Qap (Anatomical Pathology) 

QAP Peer Review

AP271
Case History: M/32 HIV+ve with syphilis. Anal skin tag.
Intended diagnosis: Perianal squamous intraepithelial neoplasia (PSIN) / Bowen disease, and condyloma (HPV types 6 + 16). Contributed by:MST
Code Diagnosis Comment Score
anonymous Anal intraepithelial neoplasia, high grade; condyloma. (100%) nil  100
anonymous Bowenoid papulosis Ddx: Bowen’s disease  80
anonymous Benign squamous proliferative lesion of viral etiology; High grade anal intraepithelial neoplasia (100%) nil  100
anonymous High grade anal squamous intraepithelial neoplasia (ASIN 3); Condyloma nil  100
anonymous Anal intraepithelial neoplasia 3 (AIN 3) on condyloma accuminatum. nil  100
anonymous Bowen disease and epidermolytic hyperkeratosis/acanthoma.(100%) nil  100
anonymous Anal skin - Squamous cell carcinoma-in-situ (Bowen disease) and presence of koilocytes (HPV infection) 100% nil  100
anonymous Severe squamous dysplasia to carcinoma in-situ 100% resection margin positive; adjacent squamous papilloma present.  100
anonymous Bowen's disease, probably in a viral wart. 100%. nil  100
anonymous Anal intraepithelial neoplasia III (W.H.O. Anal intraepithelial neoplasia, high grade) with adjacent lesion with features of Epidermolytic hyperkeratosis. nil  100
anonymous ANUS - VIRAL WART and BOWENOID PAPULOSIS. nil  80
anonymous Wart with moderate dysplasia. (100%) Deeper to exclude Bowen's disease.  90
anonymous Bowen’s disease with ‘warty?squamous lesion Suggest ISH for EBER and PCR for HPV  100
anonymous high grade dysplasia and viral warts (100%) nil  100
anonymous Bowenoid change and condyloma acuminata, need to correlate clinically with bowenoid papulosis. (100% Probability) nil  80
anonymous Bowen's disease and human papilloma virus infection Immunostaining or in-situ hybridization for human papilloma virus  100
anonymous Anal intraepithelial neoplasia, grade III. The adjacent squamous epithelium shows features suggestive of wart.  100