PathMD Quizes, GI Pathology GI Pathology – 04 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. A colonic mass is found in a 45-year-old male with a history of anemia. At surgery a hemicolectomy was performed, and representative histologic images are shown for this case. Based on the findings, which of the following is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #4 Gastrointestinal Pathology - Part 4, Case #4Colonic adenocarcinoma Diffuse large B cell lymphomaSignet ring cell carcinomaMantle cell lymphoma Medullary carcinoma 2. A 30-year-old female is found to have a 10 cm pancreatic mass. Representative histologic slides from this lesion are shown. Based on the history and histologic findings, what is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #6 Gastrointestinal Pathology - Part 4, Case #6 Gastrointestinal Pathology - Part 4, Case #6Pancreatic adenocarcinomaDiffuse large B cell lymphoma Solid-pseudopapillary tumor Carcinoid tumor Neuroendocrine Carcinoma 3. A patient is found to have a liver mass by CT scan. Representative histology is shown in the images for this case. You are asked to review the case. Which of the following is the single test stain to confirm this diagnosis? Gastrointestinal Pathology - Part 4, Case #1 Gastrointestinal Pathology - Part 4, Case #1 Gastrointestinal Pathology - Part 4, Case #1Alpha fetal protein (AFP) level Reticulin stainPASCK-19HepPar-1 stain 4. A patient with a history of HIV and disseminated histoplasmosis undergoes screening colonoscopy for intractable G.I. bleeding. Several red to purple patches are found along the colonic mucosa, and partial resection is performed. Representative histologic sections are shown. Based on the clinical history and histologic findings, what is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #8 Gastrointestinal Pathology - Part 4, Case #8 Gastrointestinal Pathology - Part 4, Case #8Arteriovenous malformationCapillary Hemangioma Kaposi's sarcoma AngiosarcomaBacillary Angiomatosis 5. A 55-year-old man undergoes an EGD for dysphasia. While examining the duodenum, and nodularity was noted in the duodenal bulb. This area was biopsy, and representative histologic sections are shown. Based on the histologic findings which of the following is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #7 Gastrointestinal Pathology - Part 4, Case #7 Gastrointestinal Pathology - Part 4, Case #7AdenocarcinomaBrunner's gland adenoma CarcinoidPancreatic heterotopiaGastric heterotopia 6. A 45-year-old female is found to have a 2.5 cm cecal mass. And excision was performed, and representative images are shown for this case. Based on the histologic findings, what is the most likely diagnosis? Gastrointestinal Pathology - Part 4, Case #3 Gastrointestinal Pathology - Part 4, Case #3 Gastrointestinal Pathology - Part 4, Case #3Small cell carcinoma Neuroendocrine carcinoma Carcinoid tumor Basaloid squamous cell carcinoma Signet ring cell carcinoma 7. Which of the following is the most important prognostic indicator in MALT lymphoma?The presence of Helicobacter pylori organisms ALK1 positivity MUM-1 positivityCD30 positivity Bcl-6 positivity 8. A 50-year-old female is found to have a 5 cm pancreatic tumor in the tail. A partial pancreatectomy is performed, and representative histologic images are shown for this case. Based on the histologic findings and the clinical history, which of the following is the best diagnosis? Gastrointestinal Pathology - Part 4, Case #5 Gastrointestinal Pathology - Part 4, Case #5Serous cystadenoma Pancreatic adenocarcinomaIntraductal papillary-mucinous neoplasm Microcystic serous cystadenomaMucinous cystadenoma 9. All of the following are helpful in diagnosing reflux esophagitis (GERD) EXCEPT:Basal layer >15% of mucosal thickness Intraepithelial eosinophils in the range of 30/hpfAll of the above are helpful in diagnosis of GERDSubepithelial papillae that extend > 2/3rds of the mucosal thickness Intraepithelial neutrophils 10. A 35-year-old female who underwent a CT scan for dysplasia was found to have a localized stomach mass. An EGD was performed, and representative histologic images from the biopsy or shown. Based on the histologic findings, what is the most likely diagnosis? Gastrointestinal Pathology - Part 4, Case #2 Gastrointestinal Pathology - Part 4, Case #2 Gastrointestinal Pathology - Part 4, Case #2Anaplastic large cell lymphoma Marginal zone lymphomaChronic lymphocytic leukemia/small lymphocytic lymphoma Diffuse large B cell lymphoma Mantle cell lymphoma Loading... Share this: Share on X (Opens in new window) X Share on WhatsApp (Opens in new window) WhatsApp Share on Facebook (Opens in new window) Facebook Email a link to a friend (Opens in new window) Email Print (Opens in new window) Print Share on LinkedIn (Opens in new window) LinkedIn Related