Qap (Anatomical Pathology) 

QAP Peer Review

AP164
Case History: F/57, Right breast mass, 2 month history of rapid increase in size.
Intended diagnosis: Metaplastic carcinoma. Contributed by:USK
Code Diagnosis Comment Score
anonymous Metaplastic carcinoma (100%) nil  100
anonymous metaplastic carcinoma: carcinosarcoma nil  100
anonymous Metaplastic carcinoma (carcinosarcoma) 100% nil  100
anonymous metaplastic with heterologous differentiation or carcinosarcoma 100% nil  100
anonymous Metaplastic carcinoma (with angiosarcomatous and liposarcomatous components)90%; Malignant phyllodes tumor 5%; Primary mammary sarcoma 5% Further sampling for more typical invasive ductal carcinoma or phyllodes tumor areas.  100
anonymous METAPLASTIC CARCINOMA(SARCOMATOID CARCINOMA) 100% Cytokeratin may be positive in the sarcomatoid component.  100
anonymous Metaplastic carcinoma. (100%) nil  100
anonymous Metaplastic carcinoma 100% nil  100
anonymous Metaplastic carcinoma, 100% nil  100
anonymous Metaplastic carcinoma, 95%. Differential diagnosis includes high grade sarcomas (5%), e.g. malignant fibrous histiocytoma. More blocks may be sampled and immunohistochemical studies are advised. A panel of antibodies, including cytokeratin, actin, desmin, S-100, LCA, HMB 45, etc may be useful.  100
anonymous metaplastic carcinoma nil  100
anonymous Metaplastic Carcinoma (100%) nil  100
anonymous Metaplastic carcinoma 100% nil  100
anonymous Metaplastic carcinoma May need extensive sampling to exclude a component of phylloides tumor.  100
anonymous Metaplastic carcinoma nil  100
anonymous Metaplastic carcinoma (100% probability) nil  100
anonymous Metaplastic carcinoma, without heterologous element (100%) Both sarcomatous and epithelial components may coexpress cytokeratin. Metastasis usually consists of epithelial component.  95
anonymous SORRY FOR A MISTAKEN SUBMISSION. BUT WE DID NOT RECEIVE THIS BATCH OF SLIDES. THE SITE FOR FILING CME ALSO HAS SOME PROBLEMS  0