Qap (Anatomical Pathology) 

QAP Peer Review

AP245
Case History: F/36, transphenoidal resection of pituitary lesion
Intended diagnosis: Pituitary adenoma. Contributed by:JKCC
Code Diagnosis Comment Score
anonymous Pituitary adenoma (100%) nil  100
anonymous Pituitary adenoma nil  100
anonymous Pituitary adenoma Reticulin stain to exclude normal pituitary gland. Immunohistochemical studies for GH, ACTH, PRL, TSH and FSH.  100
anonymous Pituitary adenoma Immunohistochemical studies for hormones e.g. ACTH, Growth hormone, prolactin etc.  100
anonymous PITUITARY ADENOMA. 100% Immunostain to define hormone production. Clinical correlation for invasiveness. Remote ddx of plasmacytoma excluded by CD79a.  100
anonymous Pituitary adenoma. (100%) nil  100
anonymous Pituitary adenoma 100% nil  100
anonymous Pituitary adenoma nil  100
anonymous Pituitary adenoma 100% nil  100
anonymous Plasmacytoma nil  20
anonymous Pituitary adenoma nil  100
anonymous Pituitary adenoma nil  100
anonymous pituitary adenoma (100%) nil  100
anonymous Pituitary gland: Pituitary adenoma, perform immunohistochemical stains like prolactin, growth hormone to further delineate its function. (100% probability) nil  100
anonymous Pituitary adenoma 100% nil  100
anonymous Pituitary adenoma A few mitotic figures and focal mild cellular atypia seen. Will perform Ki67 and p53 because in atypical cases/adenoma with uncertain malignant potential, Ki67 will be higher and p53 will be positive.  100