.ca/LMP54949.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
32M Self-detected 4.5 cm testicular mass.
Mixed GCT
https://lmpimg.med.utoronto.ca/LMP34839.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
29F Right ovarian cystic lesion.
Immature teratoma
https://lmpimg.med.utoronto.ca/LMP49385.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
34 year-old female, ovarian mass, oophorectomy.
Immature teratoma
https://lmpimg.med.utoronto.ca/LMP17098.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
75M Cystoprostatectomy, known bladder lesion.
High grade papillary urothelial cell carcinoma
https://lmpimg.med.utoronto.ca/LMP88933.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
65 year-old female presenting with hematuria and pelvic pain, imaging shows a 10 cm bladder mass.
Urothelial cell carcinoma, sarcomatoid variant
https://lmpimg.med.utoronto.ca/LMP14715.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
70M. Hematuria, renal mass with invasion of large and small bowel.
High grade urothelial cell carcinoma
Metanephric adenoma
Oncocytoma
Oncocytoma
https://lmpimg.med.utoronto.ca/LMP55740.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
70M 15.5 cm right renal mass.
Multilocular cystic renal neoplasm of low malignant potential
Papillary RCC
Chromophobe RCC
Chromophobe RCC
Prostate adenocarcinoma (4+3)
https://lmpimg.med.utoronto.ca/LMP32200.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
70M obstructive urinary Sx
Prostate adenocarcinoa 4+4
https://lmpimg.med.utoronto.ca/LMP88941.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
Taken from transurethral resection of prostatic tissue.
Prostate, ductal adenocarcinoma
Prostatic ductal adenocarcinoma
https://lmpimg.med.utoronto.ca/LMP17507.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
29F Large ovarian cyst with torsion.
Yolk sac tumour
Seminoma
Male 35 years
Pruritis ani. Posterior anal fissure. Rectum looked normal. Biopsied.
Schistosomiasis
Female 35 years
HIV positive. Specimen: Urinary bladder biopsy.
Schistosomiasis
https://lmpimg.med.utoronto.ca/LMP41932.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
TAH BSO omentum and nodes in a 57 year old female.
Carcinosarcoma
Female 49 years
Uterine mass. History of cancer of breast.
Carcinosarcoma
https://lmpimg.med.utoronto.ca/LMP61664.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
53 year-old female underwent hysterectomy for a poorly circumscribed intramural uterine mass.
HGESS
Adenosarcoma
https://lmpimg.med.utoronto.ca/LMP22281.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
56F Hysterectomy for a pelvic mass.
HGESS
Female 35 years
Abnormal cervical smear
HSIL (CIN3)
Hidradenoma papilliferum
LGESS
Low grade endometrial stromal sarcoma
Complete mole
Complete mole
Ectopic pregnancy
Ectopic pregnancy
Female age unknown
Left submandibular gland increasing in size - unknown cause.
IgG4 disease of salivary gland
Male 69 years
Enlarged sub-mandibular gland. Representative section from it.
Obstructive sialadenitis
https://lmpimg.med.utoronto.ca/LMP70237.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
61 year-old woman presents with a right-sided parotid mass.
MEC
MEC
MEC
https://lmpimg.med.utoronto.ca/LMP56366.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
Maxillary cyst. Gorlin’s syndrome.
Odontogenic keratocyst
Parathyroid adenoma
https://lmpimg.med.utoronto.ca/LMP85038.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
28 year-old woman with left parotid mass.
Pleomorphic adenoma
Pleomorphic adenoma
Male 66 years
Lesion in right side of larynx.
Rhabdomyoma
Male 77 years
Left submandibular gland.
salivary duct carcinoma
https://lmpimg.med.utoronto.ca/LMP40079.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
Pancytopenia and history of previous chemotherapy for follicular lymphoma.
Acute myeloid leukemia
https://lmpimg.med.utoronto.ca/LMP68518.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
70 year-old woman with new onset of pancytopenia, fever, weight loss, and generalized fatigue, previously healthy.
AML
https://lmpimg.med.utoronto.ca/LMP44357.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
79-year-old man with back pain, urinary dysfunction, and bilateral leg weakness
Gaucher’s disease
Male 54 years
Presented with obstructive jaundice. Pancytopenia with Hb 98g/l, WBC 2.9 x 10^9/l and Plts 42 x 10^9/l.
Gaucher’s diseas
Female 60 years
Proximal femoral cyst at total hip replacement
Fibrous dysplasia
Age and sex unknown
No clinical history.
Fibrous dysplasia
https://lmpimg.med.utoronto.ca/LMP58237.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
Incidental finding at sentinel lymph node biopsy for breast cancer.
Follicular lymphoma
Follicular lymphoma
Hodgkin lymphom
https://lmpimg.med.utoronto.ca/LMP72157.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
41F Left inguinal lymphadenopathy.
Hodgkin lymphoma
Myeloma/plasmacytoma
Hepatocellular carcinoma
Male 49 years
Hepatitis C with large mass. Von Willebrand’s disease.
HCC
https://lmpimg.med.utoronto.ca/LMP67240.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
60-year old male with painless jaundice.
Pancreatic ductal adenocarcinoma
Female 52 years
Cystic mass in mid pancreas. Laparoscopic removal.
Serous cystadenoma
Male 77 years
Upper abdo discomfort. Upper GI endoscopy nil of note. Imaging revealed cystic mass in pancreas. Subtotal pancreatectomy
Serous cystadenoma
Male 42 years
Diabetic for many years with retinopathy
Diabetic nephropathy
Alcoholic steatohepatitis
Female 35 years
Abnormal liver function tests
fatty liver disease: steatosis/steatohepatitis
Adamantinomatous craniopharyngioma
Craniopharyngioma WHO Grade -I
https://lmpimg.med.utoronto.ca/LMP84622.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
23F Suprasellar brain lesion.
Adamantinomatous craniopharyngioma
https://lmpimg.med.utoronto.ca/LMP80549.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
54-year-old man presents with visual changes. Neuroimaging shows a suprasellar mass.
Papillary craniopharyngioma
https://lmpimg.med.utoronto.ca/LMP45399.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
61-year-old man presents with progressive left-sided weakness
GBM
https://lmpimg.med.utoronto.ca/LMP14609.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
55-year-old male patient with intermittent headaches for several weeks.
GBM
https://lmpimg.med.utoronto.ca/LMP71356.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
39-year-old woman with focal seizure. Neuroimaging shows a non-enhancing left parietal tumour.
Oligodendroglioma
Oligodendroglioma
Male 6 years
Posterior cranial fossa tumour.
Pilocytic astrocytoma (WHO I)
https://lmpimg.med.utoronto.ca/LMP85952.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
30-year-old woman with chronic back pain. Neuroimaging shows a non-enhancing mass at the filum terminale.
Tancytic giant cell ependymoma
Male 40 years
History of right leg pain/paraesthesia and urinary incontinence for approximately one month. MRI: Lumbar spine shows L2/3 intradural spinal tumour (enhancing homogenously).
Myxopapillary ependymoma
Medulloblastoma
Male 50 years
Hearing loss, tinnitus and poor balance
Schwannoma
Female 63 years
Spinal cord compression.
Meningioma
Fibroblastic meningioma
Chorangioma
Olfactory neuroblastoma
Female 78 years
Right middle lobe lung mass, wedge excision.
NET
Male 70 years
Lung tumour left upper lobe. PET scan inconclusive.
Carcinoid
https://lmpimg.med.utoronto.ca/LMP98594.htm?utm_campaign=Full&utm_medium=referral&utm_source=dlml
62-year-old male construction worker with increasing shortness of breath and pleural based densities on a routine chest x-ray film.
Malignant mesothelioma
Chondroid hamartoma
Neuroblastoma
Ganglioneuroblastoma
Ganglioneuroma
Ganglioneuroma
Infantile hemangioma
Wilms
Chorioamnionitis
Aortic aneurysm
Atrial myxoma
AVM
Fibrinous pericarditis
Giant cell myocarditis
Giant cell myocarditis
Papillary fibroelastoma
Plasma cell neoplasm
Burkitt lymphoma
Castleman disease
Castleman disease
Male 71 years
Generalised dermatitis, palpable lymph nodes in groins and axillae
Dermatopathic LNpathy
Dermatopathic LNpathy
DLBCL
DLBCL
Extramedullary hematopoiesis
Hairy cell leukemia
Kikuchi Fujimoto disease
Littoral cell angioma
MALT lymphoma
Myeloid sarcoma
Myeloid sarcoma
Rosai Dorfman
Rosai Dorfman