Qap (Anatomical Pathology) 

QAP Peer Review

AP280
Case History: F/47 Right breast mass.
Intended diagnosis: Intraduct papilloma and florid epithelial hyperplasia. Contributed by:USK
Code Diagnosis Comment Score
anonymous Intraductal papilloma with florid epitheliosis. (100%) nil  100
anonymous peripheral intraductal papilloma nil  100
anonymous Intraductal papilloma with florid epithelial hyperplasia. 100% nil  100
anonymous Intraductal papilloma with epitheliosis nil  100
anonymous Florid epitheliosis on intraduct papilloma. 100% DDX is atypical ductal hyperplasia. use p63 to highlight the underlying myoepithelial cell architecture of intraduct papilloma. For florid epitheliosis (usual ductal hyperplasia), ER staining will be heterogenous and CK5/6 will be preserved.  100
anonymous Papilloma with florid epithelial hyperplasia.(100%) nil  100
anonymous Right breast mass - Intraductal papilloma 100% Nil  100
anonymous Intraductal papilloma with epitheliosis. 100% Immunostaining for smooth muscle actin and p63 highlights an intact myoepithelial layer.  100
anonymous Ductal hyperplasia, probably in an intraductal papilloma. 100%. nil  100
anonymous Atypical papilloma. Ductal carcinoma in-situ to be excluded. nil  50
anonymous Right BREAST mass, core biopsy:- Papillary neoplasm, best fit with INTRADUCTAL PAPILLOMA with epithelial hyperplasia. nil  100
anonymous Papillary lesion, suggestive of intraductal papilloma with hyperplasia. (Please see comment) Do a p63 stain to confirm the presence of myoepithelial layer. Do Estrogen receptor and CK14 to exclude papillary ductal carcinoma in-situ.  100
anonymous Intraductal papillary neoplasm Advise complete excision  50
anonymous ductal papilloma with florid epithelial hyperplasia (100%) nil  100
anonymous Usual ductal hyperplasia (100% Probability) nil  100
anonymous Intraduct papilloma with usual ductal hyperplasia. nil  100