Code |
Diagnosis |
Comment |
Score |
anonymous |
Inflammatory pseudotumour (100%)
|
Advise special stains +/- culture to exclude infective process.
|
90 |
anonymous |
Inflammatory pseudotumour (90% probability)
|
- Infection (5% probability) has to be excluded by performing special stains for microorganisms.
- Follicular dendritic cell (FDC)sarcoma (5% probability) has also to be excluded by performing immunostains for FDC markers CD21 and CD35
|
90 |
anonymous |
Inflammatory pseudotumor. 100%
|
Nil
|
100 |
anonymous |
Inflammatory pseudotumor. 100%
|
Need to exclude an infective cause, particularly mycobacterial infection. Special stains such as Ziehl-Neelsen and Grocott stains should be performed.
|
100 |
anonymous |
Left eye limbal mass : INFLAMMATORY PSEUDOTUMOUR. ( 100 % )
|
Although in most cases a specific aetiology cannot be identified, some cases are associated with Rosai-Dorfman's disease or inflammatory fibrosclerosis. Special stains for organisms may be performed in some cases to exclude an infectious cause.
|
90 |
anonymous |
Kaposi sarcoma 90%
Haeangioendothelioma
inflammatory pseudotumour
|
PAS stain for eosinophilic globules of Kaposi.
CD34 positive in spindle cells.
Any history of aids or immunosuppresion would support Kaposi.
|
10 |
anonymous |
Spindle cell lesion
Ddx: Inflammatory pseudotumor 50%; FDC tumor 30%
Infection 20%
|
Special staining for organism e.g. PASD for fungus, ZN for AFB
Immunostaining for FDC markers
|
100 |
anonymous |
Chronic lymphohistiocytic inflammatory lesion. 100%.
|
Suggest special stains +- molecular studies to look for microorganisms,
eg. ZN stain for Mycobacteria; Grocott stain for fungi etc.
|
100 |
anonymous |
Inflammatory mass. DDx between inflammatory pseudotumor and other granulomatous infections. 100%
|
Do infective stains e.g. Ziehl Neelsen, Warthin Starry, Grocott, PAS and Gram stains to rule out organisms.
|
100 |
anonymous |
Inflammatory pseudotumour 80%
Extranodal SHML 15%%
Infection 5%
|
Special stains to rule out organisms
Immunostain S-100 protein to rule out SHML
|
90 |
anonymous |
Dendritic cell tumour (80%)
Inflammatory pseudotumour if above mentioned studies fail to establish dendritic cell nature (20%)
|
Immunostains CD21, CD23, CD35, S100, CD1a, CD4, CD68, and if possible, EM for confirmation and classification.
|
30 |
anonymous |
Inflammatory pseudotumour with prominent histiocytic reaction 100%
|
suggest exclusion of fungal & atypical mycobacterial infection by special stains & culture. Also further sampling to exclude presence of a benign fibrohistiocytic tumour.
|
100 |
anonymous |
Inflammatory pseudotumor - 100%
|
Suggest :
1. Ziehl-Neelsen and fungal stains to exclude infection
2. S-100 immunohistochemical stain to exclude Rosai-Dorfman disease (S100 positive for Rosai-Dorfman disease.)
|
100 |
anonymous |
Spindle cell lesion with lymphoctes:
Follicular dendritic cell sarcoma 90%
Inflammatory pseudotumour 5%
Other unusual infective process 5%
|
1. Immunohistochemical staining: CD21, CD35, etc. for FDC sarcoma.
2. Staining for micro-organisms (correlate with microbiological studies)
3. EM studies
|
50 |
anonymous |
Inflammatory pseudotumour 100%
|
Post-thymic T-cell lymphoma is to be
excluded by immunohistochemistry and
absence of T-cell receptor re-arrangement.
Ziehl_Neelsen stain to rule out mycobacterial
spindle cell pseudotumour.
|
100 |
anonymous |
Inflammatory pseudotumour. Probability 100%.
|
- Proceed to a panel of special stains for infective organisms: PASD, Grocott, Ziehl-Neelsen, Wade-Fite.
|
100 |
anonymous |
EYE, left eye limbal mass - INFLAMMATORY PSEUDOTUMOR (70%), FOLLICULAR DENDRITIC CELL SARCOMA (10%), MALAKOPLAKIA (10%), MELANOMA (10%)
|
Suggest special stains including gram, PAS, ZN, giemsa to exclude infective causes, Von Kossa and iron stains for malakoplakia, immunohistochemical staining (CD21, CD35) to exclude follicular dendritic cell sarcoma and S-100 to exclude melanoma.
|
100 |