Case 166

Surgical Pathology Case
 

CLINICAL INFORMATION

  40-year-old male. Gallbladder lesion.

GROSS DESCRIPTION

 

The specimen consists of one previously opened gallbladder measuring 10.0 6.0 4.5 cm. The serosal surface of the gallbladder is hyperemic with some small nodules (largest 0.5 0.4 cm). The mucosal surface of the gallbladder has one brown-tan raised, rough area measuring 7.0 3.0 0.3 cm. Serial sectioning through the gallbladder reveals multiple intramural brown-tan masses with the largest measuring 2.0 1.3 cm. The cut surface of the masses is soft with focal areas of necrosis.

     
 
 

HE, 20

HE, 20

 
 

HE, 40

HE, 40

 

CLINICAL INFORMATION

  Two yeas ago, he had a skin lesion of the chest wall.

GROSS DESCRIPTION

 

The specimen consists of one ellipse of skin and subcutaneous tissue measuring 10.0 7.0 3.6 cm. The specimen is oriented with a short suture representing the superior margin and the long representing the lateral margin. The overlying ellipse of skin measures 8.7 3.6 0.4 cm and is tan, flat and grossly unremarkable. On sectioning of the subcutaneous tissue there is the presence of an oval, encapsulated mass measuring 3.2 3.0 2.0 cm. The cut surface is light tan, glistening and wrinkled with foci of yellow granular tissue.

 
 

HE, 20

HE, 40

 
 

HE, 40

HE, 40

     
 

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan