Qap (Anatomical Pathology) 

QAP Peer Review

AP197
Case History: M/43 Bilateral parotid mass
Intended diagnosis: Cystic lymphoid hyperplasia associated with HIV infection. Contributed by:MST
Code Diagnosis Comment Score
anonymous Benign lymphoepithelial cyst (100%) check HIV status  100
anonymous MALT lymphoma nil  20
anonymous Benign lymphoepithelial cyst 100% Exclude HIV infection.  100
anonymous Lymphoepithelial cyst (cystic lymphoid hyperplasia), possibly HIV-associated Check HIV status Perform CD20, CD3, kappa, lambda to rule out an early MALT lymphoma  100
anonymous CYSTIC LYMPHOID HYPERPLASIA. 100% To check for HIV.  100
anonymous Malignant non-Hodgkin lymphoma. Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma). (WHO classification) (100%) nil  20
anonymous Lymphoepithelial cyst. Correlate with clinical findings to exclude HIV infection.  100
anonymous Bilateral parotid mass - Lymphoepithelial cyst 100% Association with HIV infection has to be considered.  100
anonymous Lymphoepithelial cyst 100% 1) Suggest to rule out human immunodeficiency virus infection 2) Correlate with clinical picture to r/o Sjogren’s syndrome and benign lymphoepithelial lesions (BLEL), although less likely in males.  100
anonymous Benign lymphoepithelial lesion 100% nil  70
anonymous Benign lymphoepithelial cysts in the background of Lymphoepithelial lesion (Mikulicz's disease). Rule out Sjogren's syndrome and immunodeficiency (HIV). nil  100
anonymous MIKULICZ'S DISEASE 100%. Suggest exclusion of malignant lymphoma by immunohistochemistry for T- and B-lymphocyte markers and molecular studies for immunoglobulin heavy chain gene rearrangement. nil  70
anonymous Low grade extranodal MALT-type lymphoma 100% Arising in BLEL Confirm with immunostains including CD20, CD3, kappa/lambda, CD5, CD10  20
anonymous Benign lymphoepithelial lesion nil  70
anonymous Beign lymphoepithelial lesion/myoepithelial sialadenitis Associated with Sjogren's syndrome and other autoimmune diseases. Autoimmune markers should be done.  70
anonymous Suggestive of HIV associated lymphoepithelial cyst, correlate clinically. 100% Probability nil  100
anonymous Benign lymphoepithelial cyst (100%) Association with HIV has to be considered.  100
anonymous Benign lymphoepithelial cyst. Please exclude the possibility of HIV association.  100