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Tuesday slide seminar, March 22nd 2011
Veli-Pekka Lehto
Division of Pathology, HUSLAB, University Central Hospital, Helsinki, Finland
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Case 1
68 M. Gastroscopy performed due to anemization. Tumorous growth in the region of papilla vater was detected. Tumour was removed upon duodenoscopy.
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Diagnosis |
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Case 2
65 F. Six months prior to the current hospitalization, a large tumorous growth in pelvic area was detected at tomography. The tumour was pushing the intestines but appeared not to involve the intestinal lumen. There was tumorous spread also to the soft parts of the buttock in which mucus-like material was detected upon incision. Upon laparotomy, intralesional removal of the tumour was obtained. There was no distinct involvement of the rectum or other parts of the intestine.
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Diagnosis |
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Case 3
30 F. Six years prior, mucinous cystadenoma of the left ovary was detected. Relaparotomy three years later, at which the right ovary and the appendix were removed. One year prior to the current hospitalization, tuberulosis was detected in pleural samples. Upon tomography of the abdominal area, tumorous changes suggestive of pseudomyxoma peritonei were detected. Upon surgery, suspected areas were explored and several samples taken.
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Diagnosis |
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Case 4
59 M. 16 months prior, radical peritonectomy was performed due to pseudomyxoma peritonei. Six months later, upon tomography, tumorous growths were observed next to the head of the pancreas and on the surface of the duodenum. Upon laparotomy, suspected areas were explored and specimens removed for histological examination.
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Diagnosis |
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Case 5
54 F. Abdominal pain six months prior to the current hospitalization. Upon tomography, the tumour in the appendix was detected. In addition, signs of peritoneal carcinosis. Radical peritonectomy and cytostatic treatment was planned. However, upon laparotomy, widely spread tumorous growth in the abdominal area was observed and the situation was deemed inoperable. Specimens from the tumour and from the appendix.
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Diagnosis |
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Case 6
34 M. Pain in the thoracic region led, upon thoracic examination, to incidental finding of a cyst-like formation in the pericardium. Upon surgery, a tumorous growth of a size 6 x 3 x 3 cm was removed.
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Diagnosis |
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