Qap (Anatomical Pathology) 

QAP Peer Review

AP269
Case History: M/45 HBV carrier. 2.5 cm liver tumour.
Intended diagnosis: Combined hepatocellular-cholangiocarcinoma with stem-cell features, intermediate cell subtype, in HBV-related cirrhosis. Contributed by:MST
Code Diagnosis Comment Score
anonymous Hepatocellular carcinoma, liver cirrhosis (100%) nil  70
anonymous clear cell HCC nil  60
anonymous Hepatocellular carcinoma with clear cell changes (100%) nil  60
anonymous Combined hepatocellular-cholangiocellular carcinoma with stem-cell features, arising in cirrhosis. nil  98
anonymous HEPATOCELLULAR CARCINOMA possibly with stem cell component, in a background of chronic hepatitis B, grade 0, no activity, stage 4, cirrhosis. 100% The stem cell component can be confirmed by CK19 positivity. The other differential is clear cell HCC with the abundant glycogen and fat highlighted by PAS+D and fat stain respectively.  90
anonymous Combined hepatocellular-cholangiocarcinoma with stem cell-like feature.(100%) nil  90
anonymous Liver - Hepatocellular carcinoma and cirrhosis 100% nil  70
anonymous Hepatocellular carcinoma with cirrhosis of liver nil  70
anonymous Hepatocellular carcinoma 100%. nil  60
anonymous Combined hepatocellular cholangiocarcinoma with stem cell features. nil  90
anonymous LIVER - HEPATOCELLULAR CARCINOMA nil  60
anonymous Combined hepatocellular carcinoma and cholangiocarcinoma; Liver cirrhosis. (100%) nil  90
anonymous Combined hepatocellular carcinoma and cholangiocarcinoma; Liver cirrhosis. (100%) nil  90
anonymous Hepatocellular carcinoma, cirrhosis nil  70
anonymous hepatocellular carcinoma with clear cell change; cirrhosis (100%) nil  70
anonymous Moderately differentiated hepatocellular carcinoma, with clear cell change, in background of cirrhosis. (100% Probability) nil  70
anonymous Pedunculated hepatocellular carcinoma IHC for alpha-fetoprotein, glypican-3, polyclonal carcinoembryonic antigen, HepPar1 and ISH for albumin  60
anonymous Hepatocellular carcinoma (100%) arising in a background of cirrhosis. nil  70