Qap (Anatomical Pathology) 

QAP Peer Review

AP166
Case History: F/71, Sphenoid sinus mass biopsy.
Intended diagnosis: Pituitary Adenoma. Contributed by:JKCC
Code Diagnosis Comment Score
anonymous Pituitary adenoma (100%) Advise correlation with radiological findings and immunostain for neuroendocrine markers and pituitary hormone markers.  100
anonymous pituitary adenoma nil  100
anonymous Pituitary adenoma (100%) Confirming with reticulin stain, and performing immunostains (PTH, GH, FSH, TSH and ACTH)  100
anonymous Pituitary adenoma 100% Stains to determine the cell type.  100
anonymous Pituitary adenoma Confirm by immunostaining for neuroendocrine markers (eg chromogranin) and pituitary hormones. Also correlate with clinical/radiologic findings.  100
anonymous PITUITARY ADENOMA 100% CLINICAL CORRELATION FOR INVASIVE FEATURES(ie INVASIVE ADENOMA) AND METASTASES(ie CARCINOMA) IS MANDATORY.  100
anonymous Pituitary adenoma. (100%) Do synaptophysin and chromogranin stains which are usually positive. Do also pituitary hormone immunostains including GH, PRL, ACTH, TSH, FSH, LH to see the immunohistochemical classification.  100
anonymous Pituitary adenoma 100% nil  100
anonymous Pituitary adenoma, 100% nil  100
anonymous Pituitary adenoma, 100%. nil  100
anonymous invasive pituitary adenoma nil  100
anonymous Pituitary adenoma (100%) Suggest correlation with radiological results to determine whether the tumor is due to local extension of pituitary gland adenoma or arises from ectopic pituitary tissue.  100
anonymous Pituitary adenoma (invasive) 100% nil  100
anonymous Pituitary adenoma nil  100
anonymous Invasive pituitary adenoma, with oncocytic change Further studies that can be done include immunohistochemistry and EM to characterize hormonal type, and p53 expression. This will allow predictions to be made regarding behaviour, prognosis and response to treatment.  100
anonymous Pituitary adenoma (100% probability) correlate with image finding for invasive adenoma  100
anonymous Pituitary adenoma (100%) nil  100