National Specialist Dermatopathology
advertisement
National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number: 100 Information provided: Female Age 39 Bilateral lesions on feet Specimen: Excision biopsy of skin from foot Macroscopic description: Irregular piece of skin 44 x 29 x 8 mm with nodular surface. Representative sections taken. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number: G101 Information provided: Male Age 66 Multiple “warts”. Lesion on chest. Specimen: Macroscopic description: Curetting Papillomatous fleshy lesion 1.7 x 1 x 1 cm. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number: G102 Information provided: Male Age 28 Nodule deep to skin with black superficial elements ? epidermoid cyst with blood within it. Specimen: Macroscopic description: Skin excision, right back Ellipse of skin 28 x 10 x 14 mm. Dark brown lesion in dermis 10 mm maximum dimension. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number: G103 Information provided: Male age 54 3 year history of enlarging flesh coloured nodule on vertex of scalp. Specimen: Macroscopic description: Scalp nodule. Soft tissue, encapsulated nodule 20 x 15 mm. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number: G104 Information provided: Female Age 75 Known renovascular disease. Known atherosclerotic disease. Livedo reticularis sole of foot ? Cholesterol emboli. Specimen: Macroscopic description: Skin biopsy. Skin ellipse 13 x 4 x 3, unremarkable. Other investigation results: Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number: G105 Information provided: Male Age 78 Lesion right side of neck ? amelanotic melanoma ? Merkel ? Angioma ? other. Macroscopic description: Ellipse excision containing a superficial dermal nodule 0.9 cm. Other investigation results: Immuno : Positive AE1/AE3, CAM 5.2, vimentin, CD10, EMA. BerEp4 focal +, CD34 highlights vascularity. Negative : S100, melan A, HMB45, CD68. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation:G Case number: G106 Information provided: Male Age 65 Three month history of itchy, erythematous/violaceous plaques on lower legs, thighs and buttocks. Specimen: Skin – punch biopsy right thigh. Macroscopic description: A 4 mm punch biopsy of skin. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number: G107 Information provided: Male Age 57 Diabetic. Lung fibrosis, on Azathioprine and steroids. Multiple small pustules. Specimen: Punch biopsy right side of natal cleft. Macroscopic description: None provided. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number: G108 Information provided: Male age 68 Rash abdomen and back. Patient on Amlodipine ? drug induced lichen planus. Macroscopic description: 4 mm punch left abdomen. Other investigation results: All other investigations negative. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number:G109 Information provided: Male Age 43 Asymptomatic petechiae both lower legs. Cayenne pepper appearance. Specimen: Punch biopsy of skin from left lower leg. Macroscopic description: 4 mm punch biopsy. Other investigation results: Perls’ stain positive. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number: G110 Education & Interest Information provided: 48 year old woman with history of breast carcinoma and erythematous lesions on the affected breast. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation:G Case number: G111 Education & Interest Information provided: 32 year old woman with several papular lesions on both knees. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation:G Case number: G112 Education & Interest Information provided: 57 year old woman with indurated lesions on the left axilla. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation: G Case number: G113 Education & Interest Information provided: 17 year old girl with bullous lesions on the upper and lower extremities for several months. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice National Specialist Dermatopathology EQA Scheme Please return to the EQA Secretary: Miss L F Whomsley. Email: eqaadmin@uhl-tr.nhs.uk Address: Dept of Histopathology, Leicester Royal Infirmary, Level 3 Sandringham Building LE1 5WW. PLEASE RETURN COMPLETED FORMS BY EMAIL OR BY POST BUT NOT BY BOTH MEANS TO THE EQA SECRETARY Participant Code: Circulation:G Case number: G114 Education & Interest Information provided: 27 year old man with confluent, erythematous and bullous lesions on the back after sun exposure. Please offer the single most probable (working) diagnosis based on all the information available. If no single favourite can be identified then please offer differential diagnoses with a weighting for each, such that the total adds up to 10. Diagnosis Weighting 1. …………………………………………… ……… 2. …………………………………………… ……… 3. …………………………………………… ……… 4. …………………………………………… ……… Comments (this section is recorded but not scored) Please offer any necessary further information, levels, histochemistry, immunohistology, molecular etc. or any general comments on the case. Quality of section (please circle) acceptable / unacceptable Please refer to the document “Guidelines for Submitting Scoring Cases and Responses to the National Specialist Dermatopathology EQA Scheme” for further advice
