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The image below depicts longitudinally cut surface of a kindly from a 40 yr old
male patient who developed renal failure. Cut surface of a liver.
1, What is the diagnosis?
2. What is this appearance called?
3. Describe the gross and microscopic morphology.
4. Give the pathogenesis of this condition.‘A 44 yr old woman reported to a gynecologist with complaints of irregular
bleeding and low backache. She was diagnosed as a case of fibroid uterus. A large
tumor was surgically removed. On sectioning the tumor revealed white chalky
areas which felt gritty and hard to cut. Gross and H & E sections shown below.
moe
1. Identify the lesion.
2. Write identification points for this lesion.
3. Name two organs where,this type of lesion commonly occurs.
4, What is the cofnmon cause of metastatic calcification?
5. What is the special stain used for calcium.= a a a |
On a routine visit to the physician an otherwise healthy 51 yr old male has BP
150/95. If the patient's HT remains untreated for years, what are the gross
changes that are likely to occur in Heart? Observe the gross photograph of the
specimen and answer the following questions.
. Isthe heart enlarged?
. Name the process of cellular adaptation that has occurred and fine it.
. Name two other types of cellular adaptations.
. Give two physiological examples for this type of adaptation.
Qe wn ep
. Is the condition physiological /pathological.47-year-old female present with lump in left breast upper outer quadrant. Excision of the
lump done which shows features of Infiltrating ductal carcinoma. Immunohistochemical
stain done and pictures are given below.
ER PR
HER2
Write the detailed names of the IHC markers given above?
Which part of the cell is stained by ER and PR?
Which part of the cell is stained by HER2?
How will be the HER2 positivity is graded?Identify the picture
Write it usesIdentify the picture ee
Write it uses
HARRIS HEMATOXYLIN
Ri muae San Caeiog aXIdentify the picture and write the types
Write the usesIdentify the picture
Write about the usesIdentify the picture
Write about the usesIdentify the picture
Name the material used for this?
Write the usesSPECIAL STAIN.
40 year old immune compromised male came with complaints of cough with expectoration,
low grade fever, loss of weight and appetite for the past 2 months. On examination, cervical
lymph nodes are enlarged and matted from which biopsy taken. Histopathology shows a
necrotizing granulomatous inflammation. Special stain performed and the pictures given
below.
Identify the special stain?
Write the principle of the stain?
Name the diagnostic uses of this stain and its modified form?SPECIAL STAIN:
8-year-old boy with history of anemia and repeated blood transfusion on and off during
exacerbation. Bone marrow aspiration and biopsy taken and special stain done
Identify the special stain?
Which structure is stained in this procedure?
Name the uses of this stain in various other diseases?TAL IN
40-year-old diabetic male with high HBAic is presenting with complaints of blackish
discharge from nasal cavity. Sinonasal endoscopy shows a necrotic friable tissue in sinuses
and biopsy taken. Histopathology and special stain images given.
Identify the special stain used in this case and correlate with histopathology picture?
Identify the structure stained by the special stain?
Name the other structures stained by the special stain?IMMUNOHISTOCHEMISTRY
50-year-old female with abdominal pain, vomiting, loss of weight and loss of appetite.
Endoscopy shows a ulcer proliferative mass in the body of stomach. Gastrectomy done and
microscopic picture shows clusters and glandular arrangement of pleomorphic tumor cells
infiltrating the muscle layer of the stomach, Immunohistochemistry done and the picture is
given below
Cytokeratin (CK)
What is the interpretation of the given IHC marker?
Which part of the cell is stained by CK?
Which tumor cells will be negative for Cytokeratin?IMMUNOHSTOCHEMISTRY
55-Year-old female present with history of slow growing mass in right side of neck for the
past 6 months. Excision biopsy of node done and reported as Non-Hodgkin lymphoma.
Immunohistochemical study done for further categorization. Histopathology and IHC
markers pictures are given below
H&E
BCL2
What is the interpretation of each IHC marker given above?
Which cells are stained by CD20?
Which Cells are stained by CD10 and BCL2?