Qap (Anatomical Pathology) 

QAP Peer Review

AP250
Case History: F/44 History of total hysterectomy of fibroid 2 years ago. Now pelvic mass encompassing pelvic veins, extending up along posterior pelvic wall
Intended diagnosis: Lymphangioleiomyomatosis. Contributed by:USK
Code Diagnosis Comment Score
anonymous Lymphangiomyomatosis (100%) Tumour cells are positive for actin, HMB-45, melanA and microophthalmia transcription factor.  100
anonymous Lymphangiomyoma nil  90
anonymous Lymphangioleiomyomatosis Confirmation with immunostains HMB45 and myogenic markers  100
anonymous Lymphangiomyomatosis Immunostaining for HMB45  100
anonymous INTRAVENOUS LEIOMYOMATOSIS. 100% nil  50
anonymous Lymangioleiomyomatosis.(100%) Do HMB45, melan A, desmin and actin stains.  95
anonymous Pelvic wall - Cotyledonoid dissecting leiomyoma 100% nil  50
anonymous PECOMA nil  95
anonymous Leiomyomatosis 100% nil  50
anonymous Lymphangioleiomyomatosis IHC for HMB-45 for correlation  100
anonymous Intravenous leiomyomatosis nil  50
anonymous PEComa/lymphangioleiomyomatosis To be confirmed by HMB45 immunostaining  100
anonymous lymphangiomyomatosis (spectrum of PEComa) To confirm with immunostaining for HMB45  100
anonymous Abdominal cavity, pelvic region: Lymphangiomyoma, confirm with HMB45 stain. (100% probability) nil  90
anonymous Lymphangiomyomatosis involving lymph node 100% nil  100
anonymous Lymphangioleiomyomatosis to be confirmed with HMB45.  100