Qap (Anatomical Pathology) 

QAP Peer Review

AP257
Case History: F/35, Tissue mass passed per vagina
Intended diagnosis: Hydatidiform mole, favor partial mole. Contributed by:USK
Code Diagnosis Comment Score
anonymous Complete hydatidiform mole (100%) Immunostain for p57 will show lack of staining of the cytotrophoblasts and villous mesenchyme  80
anonymous Early complete mole nil  80
anonymous Hydatidiform mole, favour partial mole (100%). do p57 immunostain to exclude complete mole. FISH study for triploidy.  100
anonymous Products of gestation nil  50
anonymous Partial mole 70% Complete mole 30% Do flow cytometry. Partial mole: triploid. Complete mole: diploid.  100
anonymous Products of gestation. Please see comment.(100%) To exclude early partial molar pregnancy by demonstrating if the tissue is triploid or not. CISH is a possible method.  70
anonymous UTERINE CAVITY, tissue mass PV - COMPLETE HYDATIDIFORM MOLE 100% nil  80
anonymous Products of gestation nil  50
anonymous Partial hydatidiform mole (80%); Products of gestation (20%). nil  80
anonymous Hydatidiform mole, suggestive of partial. Confirmed with immunohistochemistry and/ or molecular pathology.  100
anonymous Endometrium, tissue mass per vagina - Hydatidiform mole, favor partial type. Differential diagnosis includes complete hydatidiform mole. Suggest p57 immunostain to rule out the latter.  100
anonymous Products of gestation with trophoblastic proliferation Suggest embedding all tissue for examination and correlating with gestational age and serum HCG to rule out molar pregnancy.  70
anonymous Hydropic villi with trophoblastic proliferation and trophoblastic inclusions, favor partial mole (100%) P57 immunostaining to differentiate from complete mole. Recommend follow-up HCG level of the patient.  100
anonymous Blastocyst (early implantation of product of gestation). (100% probability) nil  50
anonymous Partial mole, 100% nil  100
anonymous Genital Tissue Mass - Complete Hydatidiform Mole Perform p57 immunostain to confirm diagnosis  80