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SURGICAL PATHOLOGY CASES
University of Colorado Anschutz Medical Campus. 10/25/2012
Surgical Pathology Case Diagnosis

Case #

Clinical History

Diagnosis

140.

6-month-old boy, left adrenal mass

Neuroblastoma

139.

66 F, an incidental uterine nodule

Adenomatoid Tumor

138.

22 M, an enlarged right testicle

Rhabdomyosarcoma

137.

18 F, a thyroid mass

Hodgkin Lymphoma, Nodular Sclerosing Type

136.

52 F, a right adrenal mass

Adenocarcinoma of the Adrenal Corte

135.

38 F, a right thyroid nodule

Sclerosing Mucoepidermoid Carcinoma

134.

60 F, a thyroid mass

Medullary Carcinoma of Thyroid Gland

133.

35 F, a left thyroid mass

Papillary Thyroid Carcinoma, Tall-Cell Variant

132.

73 F, a right shoulder mass

Ewing sarcoma/PNET

131.

16 F, a right adrenal mass

Ganglioneuroma of the Adrenal Gland

130.

66 M, esophageal mass

Granular Cell Tumor

129.

75 M, a 19 cm liver mass

Hepatocellular Carcinoma, Well-differentiated

128.

65 M, scrotal lesion

Paget's Disease of the Scrotum

127.

68 M, esophageal biopsy for dysphagia

HSV esophagitis

126.

79 F,  a pancreatic cystic lesion.

Mucinous cystadenoma of pancreas

125.

67 M, colon polyp

Submucosal Leiomyoma

124.

75 M, lung mass

Invasive adenocarcinoma of the lung

123.

56 m, duodenal biopsy

Carcinoid Tumor of the Duodenum

122.

72 M, an adrenal mass

CLL involving adrenal myelolipoma

121.

74 M, prostatectomy

 Prostatic adenocarcinoma

120.

66 M, a left renal mass

Oncocytoma

119.

60 M, HIV+, subcutaneous lesion of the thigh

Kaposi’s Sarcoma

118.

23 M, a skin lesion of the upper right arm

Cutaneous fibromyoma

117.

87 M, left scapula skin lesion

Cutaneous Leiomyosarcoma

116.

65 M, liver biopsy

Bile duct hamartoma and metastatic carcinoma

115.

54 M, a lung mass

Metastatic renal cell carcinoma, clear cell type

114.

60 M, a lung mass

Metastatic renal cell carcinoma, clear cell type

113.

52 F, a large left kidney mass

Papillary Renal Cell Carcinoma

112.

47 F, a left breast mass

Poorly differentiated ductal carcinoma

111.

31 F, a right thyroid nodule

Follicular adenoma of thyroid

110.

52 M, small intestine tumor

Well-differentiated neuroendocrine tumor of small intestine

109.

71 M, an esophageal mass

Poorly differentiated adenocarcinoma with focal neuroendocrine differentiation

108.

56 F, a renal mass

Renal cell carcinoma, clear cell-type

107.

34 F, a right posterior thigh mass

Myxoid/round cell liposarcoma

106.

55 M, a soft tissue mass of left arm

Malignant peripheral nerve sheath tumor

105.

20 M, a testicular mass.

Mixed germ cell tumor

104.

59 M, bilateral parotid gland masses

Warthin's Tumor of parotid gland

103.

62 M, lung mass

Combined small cell carcinoma

102.

69 M, lung mass

Mixed squamous cell carcinoma and small cell carcinoma of lung

101.

83 F, several right inner thigh skin lesions

Bullous pemphigoid

100.

38 M, a brain tumor

Metastatic melanoma

99.

74 m, nasal septum biopsy

Invasive Squamous Carcinoma, Basaloid Variant

98.

52 F, a left thyroid mass

Hyalinizing trabecular adenoma

97.

53 M, a thyroid mass with cervical lymphadenopathy

Medullary Carcinoma of Thyroid Gland

96.

33 M, nasal mass and cervical lymph node biopsy

Esthesioneuroblastoma (Olfactory Neuroblastoma)

95.

50 M, a left thyroid mass

Medullary Carcinoma of Thyroid Gland

94.

42 F, a parotid nodule

Pleomorphic Adenoma

93.

52 F, a kidney mass

Angiomyolipoma

92.

29 F, a parotid gland mass

Myoepithelioma of Parotid Gland

91.

66 M, a testicular mass

Primary Large B-Cell Lymphoma of the Testis

90.

51 M, a parotid mass

Pleomorphic Adenoma

89.

75 F, a kidney mass

Angiomyolipoma

88.

48 F, gastric biopsy

Carcinoid tumor of stomach

87.

34 M, a parotid gland mass

Pleomorphic Adenoma

86.

57 F, a pancreatic mass

Solid Pseudopapillary Neoplasm

85.

58 F, a skin lesion of the scalp

Angiosarcoma of the Scalp

84.

33 F, a pancreatic mass

Solid Pseudopapillary Neoplasm

83.

90 F, a skin lesion of the scalp

Angiosarcoma of the Scalp

82.

58 F, a breast lesion

Poorly differentiated adenocarcinoma of breast with lymphoid reaction

81.

47 F, an incidental ovarian nodule

Benign Brenner tumor

80.

73 F, an incident lesion in gallbladder

Adenomyoma of gallbladder

79.

48 F, ileocecal valve lesion

Lipomatosis of the ileocecal valve with acute mucosal ulceration

78.

82 F, endometrial biopsy

Endometrium Adenocarcinoma, Endometriod Type

77.

46 M, a giant right adrenal mass

Pheochromocytoma

76.

65 M, a right kidney tumor

Clear-cell renal cell carcinoma with sarcomatoid carcinoma differentiation

75.

72 M, parathyroid lesion

Parathyroid hyperplasia

74.

15 F, several upper and lower chest skin lesions

Epidermal Nevus / Verrucous epidermal nevus

73.

64 M, prostate needle core biopsies

Adenocarcinoma of Prostate, Gleason Score 6 (3+3)

72.

72 M, colon biopsy.

Melanosis Coli

71.

74 F, abdominal pain and watery diarrhea. Colon biopsy

Collagenous Colitis

70

55 M, rectal biopsy

Intamucosal Ganglioneuroma

69.

45 M, soft tissue tumor of right anterior thigh

Well-differentiated liposarcoma with dedifferentiation

68.

46 M, gastric biopsy

H. Pylori associated chronic gastritis

67.

68 M, colon tumor

Poorly differentiated adenocarcinoma with neuroendocrine differentiation

66.

82 M, renal mass

Oncocytoma

65.

60 F, soft tissue mass of right leg

Myxoid liposarcoma

64.

77 F,  right breast tumor

Colloid Carcinoma of Breast

63.

38 F, an incidental finding in the lateral aspect of the uterine cervix

Mesonephric remnant of the cervix

62.

49 F, temporal artery biopsy

Giant cell arteritis

61.

40 M, multiple subcutaneous nodules of the chest and abdomen

Metastatic melanoma

60.

40 F, left femoral tumor

Chondrosarcoma

59.

60 M, a suprasellar mass

Pituitary adenoma, gonadotroph adenoma

58.

71 M, prostate lesion

Intraluminal crystalloids in prostate cancer

57.

76 M, pleural biopsy

Mesothelioma

56.

44 M, a right epididymal mass

Adenomatoid Tumor

55.

41 M, a testicular mass

Sertoli-Leydig cell tumor

54.

72 M, duodenal nodule biopsy

Brunner gland hyperplasia

53.

69 M, adrenal lesion

Adrenal Cortical Hyperplasia

52.

63 M, an adrenal mass

Adrenal cortical adenoma

51.

61 M, an adrenal mass

Pheochromocytoma

50.

51 M, a pancreatic mass

Low grade neuroendocrine tumor of the pancreas

49.

76 M, spleen lesion

Hemangiomatosis of the spleen

48.

34 M, a solid testicular mass

Mixed Germ Cell Tumors

47.

19 F, a mass within the gland of Zuckerkandl

Paraganglioma

46.

62 M. Pancreatic lesion. Autopsy

Pancreatic Intraductal Mucinous Neoplasm, low grade

45.

62 M. Cavitary lesions in the lung. Autopsy

Active pulmonary tuberculosis

44.

33 F, right knee joint mass.

Pigmented villonodular synovitis

43.

27 M, a tumor in the proximal tibia

Giant Cell Tumor

42.

44 F, a distal pancreatic mass

Pancreatic Neuroendocrine Neoplasm

41.

86 F, brain tumor

Glioblastoma Multiform

40.

68 F, left knee bone tumor

Dedifferentiated chondrosarcoma

39.

65 F, a 5.0 cm tumor in the left tibia

Chondrosarcoma

38.

79 M, a 4.0 cm subcutaneous soft tissue mass in his right thigh

Malignant fibrous histiocytoma

37.

42 F, a retroperitoneal mass

Ganglioneuroma

36.

44 F, right breast lumpectomy

Basaloid carcinoma of breast

35.

59 M, gastroesophageal junction biopsy

CMV Esophagitis

34.

68 F, a 3.5 cm mass of the pancreatic head

Invasive pancreatic adenocarcinoma

33.

70 F, a large solid and cystic pancreatic tumor

Anaplastic carcinoma of pancreas

32.

70 M, a 3.0cm right lung mass

Poorly differentiated squamous cell carcinoma

31.

63 M, a bone tumor within his left middle finger

Giant cell reparative granuloma of bone

30.

79 F, a large soft tissue mass of left leg

High grade pleomorphic sarcoma

29.

65 M, a 4.0cm left hilar mass of lung

Squamous cell carcinoma

28.

43 F, a retroperitoneal soft tissue mass

Malignant peripheral nerve sheath tumor

27.

13 M, multiple lesions in the left proximal humerus

Adamantinoma

26.

15 M, a left chest wall soft tissue lesion

Ewing's sarcoma/Primitive neuroectodermal tumor

25.

66 M, a large anterior mediastinal mass

Thymoma, spindle cell type

24.

64 F, a 1.5 cm nodule within the right upper lobe of lung

Coccidioidomycosis

23.

34 M, distal esophageal biopsy

Eosinophilic Esophagitis

22.

78 F, a right breast mass

Invasive lobular carcinoma with signet ring features

21.

82 F, a cavitary lesion of left breast

Papillary Carcinoma

20.

53 M, soft tissue mass, right calf

Schwannoma

19.

50 F, soft tissue mass, posterior neck

Schwannoma

18.

64 M, renal mass

Oncocytoma of kidney

17.

86 F, renal mass

Oncocytoma of kidney

16.

74 M, cystic pancreatic mass

Mucinous cystadenoma of pancreas

15.

47 F, HIV+, non-healing pneumonia

CMV pneumonia

14.

56 F, dura-based brain mass

Meningothelial meningioma (WHO grade I)

13.

54 F, pancreatic mass

Serous cystadenoma of pancreas

12.

47 F, thyroid nodule

Minimally invasive follicular carcinoma

11.

56 M, distal ileum mass

Nodular lymphoid hyperplasia of GI tract

10.

9 M, right post shoulder mass

Pilomatricoma / pilomatrixoma

9.

57 M, left elbow skin lesion

Verruca vulgaris

8.

56 F, multiple mesenteric implants

Carcinoid cancer

7.

72 M, skin lesion on his left upper arm

Merkel cell carcinoma

6.

45 M, HIV+, multiple skin lesions on his legs

Kaposi sarcoma

5.

64 F, skin lesion from her left fore arm

Basal cell carcinoma, reticular type

4.

67 M, an ulcerated skin lesion on his right foot

Melanoma

3.

62 M, renal mass biopsy

Oncocytoma of kidney

2.

73 F, right breast mass

Mucinous carcinoma / colloid carcinoma of breast

1.

69 F, renal pelvis mass with left iliac crest lesion

Urothelial carcinoma, metastatic