Qap (Anatomical Pathology) 

QAP Peer Review

AP99
Case History: F/31 , recurrent pneumothorax. Lung biopsy/excision from suspected leakage site.
Intended diagnosis: Lymphangiomyomatosis of lung. Contributed by:JKCC
Code Diagnosis Comment Score
anonymous Lymphangioleiomyomatosis (100%). Advise immunohistochemical stain for HMB45.  100
anonymous Lymphangiomyomatosis (lymphangioleiomyomatosis) of lung, 100%. Nil  100
anonymous Pulmonary lymphangiomyomatosis, 100% Check for somatic features of tuberous sclerosis.  100
anonymous Lymphangiomyomatosis. (100%) This condition is associated with tuberous sclerosis and should be investigated for this. Some patients without evidence of tuberous sclerosis may also have renal angiomyolipomas or pulmonary adenomatoid proliferations.  100
anonymous Lymphangiomyomatosis Confirm with staining for HMB-45. To look for clinical evidence of tuberous sclerosis  100
anonymous Lymphangiomyomatosis. 100% The diagnosis can be confirmed by positive staining for HMB-45. Some cases are associated with tuberous sclerosis and renal angiomyolipomas.  100
anonymous Lymphangiomyomatosis 100% Do HMB-45 stain to confirm the diagnosis. Some cases will have coexisting renal angiomyolipoma while some patients will have tuberous sclerosis.  100
anonymous Lung - lymphangiomyomatosis 100% Immunostain HMB45 helps to highlight the smooth muscle around vascular spaces. The possibility that patient has tuberous sclerosis has to be considered.  100
anonymous Lymphangiomyomatosis of lung (100%) Confirmed by immunostaining for HMB45.  100
anonymous Lymphangiomyomatosis 100% nil  100
anonymous LYMPHANGIOMYOMATOSIS 100% The diagnosis can be confirmed by immunohistochemical staining for HMB45. Please also rule out tuberous sclerosis and possibility of associated renal angiomyolipoma.  100
anonymous Lymphangiomyomatosis, pulmonary 100% Need confirmation by immunohistochemical stain: HMB45  100
anonymous Suggestive of Lymphangiomyomatosis. Probability: 100% Probability: 100% - Two clusters of polygonal cells with vacuolated cytoplasm. - Perform immunohistochemical stains, like HMB45 for confirmation of Lymphangiomyomatosis.  100
anonymous Primary lymphangioleiomyomatosis 100% nil  100
anonymous Lymphangiomyomatosis, 100% May be associated with tuberous sclerosis.  100