|
| Code | Diagnosis | Comment | Score |
| anonymous | Metastatic carcinoma (100%) | Metastatic lobular carcinoma or ductal carcinoma have to be considered. Focal small tubule formation is seen in tumour cells in this biopsy. Correlation with previous breast excision pathology +/- immunostain for E-Cadherin is advised. | 100 |
| anonymous | Malignant cells present, consistent with metastatic lobular carcinoma from breast origin (100%) | nil | 100 |
| anonymous | Metastatic carcinoma, consistent with breast primary. 100% | nil | 100 |
| anonymous | Metastatic adenocarcinoma, suggestive of lobular carcinoma of breast | Confirm carcinoma by cytokeratin staining, BRST-2 for possible breast primary, and negative E-cadherin for lobular carcinoma of breast | 100 |
| anonymous | Metastatic carcinoma compatible with a breast primary. 100% | nil | 100 |
| anonymous | Metastatic carcinoma, in keeping with breast primary. Megaloblastoid changes (ineffective erythropoiesis) of marrow. (100%) | Do epithelial stain, e.g. AE1/3, to confirm presence of metastatic carcinoma. | 100 |
| anonymous | Bone marrow trephine - 1.metastatic lobular carcinoma of breast 2.megaloblastic anemia (100%) | 1.Carcinoma cells can be highlighted by cytokeratin immunstain. 2.Megaloblastic anemia can be related to chemotherapy, although it is worth excluding Vitamin B12/folate deficiency. | 100 |
| anonymous | Metastatic adenocarcinoma with features consistent with chemotherapy changes, 100%. | Correlate clinically the temporal relationship of chemotherapy and this biopsy. | 100 |
| anonymous | metastatic carcinoma, suggestive of lobular carcinoma of breast 100% | nil | 100 |
| anonymous | Metastatic carcinoma probably from a breast primary. (100%) | nil | 100 |
| anonymous | Hypercellular marrow with malignant infiltration and erythroid hyperplasia. Features compatible with metastatic adenocarcinoma, most likely of breast origin (100%) | nil | 100 |
| anonymous | Suspicious of malignancy. Would perform epithelial markers to confirm metastatic carcinoma. Probability: 100% | nil | 100 |
| anonymous | Hypercellular marrow with metastatic carcinoma (100%); co-existing changes of megaloblastic anaemia. | Perform immunohistochemical stain for cytokeratin to confirm presence of carcinoma cells. The discohesive and vacuolated nature of the cells suggest metastatic lobular carcinoma: correlation with previous histology and immunostain for E-cadherin are helpful. The marrow also shows megaloblastic features, probably related to chemotherapy; myelodysplastic syndrome has to be excluded. | 100 |
| anonymous | myeloproliferative disorder of non CML type and serous atropthy. | would do cytokeratin to exclude a metastatic carcinoma. | 100 |
| anonymous | Metastatic carcinoma | nil | 100 |