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4948399418Vascular lesions of the spleen- Hemangioma - Peliosis (dilated sinuses lined by CD8/CD68 positive cells) - Littoral cell angioma (cuboidal or papillary cells, CD8/cd34-, CD68/163 +) - Hemangioendothelioma (more atypia with low mitotic rate, no necrosis) - Angiosarcoma (infiltrative, mitoses, necrosis, atypia) - Lymphangioma (proteinaceous material, cells D2-40/31/F8+, 34-)0
4948601392Oligodendroglioma- white matter of frontal lobe - fried-egg appearance - del 1p and 19q have prognostic significance1
4948601393Central core disease- type of myopathy with a strong association with malignant hyperthermia - Autosomal dominant mutation in RYR1 (19q) - Clear areas in myocytes with NADH stain2
5106935161Intramuscular parasitetrichinosis3
5106956120translocation in mucoepidermoid carcinomat(11;19), MECT1-MAML2 fusion4
5106970457Most common benign and malignant tumors of the salivary glandBenign: pleomorphic adenoma Malignant: Mucoepidermoid carcinoma5
5106980696odontogenic keratocyst- locally destructive cyst - squamous lining with parakeratosis, basal palisading, and wavy surface - 50% associated with unerupted tooth - A/w Gorlin syndrome6
5106998278Ameloblastoma- a/w impacted tooth - locally aggressive - islands of stellate epithelial cells surrounded by basal cells with reverse polarity - Malignancy defined by mets7
5107023082Fibrous dysplasia is associated with which hereditary syndrome?McCune Albright syndrome8
5107030635Epithelial myoepithelial carcinoma- P63, S-100, calponin, and SMA positive - Inner ductal cells and outer myoepithelial cells with clear cytoplasm - Rare malignant salivary gland tumor9
5107053596Granular cell tumor cell of originSchwann cell10
5107055637GIST cell of originCells of Cajal11
5107058852Granular cell tumor immunophenotypeS-100, vimentin, CD68 positive CK and desmin negative12
5107079818Acinic cell carcinoma (salivary gland)- Granules of zymogen - PAS/diastase positive - CK7, A1AT, and amylase positive - CD117 and myoep markers negative13
5107109801Nasopharyngeal carcinoma- Undifferentiated tumor with syncytial sheets of cells with large nuclei and nucleoli and numerous lymphocytes - EBV associated, common in asia14
5107131801Olfactory neuroblastoma- dumbbell-shaped tumor straddling the cribriform plate15
5107148718Choriocarcinoma16
5107156543Chorangioma of placenta17
5107163145dysgerminomaMost common malignant germ cell tumor of the ovary18
5107170682- CK7, CA-125, CEA, EMA, and WT-1 positiveOvarian Brenner tumor immunophenotype19
5107174630Leydig cell tumor20
5107187709Ovarian stromal carcinoid- combination of stuma ovarii and carcinoid tumor21
5107194093AFP and CA-125serum markers for yold sac tumor22
5107196787Yolk sac tumor23
5107210401- solitary submucosal lesions in the myometrium or endometrium - stain with smooth muscle markersPlexiform tumorlet24
5107220830Other name for malignant mixed mullerian tumorcarcinosarcoma25
5107608489Adenomatoid tumor- Benign tumor of ovarian/testicular adnexa - Derived from mesothelial cells and stains as such26
5107622746Grade I: less than 5% solid growth Grade II: 5-50% solid growth Grade III: >50% solidGrading of endometrioid endometrial adenocarcinoma27
5107647929Mesonephric adenocarcinoma- Rare tumor originating from mesonephric remnants - Wall of cervix - Compact growth of small tubules - EMA, vimentin, calretinin, CD10 and LMWK are positive - CEA ER/PR negative28
5107656579Aggressive angiomyxoma- infiltrative but non-metastasizing lesion of the perineal region - Myxoid matrix with bland spindle cells and hyalinized vessels with surrounding collagen - Desmin, SMA, ER/PR positive29
5107683029Papillary hiradenoma- nodule in perineal area in women - double layer - epithelial and myoepithelial - occasionally becomes malignant30
5107883897- SMA and vimentin positive - CD31, FVIII, and CK negativePASH immunophenotype31
5107897056Breast carcinoma with medullary features- Better prog than IDC NOS' - >75% syncytial growth and high mitotic rate - Brisk lymphoplasmacytic response - Well-circumscribed borders - Usually triple negative32
5108457183Mesoblastic nephroma- Most common congenital renal neoplasm - firm, whorled cut surface - Fibromatosis-like appearance33
5108465277Multilocular cystic RCC- EMA, CAM5.2, vimentin, PAX-8, and CD10 positive34
5108477239CD117, OCT 3/4, PLAP positiveSeminoma immunophenotype35
5108484351Myelolipoma - benign lesion usually in the adrenal gland - 80% have X chromosome inactivation36
5108495145HMB-45, Melan-A, SMA, and desmin positiveAngiomyolipoma immunophenotype37
5108500207Sertoli cell tumor - 10% malignant - CK, vimentin, inhibin positive - Patterns include tubular, cords, sheets, or aggregatesGonadal tumor38
5108543233Translocation RCC - Xp11.2 translocation, corresponds to TFE3 positivity by IHC - Young adults, mixture of patterns (clear, papillary, etc) often with psammoma bodiesRenal tumor39
5108556339PLAP, CD30, EMA positiveEmbryonal carcinoma immunophenotype40
5108564259Collecting duct carcinoma - cords, tubules, etc in a desmoplastic stroma - intracytoplasmic mucin - high mitotic rate - poor prognosisKidney41
5108580186Gonadoblastoma -Mixed germ cell and sex cord stromal tumor - 80% phenotypically female but 46, XY - nests of germ cells and sex cord stromal cells with hyaline basement membrane material - Germ cells are PLAP and CD117 positive, sex cord stromal cells are inhibin positivePelvic tumor42
5108593952Lymphangioleiomyomatosis - Occurs in lungs of young women; linked to tuberous sclerosis genes - resembles angiomyolipoma - spindle proliferation with lymphoid tissue.Lung nodule43
5132184003- Insular pattern due to expanded sinusesLymphoplasmacytic lymphoma44
5132293253- necrosis with neutrophils - granulomas - warthin-starryCat scratch disease45
5132364045- Infiltration of red pulp, with atrophy of white pulp - Intermediate cells with pale cytoplasm, loose chromatin - CD2, CD3, CD7 positive - Usually both CD4 and CD8 negativeHepatosplenic T cell lymphoma46
5132492285- Oral cavity, HIV pts - CD45 often negative, CD20 negative, CD79a positive, CD138 positive - High ki-67, 50% EBV positive - Blastic high-grade morphologyPlasmablastic lymphoma47
5132601541- ALK + - CD30 + - Hallmark cells (horseshoe nuclei)Anaplastic large cell lymphoma48
5132944133- Partial effacement of node with distension of sinuses by Langerhans cells - abundant, pale eosinophilic cytoplasm, irregular and elongated nuclei with prominent nuclear grooves and folds, fine chromatin and indistinct nucleoli - Occasionally multinucleated - Sinuses commonly have foci of necrosis, often surrounded by rim of eosinophilsLangerhans histiocytosis (systemic/nodal)49
5133248554rosai dorfman - sinus histiocytosis with massive lymphadenopathy - can also occur in extranodal tissuesEnlarged lymph node50
5133309489- poorly formed granulomas, especially near or within germinal centers - Follicular hyperplasia with frequent tangible body macrophages - Interfollicular monocytoid B cellsToxoplasmosis (LN)51
5133372789mucinous cystic neoplasm52
5133586070lymphoepithelial cystPancreas, salivary gland, or neck53
5133649693basal cell adenoma - resembles pleomorphic adenoma or adenoid cystic carcinoma (sometimes) but has peripheral palisading.salivary gland54
5133724180Mucoepidermoid carcinoma - will see areas of squamoid epithelium as well as mucinous epithelium. - DDx includes adenosquamous carcinoma, which will have anaplastic featuresSalivary gland55
5133753024- Biphasic epithelial and mesenchymal - Stroma may be myxoid, hyaline, chondroid, rarely adipose tissue or osseous; mucin often present - No mucinous epithelium (vs. mucoep carc.)Pleomorphic adenoma56
5133908989- Not a specific type of carcinoma - often adenocarcinoma NOS, myoepithelial, salivary duct, terminal duct or undifferentiated carcinomas - Abrupt transition from the PACarcinoma ex pleomorphic adenoma57
5134234080acinic cell carcinomaSalivary gland58
5134432881Hyaline trabecular tumor - cytoplasm contains yellow, paranuclear cytoplasmic inclusions with clear halo of retracted cytoplasm and nuclear molding - trabecular or organoid appearance - hyaline material in extracellular spaces - may see psammoma bodiesThyroid gland59

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