Code |
Diagnosis |
Comment |
Score |
anonymous |
Malignant Mesothelioma (90%)
Metastatic carcinoma (10%)
|
Immunostain for mesothelial marker (eg. Calretinin) and true epithelial marker (eg. BerEP4 and monoclonal CEA) +/- electron microscopic examination is advised.
|
100 |
anonymous |
Malignant tumour (100%), favour mesothelioma. Differential diagnoses are poorly differentiated carcinoma, germ cell tumour.
|
Immunohistochemical study for confirmation. Mesothelioma is positive for calretinin, negative for BerEP4, MOC-31 and CEA. Germ cell tumour may be positive for AFP, PLAP.
|
100 |
anonymous |
Mesothelioma. 90%
Adenocarcinoma. 10%
|
Perform a panel of immuohistochemical stains and EM to reach a conclusive diagnosis. Clinical history of asbestoes exposure relevant.
|
95 |
anonymous |
Malignant tumor, favor malignant mesothelioma (90%)Ddx carcinoma (5%), melanoma (5%)
|
Immunostaining for CK5/6, calretinin (+ in mesothelioma), BerEP4, MOC31 (+ in carcinoma, - in mesothelioma & melanoma) and S100 (+ in melanoma)
|
100 |
anonymous |
Malignant mesothelioma with deciduoid features. 100 %
|
nil
|
100 |
anonymous |
Malignant mesothelioma. (100%)
|
nil
|
100 |
anonymous |
Peritoneum nodules - Malignant mesothelioma (100%)
|
Tumour cells are almost exclusively epithelioid and deciduoid. Immunostains calretinin, CK5/6(+ve) and BerEP4 (-ve) can help to confirm the diagnosis.
|
100 |
anonymous |
Malignant mesothelioma, 90%
Metastatic adenocarcinoma, 10%
|
Need to confirm the mesothelial nature by calretinin immunohistochemically or/and electon microscopy to look for the presence of very long microvilli with length/width > 10/1. If negative, try to establish the primary source by cytokeratin profile (CK7 and CK20).
|
100 |
anonymous |
Malignant mesothelioma 70%
metastatic carcinoma 30%
|
Suggest immunohistochemical staining for calretinin, Ber-EP4, CEA to confirm the diagnosis.
|
100 |
anonymous |
Malignant neoplasm, favor mesothelioma. (100%)
|
To be confirmed by immunohistochemical and ultrastructural studies. Differential diagnoses include other types of malignant tumors like metastatic carcinoma, sarcoma and melanoma etc.
|
95 |
anonymous |
Malignant mesothelioma, epithelial type (100%)
|
nil
|
100 |
anonymous |
Favour mesothelioma. Confirm with calretinin (+ve) and Ber-EP4 (-ve), also exclude hepatoid tumor, e.g. carcinoma of liver, stomach and germ cell tumor. Probability: 100%
|
nil
|
100 |
anonymous |
Favour mesothelioma. Confirm with calretinin (+ve) and Ber-EP4 (-ve), also exclude hepatoid tumor, e.g. carcinoma of liver, stomach and germ cell tumor. Probability: 100%
Probability: 100%
|
nil
|
100 |
anonymous |
Malignant tumour (100%); differential diagnoses include mesothelioma (80%), metastatic carcinoma (15%) and metastatic melanoma (5%).
|
Perform panel of immunostains including: CK5/6, calretinin and HBME-1 for mesothelioma; cytokeratin, CEA, BerEP4 and LeuM1 for carcinoma; and HMB45 for melanoma. Ultrastructural studies for microvilli as in mesothelioma.
|
100 |
anonymous |
Deciduoid mesothelioma
|
panel of mesothelial and carcinoma marker will be performed which incl EMA, CK5/6, thromobomodulin , calretinin for mesothelioma and EP4, AUA1 and CEA for carcinoma.
|
100 |
anonymous |
Mesothelioma
|
nil
|
100 |