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This is due to essential University controlled maintenance work which is beyond our control

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EQA

GI EQA circulation H 2005







H 114

Male 52 years

IgA nephropathy. GI bleeding - 2nd laparotomy subtotal colectomy. Colonoscopy - vasculitic changes on mucosa.

Macroscopic description:
50mm terminal ileum and 680mm large bowel. Blood clot adherent to mucosa and sessile soft brown polypoid lesions throughout colon ?purulent exudate


H&E
11099


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H 115

Male 75 years

Presented with 'acute abdomen'. Constipated, on steroids for rheumatoid arthritis.

Macroscopic description:
Distal jejunum. 15cm small bowel clothed in fibrinopurulent exudate. Perforation 5.5cm from resection margin


H&E
11077


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H 116

Male 70 years

Explosive diarrhoea for 8 months with one episode of rectal bleeding

Macroscopic description:
rectal biopsy - 5mm


H&E
11081


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H 117

Female 80 years

Large duodenal polyp

Macroscopic description:
a polypoidal piece of grey tissue 3.3x2.7x2.5cm. It has a firm white lobular cut surface. There is a focus of haemorrhage measuring up to 0.5cm. There are no obviously necrotic areas. Widespread positivity for synaptophysin and neuron specific enolase, focal positivity for chromogranin A, cytokeratins and S100 protein


H&E
11086


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H 118

Male 82 years

Previous partial gastrectomy (many years ago) - reason for surgery not known. ?Carcinoma at anastomosis.

Macroscopic description:
3 endoscopic biopsies


H&E
11088


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H 119

Male 78 years

Cystic tumour tail of pancreas

Macroscopic description:
the specimen received comprises spleen with adjacent tail of pancreas which measures 11x4x3cm. The cut surface of the pancreas shows several cysts containing clear fluid. PAS/D stains negative for mucin


H&E
11090


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H 120

Male 57 years

Reflux disease with polyps in distal oesophagus

Macroscopic description:
3 endoscopic biopsies


H&E
11080


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H 121

Female 47 years

Endometriosis. 'Illegible' x2 vagina / colon. Rectum 'Illegible' (sic)

Macroscopic description:
Sigmoid colon 19cm with focal adhesions on serosa. Mucosa unremarkable. Wall thickened and fibroticover a length of 2.5cm at adistance of 4 cm from one resection margin. Section from fibrotic area


H&E
11089


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H 122

Female 58 years

Travellers diarrhoea. Treated abroad with antibiotics. Presented with distended abdomen, neutropenia. Sepsis

Macroscopic description:
Five fragments of small and large bowel (up to 680mm long) Congested with several areas of perforation up to 20mm


H&E
11093


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H 123

Female 49 years

Mass in common hepatic duct. Frozen section showed no evidence of carcinoma

Macroscopic description:
Cholecystectomy with cystic duct, right and left hepatic ducts, common hepatic duct and proximal common bile duct. Thickening of the walls of the right hepatic duct, left hepatic duct and common hepatic duct. Lesion showed positive staining for S100 and negative staining for desmin


H&E
11097


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H 124

Male 65 years

Large tumour in gastric fundus

Macroscopic description:
Partial gastrectomy with dumbell tumour 10.1cm in diameter. CD34+, c-kit+, desmin -ve


H&E
11098


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H 125

Male 68 years

Carcinoma of caecum - right hemicolectomy. NB large gland at apex. Focal positivity with Perl's and von Kossa stain

Macroscopic description:
Right hemicolectomy specimen with a tumour 70mm long and 45mm diameter with thickening of the pericolic fat posteriorly.


H&E
11082


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H 126

Male 54 years

Left hemicolectomy for proven obstructing carcinoma of sigmoid colon.

Macroscopic description:
circumferential tumour involving 90mm length of bowel with focal tumour spread into mesenteric fat. All areas of tumour are cytokeratin positive


H&E
11096


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H 127

Female 34 years

Patient had uterosigmoidostomy fashioned as a child for congenital bladder abnormality. 2 polyps noted in sigmoid. Sigmoid excision and refashioning of ureterosigmoidostomy.

Macroscopic description:
110mm length of sigmoid colon, showing 3 polyps up to 20mm in diameter


H&E
11091


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H&E
11092


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