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​IAPMD QAP 2015 REPORT
December distribution
Report by  Dr. Ch'ng Ewe Seng 
​Format 
• DVDs 10 cases (Aperio) • Contributions from pathologists in the Northern region of Peninsular Malaysia • Online responses
​Objectives 
• Feasibility study to establish QAP program for anatomical pathology à la RCPA 
​​Distributed Instituitions : 21 (supposed to cover at least 95 members) 
• ​HOSPITAL SERDANG
• HOSPITAL PUTRAJAYA
• HOSPITAL TENGKU AMPUAN RAHIMAH KLANG
• Hospital Raja Permaisuri Bainun
• Queen Elizabeth Hospital
• SARAWAK GENERAL HOSPITAL
• Faculty of Medicine, UiTM Sungai Buloh Campus  

• ​HOSPITAL RAJA PEREMPUAN ZAINAB II
• HOSPITAL SULTANAH NUR ZAHIRAH
• Hospital Tengku Ampuan Afzan
• Hospital Sultanah Aminah Johor Bahru
• HOSPITAL MELAKA
• Hospital Tuanku Jaafar
​• Hospital Kuala Lumpur  
• Hospital Selayang

​• ​UKM Medical Centre
• Fakulti Perubatan dan Sains Kesihatan, UPM  
• FACULTY OF MEDICINE , UNIVERSITY MALAYA
 • FAKULTI PERUBATAN DAN SAINS KESIHATAN, UNIVERSITI SAINS ISLAM MALAYSIA (USIM)
 • USM
​• Hospital Pantai Kuala Lumpur ​
​Responses  (16 individuals )
• HOSPITAL SULTANAH NUR ZAHIRAH • HOSPITAL MELAKA (2) • Hospital Tuanku Jaafar • Hospital Kuala Lumpur  • Hospital Selayang (7) • HOSPITAL SERDANG • HOSPITAL PUTRAJAYA • Queen Elizabeth Hospital • SARAWAK GENERAL HOSPITAL • FAKULTI PERUBATAN DAN SAINS KESIHATAN, UNIVERSITI SAINS ISLAM MALAYSIA (USIM) 
CASES SERIES
Case 1: (Label: slide 1) 59-year-old man; retroperitoneal mass (adrenal gland) 
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Submitted Dx: Pheochromocytoma 
RESPONSES : Pheochromocytoma (10)  |  Adrenal cortical carcinoma (1) | Adrenal cortical adenoma (2)  | Granular cell tumour (2)  | Oncocytoma  (1)
Case 2: (Label: slide 2) 9-year-old girl; fungating growth at right flank 
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Submitted Dx: Apocrine hidradenoma  
RESPONSES : Hidaradenoma (solid cystic, eccrine, acrospiroma, aporine, papillary)(10) |  syringocystadenoma papilliferum (3) | 1 Poroma(1)• SCC (1)
Case 3: (Label: slide 4) 74-year-old man; urinary retention with prostatomegaly; TURP
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Submitted Dx: Prostatic ductal adenocarcinoma, (further history recurrent) 
RESPONSES : Adenocarcinoma (gleason 5+5, gleason 3+3, Gleason 3+4)(5) | High grade PIN (1) |  Xanthogranulomatous prostatitis (5) |  Maloplakia  (5)
Case 4: (Label: slide 5) 14-year-old boy; left testicular swelling 
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Submitted Dx: Rhabdomyosarcoma 
RESPONSES : Rhadnomyosarcoma (14) | Malignant Leydig cell tumour (1) | Germ Cell Tumour possible Seminoma and Embroyal Carcinoma  (1)
Case 5: (Label: slide 7) 50-year-old female; right breast lump; BIRADS 5 
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Submitted Dx: Sclerosing lymphocytic lobulitis AKA diabetic mastopathy 
RESPONSES :   Sclerosing lymphocytic lobulitis/diabetic mastopathy (2) | Pseudoangiomatous Stromal Hyperplasia (PASH) (2) | Suspicious of malignancy (lipid rich carcinoma / histiocytoid carcinoma)(8) | Adenomyoepithelioma/Sclerosing adenosis/Fibromatosis with chronic mastitis/INVASIVE CARCINOMA (4)
Case 6: (Label: slide 8) 50-year-old female; right breast tumor 
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Submitted Dx: Mucinous ca and low grade papillary DCIS 
RESPONSES :  Mucinous ca and DCIS (papillary, low grade) (2) |  Mucinous ca and Intraductal papilloma (1) | Mucinous ca  (13)
Case 7: (Label: slide 10) 18-year-old male; right wrist swelling for 3 years 
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Submitted Dx: Traumatic neuroma 
RESPONSES :   Traumatic neuroma (14) |   plexiform neurofibroma (2) 
Case 8: (Label: slide 11) 49-year-old male; blackish stool for 1 month; rectum biopsy 
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Submitted Dx: Amoebic colitis 
RESPONSES : Amoebic colitis (14)  | Tubular adenoma with amoeba infection(1) | Langerhans cell histiocytosis  (1)
Case 9: (Label: slide 12) 61-year-old female; post-menopausal bleeding; endometrial sampling 
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Submitted Dx: Malignant mixed mullerian tumour (carcinosarcoma) 
RESPONSES : Malignant mixed mullerian tumour (carcinosarcoma) (11)  | Adenocarcinoma (2) |  papillary serous carcinoma (1) | mixed malignant mesenchymal tumor (1)   |  Endometrial stromal sarcoma (1)
​Case 10: (Label: slide 13) 27-year-old female; right fifth toe swelling 
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Submitted Dx: Giant cell tumor of tendon sheath 
RESPONSES : Giant cell tumor of tendon sheath (15) | Benign fibrous histiocytoma of tendon sheath  (1)
ACKNOWLEDGEMENT
​Dr. Haidi Mohamad • Dr Nurul Akmar Misron • Dr Faridah Mohamad Taib • Datin Dr. Nik Raihan Nik Mustapha • Dr Hairulhasliza Harun • Dr. Hakimah Mahsin