NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 314 Information provided: 33 year old woman with large cyst on CT. Hydatid serology negative. Specimen: Liver resection Macroscopic description: At cut up: right hepatectomy specimen which is distorted by a large cyst 250x210x160. On sectioning the cyst was a complex cyst with both solid and cystic components. (Specimen photograph included) Age & Gender: 33/Female Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 315 Information provided: Rectal carcinoma with liver metastais and known lung metastasis. Post chemotherapy. Specimen: Segment 6 resection. Macroscopic description: Subcapsular area of scarring 8mm in maximum dimensions.background liver diffusely nodular. (Specimen photograph and 2x photomicrographs of reticulin stain included). Age & Gender: 70/Male Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 316 Information provided: Common bile duct stone extracted by ERCP but progressive jaundice since. Specimen: Liver biopsy Macroscopic description: Two cores, 11 and 15 mm long. Age & Gender: 65/Male Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 317 Information provided: Abnormal LFTs GGT 1064, previous alcohol excess Specimen: Liver biopsy Macroscopic description: core of tissue 12mm in length Age & Gender: 58/Male Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Case number: 318 Information provided: Deranged LFTs -raised alkaline phosphatase raised gamma GT, Normal bilirubin Specimen: Liver biopsy Macroscopic description: 2 cores each 2cm Age & Gender: 44/Female Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 319 Information provided: ? HCC in cirrhosis Specimen: liver resection for tumour Macroscopic description: portion of liver measuring 135x120x70mm, micronodular cirrhosis and with several scattered pale nodules the largest 16mm in maximum dimension.One nodule present in centre of submitted section Age & Gender: 70/Male Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 320 Information provided: weight loss, deranged LFT's, previos hepatitis B infection, hepatitis C positive CT showed mass in right lobe of liver Specimen: Liver Biopsy Macroscopic description: 2 cores 1.7cm and 1.6cm Age & Gender: 46/Male Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 321 Information provided: Diagnosed UC four months ago. Commenced mesalazine. Three weeks of jaundice. ? drug induced Hepatitis Specimen: Liver biopsy Macroscopic description: 14mm core Age & Gender: 36/Male Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 322 Information provided: AIH on MMF.Stopped prednisolone. ALT still increased - ?on going inflammatory activity. Specimen: Liver biopsy Macroscopic description: 9mm core plus fragment Age & Gender: 42/Male Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 323 Information provided: Cholestatic jaundice, previous high alcohol intake multiple organ failure Specimen: Liver Biopsy Macroscopic description: Two cores, 7mm and 15mm in length Age & Gender: 52/Male Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 324 Information provided: Oesophageal cancer. Liver Failure Specimen: Liver biopsy Macroscopic description: 12mm core Age & Gender: 53/Male Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting). NATIONAL LIVER PATHOLOGY EQA SCHEME Quality Assurance Reference Centre, Ground Floor, Raynham House, 2 Capitol Close, Capitol Park West, Leeds LS27 0WH Organiser: Secretary: Dr J Wyatt Tel: (0113) 2067834; Fax: (0113) 2065429; E-mail: judy.wyatt@leedsth.nhs.uk Miss Sophia Rehman Tel: (0113) 246 6304 Fax: (0113) 246 6320 E-mail: sophia.rehman@nhs.net Please return completed response forms to the secretary. RESPONSE SHEET Please fill in both boxes where appropriate, particularly in non-tumour cases. Participant Code:…………………. Circulation: Z Case number: 325 Information provided: lesion in liver Specimen: left hepatectomy Macroscopic description: left hepatectomy distorted by tumour.on sectioning lobulated tan tumour 110x166x125mm with a central stellate scar. (Specimen photograph included) Age & Gender: 32/Female Main Diagnosis: Morphology: Clinicopathological (includes information from ‘information provided’ where necessary) Necessary further information, sections, stains etc. Other comments: (e.g. particular or unusual features, to remind yourself of the case and to feed into collation of comments for discussion at the open meeting