Qap (Anatomical Pathology) 

QAP Peer Review

AP244
Case History: F/1. Left adrenal tumor excision. The tumor measures 5.8 cm in size and weighs 41 g.
Intended diagnosis: Adrenal cortical carcinoma, confirmed Li-Fraumeni syndrome. Contributed by:KFT
Code Diagnosis Comment Score
anonymous Adrenal cortical carcinoma (100%) nil  90
anonymous Adrenal cortical carcinoma nil  90
anonymous ADRENOCORTICAL NEOPLASM, favour benign To look for features of Beckwith-Wiedemann syndrome, e.g. macroglossia, macrosomia, midline abdominal wall defects (e.g. umbilical hernia) and neonatal hypoglycemia  80
anonymous Adrenocortical carcinoma nil  90
anonymous Poorly differentiated malignant neoplasm consistent with ADRENOCORTICAL CARCINOMA. 100% More sampling for eg. vascular invasion and necrosis to establish the malignant category for adrenocortical neoplasm. Correlate with clinical findings eg. virilisation. To exclude remote differential eg pheochromocytoma melan A-, chromogranin+; rhabdomyosarcoma actin+ desmin+. Adrenocortical ca is usually melan A+, chromogranin-.  90
anonymous Adrenal cortical carcinoma, to exclude Li-Fraumeni syndrome.(100%) nil  100
anonymous Adrenal - Adrenocortical carcinoma 100% nil  90
anonymous Phaeochromocytoma (100%) nil  50
anonymous Adrenal cortical carcinoma. 100% nil  90
anonymous Pediatric Adrenal gland tumor, 1) More suggestive of Adrenal cortical neoplasm. 2) Pheochromocytoma, need to exclude. Confirm with Immunohistochemistry, clinical and laboratorial correlation. Long time follow up to exclude malignant behavior.  60
anonymous Left adrenal gland, tumour excision - Adrenal cortical neoplasm. Please correlate with clinical features to rule out carcinoma.  80
anonymous Adrenal cortical tumor, uncertain malignant potential nil  80
anonymous Adrenal cortical tumour, favour carcinoma (100% probability) nil  90
anonymous Adrenal cortical carcinoma (100%) nil  90
anonymous ADRENAL - Adrenal cortical neoplasm, favour adrenal cortical carcinoma (100%) Take more blocks and correlate with clinical findings.  90