Qap (Anatomical Pathology) 

QAP Peer Review

AP237
Case History: M/52 4.6 cm liver tumor. HBV negative. Right hepatectomy done.
Intended diagnosis: Cholangiocarcinoma. Contributed by:USK
Code Diagnosis Comment Score
anonymous Cholangiocarcinoma (100%) nil  100
anonymous Cholangiocarcinoma nil  100
anonymous ADENOCARCINOMA, in favour of primary cholangiocarcinoma, to exclude metastatic adenocarcinoma To perform immunohistochemical stains: CK7/CK20, CK19 (typically positive for cholangiocarcinoma), TTF-1 (pulmonary adenocarcinoma), CDX2 (gastrointestinal tract adenocarcinoma) and PSA (prostate adenocarcinoma)  100
anonymous Cholangiocarcinoma nil  100
anonymous CHOLANGIOCARCINOMA, with bile duct adenomatous hyperplasia in the background consistent with recurrent pyogenic cholangitis or hepatolithiasis. 100% HepPar-1 to exclude heatocellular ca component in the crushed areas. Metastases, RPC and stones can be excluded by clinical correlation.  100
anonymous Adenocarcinoma, favors cholangiocarcinoma.(100%) Background cholangitis needs to be considered.  100
anonymous Liver - cholangiocarcinoma 100% nil  100
anonymous Adenocarcinoma, favouring cholangiocarcinoma (100%) nil  100
anonymous Cholangiocarcinoma 100% nil  100
anonymous Cholangiocarcinoma. Confirm with Immunohistochemistry.  100
anonymous Liver - Intrahepatic cholangiocarcinoma nil  100
anonymous Cholangiocarcinoma nil  100
anonymous Adenocarcinoma, favour cholangiocarcinoma (100% probability) nil  100
anonymous Cholangiocarcinoma (100%) nil  100
anonymous LIVER - ADENOCARCINOMA, favour cholangiocarcinoma (100%) Suggest immunohistochemical staining for CK7, CK20 and correlate with clinical findings.  100