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第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市 S2599 回腸腫瘍 *Speaker’s diagnosis *Schwannoma 55 Gastrointestinal stromal tumor (GIST) 8 Low risk (2) Epithelioid (1) NOS (5) Neurofibroma 5 Inflammatory myofibroblastic tumor (IMT) 2 Perineuroma 1 Angiomyolipoma 1 Leiomyoma 1 Fibromatosis 1 Reactive nodular fibrous pseudotumor 1 S2600 回腸粘膜下腫瘍 *Speaker’s diagnosis Gastrointestinal stromal tumor (GIST) 54 High risk (16) with phlebosclerosis ((1)) Malignant (5) Epithelioid (2) NOS (31) *Kit-mutated (1) Leiomyosarcoma 14 Malignant peripheral nerve sheath tumor (MPNST) 2 Perivasular epithelioid cell tumor (PEComa) 2 Dedifferentiated liposarcoma 1 Desmoid type fibromatosis 1 Deep benign fibrous histiocytoma 1

S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

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Page 1: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2599 回腸腫瘍 *Speaker’s diagnosis

*Schwannoma 55

Gastrointestinal stromal tumor (GIST) 8

Low risk (2)

Epithelioid (1)

NOS (5)

Neurofibroma 5

Inflammatory myofibroblastic tumor (IMT) 2

Perineuroma 1

Angiomyolipoma 1

Leiomyoma 1

Fibromatosis 1

Reactive nodular fibrous pseudotumor 1

S2600 回腸粘膜下腫瘍 *Speaker’s diagnosis

Gastrointestinal stromal tumor (GIST) 54

High risk (16)

with phlebosclerosis ((1))

Malignant (5)

Epithelioid (2)

NOS (31)

*Kit-mutated (1)

Leiomyosarcoma 14

Malignant peripheral nerve sheath tumor (MPNST) 2

Perivasular epithelioid cell tumor (PEComa) 2

Dedifferentiated liposarcoma 1

Desmoid type fibromatosis 1

Deep benign fibrous histiocytoma 1

Page 2: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2601 腸重積 腸重積 *Speaker’s diagnosis

(Colonic) mucosal submucosal elongated polyp 14

Arteriovenous marformation (AVM) 11

Polypoid (1)

NOS (10)

Angiodysplasia 3

Arteriovenous hemangioma 2

Lymphangioma 2

Lymphatic venous marformation 1

*Polypoid vascular and lymphatic marformation 1

Inflammatory fibroid polyp 8

Hamartomatous polyp/Hamartoma 7

Cronkhite-Canada type polyp 1

Peutz-Jegher type polyp 1

Hyperplastic/hypertrophic polyp 3

Hyperplastic change of mucosal crypt 1

Mucosal tag 1

Non-neoplastic polyp 1

Adenoma 2

Tubulovillous (1)

Giant villous (1)

Mastocytosis 2

Duplication cyst/Duplicate intestine 2

Inverted Meckel’s diverticulum 1

Circulatory disturbance 1

Intussusception 1

Submucosal fibrosis 1

Gastrointestinal stromal tumor (GIST), high risk 1

Angiomyolipoma 1

Spindle cell lipoma 1

Page 3: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2602 胃噴門部腫瘍 *Speaker’s diagnosis

Neuroendocrine tumor (NET) 39

Neuroendocrine carcinoma (NET, G3) (37)

With hepatoid feature/hepatoid carcinoma ((2))

Large cell neuroendocrine carcinoma ((2))

Neuroendocrine carcinoma/neuroblastoma ((1))

NOS ((32))

NOS (2)

Endocrine carcinoma 9

Mixed adeno-neuroendocrine carcinoma 17

Mixed carcinoid and adenocarcinoma 1

Combined NET and basaloid carcinoma 1

Adenocarcinoma 6

*EB virus associated (3)

AFP-producing adenocarcinoma (1)

with intestinal and cribriform patterns (1)

metastatic (1)

Acinic cell carcinoma arising in heterotopic pancreas 1

S2603 右卵巣腫 *Speaker’s diagnosis

Sex cord tumor with annular tubules 46

With prominent cystic change (1)

Giant multiocular (1)

*NOS (44)

Granular cell tumor 23

Adult type (7)

Juvenile type (7)

NOS (9)

Gonadoblastoma 5

Mixed sex cord stromal tumor 1

Yolk sac tumor 1

Multiple follicular cysts with hyaline bodies 1

Page 4: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2604 腎腫瘍 *Speaker’s diagnosis

Oncocytoma 49

renal (8)

*renal small cel oncocytoma with pseudorosettes (7)

small cell variant (1)

with degenerated change (1)

Oncocytoma and RCC 3

chromophobe (1)

Carcinoid in oncocytoma 1

Oncocytoma vs RCC 2

RCC 7

chromophobe (5)

small cell carcinoma eosinophilic variant ((1))

oncocytic variant (1)

with nouroendocrine differentiation (1)

Crcinoid tumor 2

renal (1)

Neuroendocrine tumor G2 1

Oncocytic carcinoma 1

Carcinoma of collecting duct 1

Granular cell tumor 1

Hemngiopericytoma 1

Metanephric adenoma 1

TFEB-associated renal neoplasm 1

Birt Hogg-Dube syndrome 1

IDK or No answer 3

Page 5: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2605 肝腫瘍 *Speaker’s diagnosis

Intraductal papillary neoplasm of bile duct(IPNB)

(of the bile duct 25, of bile duct 9; IPNB 8, IPN 5, IPND 1, IPBN 1)

IPNB 49

Pancreatobiliary (4)

CIS ((1))

Intermediate ((1))

Oncocytic (2)

Carcinoma ((1))

Low grade (1)

High grade (1) (intraepithelial neoplasm )

Borderline (1)

Type II (1)

IPC 2

Intraductal tubulopapillary neoplasm 6

Cystadenocarcinoma 8

Oncocytic (2)

Papillary (2)

Serous (1)

Low grade (1)

Papillary carcinoma 4

Minimally invasive (1)

*? Intrabiliary (1)

Intraductal (1)

Intraluminal (1)

NET 1

NEC 1

IDK or No answer 4

Page 6: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2606 十二指腸乳頭腫 *Speaker’s diagnosis

Undifferenciated carcinoma 32

*with osteoclast-like giant cells (29)

Anaplastic carcinoma 14

with osteoclast-like giant cells (5)

Intraductal (1)

in situ with osteoclast-like giant cells (1)

Giant cell tumor 12

Pancreatic (3)

with osteoclast-like giant cells (3)

Arising from MCT borderline (1)

in MCT (adenoma) (1)

Other malignant lesion 8

Sarcomatoid carinoma (2)

Osteoclastic and pleomorphic carcinoma (1)

Carcinosarcoma (3)

Epithelioid sarcoma (1)

Clear cell sarcoma (1)

Other tumor 4

Solid and pseudopapillary tumor (2)

Inflammatory myofibroblastic tumor (1)

GIST (1)

Granulation 2

Pyogenic (1)

IDK or No answer 3

Page 7: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2607 脳腫瘍 *Speaker’s diagnosis

Meningioma 59

*Papillary meningioma (56)

with adenocarcinoma-like metaplasia (1)

WHO grade III (2)

Ependymoma 3

Anaplastic (1)

Papillary (2)

Choroid plexus tumor 5

Carcinoma (3)

Papilloma (2)

Papillary carcinoma minimally invasive 1

Metastastic carcinoma 4

Papillary adenocarcinoma 1

IDK or No answer 2

S2608 肺結節 *Speaker’s diagnosis

Granuloma 41

*Rheumatoid nodule (26)

Hyalinizing (3)

Necrotizing (2)

Tuberculosis (1)

Wegener's (1)

Palisading (1)

Lymphomatoid (1)

Silicosis (1)

Infarction 2

Necrobiotic nodule 2

Lymphoploliferative disorder 1

Necrotizing pneumonia 1

Caplan's syndrome 1

Abscess formation 1

Palasite infection 1

Fungus infection 1

Kaposi's sarcoma 1

IDK or No answer 23

Page 8: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2609 胸壁腫瘍 *Speaker’s diagnosis

Malignant mesothelioma 11

Localized (plueral) (2)

Sarcomatoid (1)

Mesothelioma 7

Sarcomatoid (2)

Sarcomatous localized (1)

Epithelioid (1)

Epithelioid sarcoma 9

Ploximal type (1)

Malignant solitary fibrous tumor 4

Rhabdomyosarcoma 4

Pleomorphic (3)

Undifferentiated pleomorphic sarcoma 4

Synovial sarcoma 2

Hemangioendothelioma 4

Epithelioid (1)

Epithelioid angiosarcoma-like (1)

*Epithelioid sarcoma-like (1)

Kaposiform (1)

Angiosarcoma 2

Undifferentiated sarcoma 1

Liposarcoma 1

Malignant inflammatory myofibroblastic tumor 1

Inflammatory malignant fibrous histoicyotma 1

A high grade sarcoma with biphasic patterns 1

Perivascular epithelioid cell tumor 1

Malignant peripheral nerve sheath tumor 1

Follicular dendric cell sarcaoma 1

Inflammatory myofibroblastic tumor 5

Solitary fibrous tumor 4

Pleomorphic carcinoma 4

Spindle cell carcinoma 4

Sarcoidosis 1

IDK or No answer 3

Page 9: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2610 後縦隔腫瘍 *Speaker’s diagnosis

*Mullerian cyst 31

posterior mediastinal (1)

mediastinal paravertebral (3)

Bronchogenic cyst 12

Foregut cyst 6

Ciliated (1)

Pericardial cyst 4

Posterior mediastinal cyst showing mullerian differentiation (Hattori’s cyst) 1

Epithelial cyst 2

Mullerian differentiation (1)

Mesothelial cyst 3

Thymic cyst 2

Bronchial cyst 1

Ciliated cyst 1

Cyst 1

Cyst of thoracic duct 1

Endodermal cyst 1

Enterogenous cyst 1

Epidural meningeal cyst 1

Gastroenteric cyst 1

Serous cyst 1

Fallopian tubal cyst 1

Serous cyst adenoma 2

Clear cell adenocarcinoma 1

Endosalpingiosis 2

Page 10: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2611 耳下腺腫瘍 *Speaker’s diagnosis

Epithelial-myoepithelial carcinoma 15

oncocytic (2)

*with high grade transformation+ oncocytosis, focal (2)

+ Warthin tumor (1)

+ Oncocytoma (3)

+ Nodal nodular oncocytic hyperplasia (1)

+ Oncocytosis in lympho node (1)

Mucoepidermoid carcinoma 14

High grade (2)

Oncocytic variant component metastasized (1)

+ Oncocytic carcinoma (1)

+ Oncocytoma (4)

+ Oncocytosis (1)

Carcinoma ex pleomorphic adenoma 9

+ Oncocytoma (1)

+ Warthin tumor (3)

Sebaceous carcinoma 5

+ Warthin tumor (2)

+ Intranodal oncocytic hyperplasia (1)

Adenocarcinoma, NOS 5

+ Oncocytoma (2)

+ Heterotopic oncocytoma (1)

+ Warthin tumor (1)

+ Oncocytosis (1)

Salivary duct carcinoma 3

+ Oncocytoma (1)

Basal cell adenocarcinoma 3

+ Ectopic parathyridal hyperplasia (1)

Acinic cell carcinoma 3

Adenoid cystic carcinoma 2

+ Oncocytoma (1)

+ Oncocytic tumor (1)

Squamous cell carcinoma 2

Cclear cell variant (1)

+Intranodal heterotopic salivary gland with oncocytic metaplasia (1)

Myoepithelial carcinoma 2

+ Oncocyoma (1)

+ Warthin tumor (1)

Oncocytic carcinoma 2

Adenosquamous carcinoma with clear cell area+ oncocytoma 1

Clear cell carcinoma 2

Hyalinizing+ aberrant salivary gland with oncocytic change (1)

NOS (1)

Lymphoepithelioma-like carcinoma 1

Malignant mixed tumor 1

Sebaceous lymphoadenocarcinoma 1

Metastatic carcinoma 1

Oncocytoma 1

Warthin tumor 1

IDK or No answer 2

Page 11: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2612 甲状腺腫瘍 *Speaker’s diagnosis

Papillary carcinoma 68

*Cribriform-morula variant (27)

Cribriform variant (14)

Morula variant (1)

with squamous metaplasia (1)

Capsulated (1)

with morula (1)

Tall cell variant (2)

Columnar cell variant (1)

FAP-associated (2)

Cribriform-morula variant, associated with FAP (1)

Multiple (1)

Papillary thyroid carcinoma

+ Cribriform-morular thyroid carcinoma with FAP 1

FAP-associated thyroid carcinoma 5

Hyalinizing trabecular tumor 1

Metastatic carcinoma 1

S2613 唾液腺腫瘍 *Speaker’s diagnosis

Mucinous adenocarcinoma 25

with oncocytic change (1)

with oncocytic metaplasia (1)

Mucinous carcinoma 2

with oncocytic change (1)

Salivary duct carcinoma 15

*Mucin-rich variant (11)

Colloid carcinoma variant (1)

Oncocytic carcinoma 2

with mucin production (1)

Myoepithelial carcinoma 2

Carcinoma ex pleomorphic adenoma 1

Adenocarcinoma, NOS, micropapillary pattern 1

Mucoepidermoid carcinoma 1

Carcinoma with myxoid stroma, probably metastatic 2

Myoepithelioma 1

Oxyphilic adenoma 1

Oncocytic change 1

IDK or No answer 22

Page 12: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2614 鼻腔腫瘍 *Speaker’s diagnosis

Adenocarcinoma 29

Papillary adenocarcinoma 13

Nasopharyngeal papillary adenocarcinoma 6

Low grade (1)

*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1

Intestinal type sinusoidal papillary adenocarcinoma 1

Papillary adenocarcinoma from adenoma 1

Low-grade nonintestinal adenocarcinoma 1

Sinusoidal intestinal adenocarinoma 1

Sinonasal adenocarcinoma 5

Intestinal-type (3)

Nonintestinal type (1)

Intestinal type adenocarcinoma 5

Tyroid-like low grade nasopharyngeal carcinoma 1

Papillary carcinoma, metastatic 3

from thyroid (2)

Papilloma 12

Intraductal papilloma 4

Inverted papilloma 3

of minor salivary glands (1)

Sinonasal inverted papilloma 1

Columnar cell papilloma 3

with malignant transformation (1)

Cylindrical cell papilloma 1

Papillary adenoma 2

Sialadenoma papillifoerum 1

Respiratory epithelial adenomatoid hamartoma 5

IDK or No answer 22

Page 13: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2615 口蓋腫瘍 *Speaker’s diagnosis

Mucoepidermoid carcinoma 37

*Clear cell variant (3)

Intermediate type (1)

Clear cell carcinoma 12

Clear cell odontogenic carcinoma 2

Hyalinizing clear cell carcinoma 1

Squamous cell carcinoma 4

Clear cell squamous cell carcinoma 1

Sebaceous carcinoma 7

Epithelial-myoepithelial carcinoma 2

Myoepithelioid carcinoma from small salivary gland 1

High grade nonitestinal adenocarcinoma 1

Acinic cell carcinoma 1

Folicular dendric cell sarcoma 1

Hydradenoma 1

Necrotizing sialometaplasia 1

IDK or No answer 2

S2616 足底軟部腫瘍 *Speaker’s diagnosis

Synovial sarcoma 24

Synovial sarcoma, biphasic (2)

Synovial carcinoma 1

Tenosinovial giant cell tumor/Giant cell tumor of tendon sheath 2

Myoepithelioma* 5

Mixed tumor 3

Cutaneus mixed tumor (1)

Chondroid syringoma (1)

Eccrine spiradenoma / Spiradenoma 2

Glomus tumor 4

Angiosarcoma 2

Eepithelioid hemangioma 1

Epithelial-myoepithelial carcinoma 1

Solitary fibrous tumor 2

Schwannoma 1

Plexiform fibrohistiocytic carcinoma 1

Langerhans cell histiocytosis 1

Adenocarcinoma 1

IDK or No answer 23

Page 14: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2617 骨腫瘍 *Speaker’s diagnosis

Phosphaturic mesenchymal tumor* 60

FGF23 producing mesenchymal tumor 14

Mixed connective tissue variant (8)

Malignant (osteosarcomatous change) (1)

Tumor induced osteomalacia 3

Hemangiopericytoma with oncogenic osteomalacia 1

Fibrosarcoma 2

Fibrous dysplasia 2

Desmoplastic fibroma 1

Fibroma 1

Osteogenesis imperfecta + non-ossifying fibroma 1

Osteosarcoma 2

Osteosarcoma arising in fibrous dysplasia (1)

Solitary fibrous tumor 1

Spindle cell lesion 1

IDK or No answer 2

Page 15: S2599 回腸腫瘍 *Speaker’s diagnosisplaza.umin.ac.jp/~csp/chaircom/S119chairCom.pdf*Tyroid-like low-grade nasopharyngeal papillary adenocarcinoma 1 Intestinal type sinusoidal

第 119 回日本病理学会中国四国支部スライドカンファレンス 投票結果 2016.2.6 宇部市

S2618 皮膚腫瘍 *Speaker’s diagnosis

Basal cell carcinoma 43

Arising in multiple familial trichoepithelioma (5)

Arising in (multiple) trichoepithelioma (4)

Arising in trichoblastoma (2)

+Trichoepithelioma (4)

with trichoepithelioma (1)

in Gorlin-Goltz syndrome (1)

Infundibulo-cystic basal cell carcinoma (2)

Nevoid basal cell carcinoma syndrome (1)

(multiple) trichoepithelioma with basal cell carcinoma 4

Trichoepithelioma/trichoblastoma + basal cell carcinoma 1

Trichoepithelioma with malignant transformation 1

Trichoblastic carcinoma 2

Trichoblastoma 9

Trichoepithelioma 7

Multiple familial trichoepithelioma (1)

Trichofolliculoma 1

S2619 頭部皮膚腫瘍 *Speaker’s diagnosis

Hemangioma 40

Glomeruloid hemangioma (30)

in POEMS syndrome (1)

*Papillary hemangioma (2)

Caverunous hemaongioma (1)

Capillary hemangioma (1)

Angiosarcima 3

Hemangioblastoma of the skin 2

Papillary intralymphatic hemangioendothelioma 2

Retiform hemangioendothelioma 1

Cutaneous epithelioid angiomatous nodule 1

Angiolymphoid hyperplasia with eosinophilia 1

Angiofibroma 1

Mixed tumor 1

IDK or No answer 2