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
• 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
• Feasibility study to establish QAP program for anatomical pathology à la RCPA
Distributed Instituitions : 21 (supposed to cover at least 95 members)
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• 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)
• 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)
Submitted Dx: Pheochromocytoma
RESPONSES : Pheochromocytoma (10) | Adrenal cortical carcinoma (1) | Adrenal cortical adenoma (2) | Granular cell tumour (2) | Oncocytoma (1)
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
Submitted Dx: Apocrine hidradenoma
RESPONSES : Hidaradenoma (solid cystic, eccrine, acrospiroma, aporine, papillary)(10) | syringocystadenoma papilliferum (3) | 1 Poroma(1)• SCC (1)
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
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)
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
Submitted Dx: Rhabdomyosarcoma
RESPONSES : Rhadnomyosarcoma (14) | Malignant Leydig cell tumour (1) | Germ Cell Tumour possible Seminoma and Embroyal Carcinoma (1)
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
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)
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
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)
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
Submitted Dx: Traumatic neuroma
RESPONSES : Traumatic neuroma (14) | plexiform neurofibroma (2)
RESPONSES : Traumatic neuroma (14) | plexiform neurofibroma (2)
Case 8: (Label: slide 11) 49-year-old male; blackish stool for 1 month; rectum biopsy
Submitted Dx: Amoebic colitis
RESPONSES : Amoebic colitis (14) | Tubular adenoma with amoeba infection(1) | Langerhans cell histiocytosis (1)
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
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)
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
Submitted Dx: Giant cell tumor of tendon sheath
RESPONSES : Giant cell tumor of tendon sheath (15) | Benign fibrous histiocytoma of tendon sheath (1)
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
Dr. Haidi Mohamad • Dr Nurul Akmar Misron • Dr Faridah Mohamad Taib • Datin Dr. Nik Raihan Nik Mustapha • Dr Hairulhasliza Harun • Dr. Hakimah Mahsin