قسم pathology للدفعة الخامسة
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🤩قناة اللجنة العلمية للدفعة الخامسة لمادة
Pathology
تهتم بنشر المقررات والتسجيلات وكل متعلقات المادة
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PAPILLARY RENAL CELL CARCINOMA


Gross description
- Well circumscribed with pseudo capsule
- Tan yellow to red brown
- hemorrhage
- Necrosis
- Aries from cells of renal tubules

Microscopic description
- Small cuboidal cells arranged on single layer on papillary cores
- Cells are small with uniform
- Scant pale (not clear) cytoplasm
- hyperchromatic nuclei without nucleoli
- Papillary cores often contain foamy macrophages
- May have psammoma bodie
🔥54👍1
Papillary renal cell carcinoma
7🔥2
#MICROSCOPIC

#Diagnosis 👉🏻 Papillary renal cell carcinoma


#The_black_arrow
Papillary
بسبب القطع بين وكانها microcytic

#The_blue_arrows
Foamy macrophages
6🔥2👍1👀1
#MICROSCOPIC

#Diagnosis 👉🏻 Papillary renal cell carcinoma


#The_black_arrow
Psammoma bodie
وعشان تشبه glomerular قال عنها glomeruloid pattern
11👍2🔥2👌2
#MICROSCOPIC

#Diagnosis 👉🏻 Chromophobe renal cell carcinoma


#The_microscopic_features
- cells polymorphisme 
- hyperchrmatic nucleus
- Cytoplasm clear (scantl
10👍4🔥2
#GROSS

#Diagnosis 👉🏻 Wilms tumor ( Nephroblastoma )


#The_black_arrows
Tumor

Gross description
- Tan yellow , soft
- lobulated
7🔥2👍1
#MICROSCOPIC

#Diagnosis 👉🏻 Wilms tumor ( Nephroblastoma )

#The_black_arrows
Tubules

#The_white_arrows
Blastema

#The_red_arrows
Stroma

#The_microscopic_features
- Undifferentiated blastema
ويلي تكون spindle shape and hyperchromatic  
- Tubules
- Stroma
6🔥4
#MICROSCOPIC

#Diagnosis 👉🏻 Wilms tumor ( Nephroblastoma )

#The_black_arrows
Tubules

#The_white_arrows
Blastema

#The_red_arrows
Stroma
6👍3🔥3
#MICROSCOPIC

#Diagnosis 👉🏻 Wilms tumor ( Nephroblastoma )


#The_black_arrows
Tubules

#The_red_arrows
Blastema

#The_blue_arrows
Stroma
8🔥2👍1👏1
#MICROSCOPIC

#Diagnosis → Koilocytosis

#The_black_arrows
Clear zone

#Features
Hyperchromatic
Pleomorphism
Clear zone around the nucleus
8🤩3👍2🥰2🔥1
#MICROSCOPIC

#Diagnosis → Penile intraepithelial neoplasia

#The_black_arrow
Parakeratosis

#The_blue_arrows
Papillomatosis (finger-like)

#The_brown_area
Acanthosis

#The_orang_arrows
Koilocytosis
5👍3
#MICROSCOPIC

#Diagnosis → Penile intraepithelial neoplasia

#The_black_arrows
Parakeratosis

#The_orang_arrows
Keratosis
6👍1
#MICROSCOPIC

#Diagnosis → well differentiated squamous cell carcinoma (grade 1)

#The_black_arrows
Keratin pearls

#The_blue_arrow
Nest of squamous cells with eosinophilic cytoplasm

#Most_commen_cause
HPV
8👍3🎉1
#MICROSCOPIC

#Diagnosis → moderate differentiated SCC (grade 2)

#The_black_arrows
Keratin pearls

#Features
Nuclear atypia
Nuclear pleomorphism
Irregular nuclear membrane
It has keratin pearls less than SCC grade 1
9
#MICROSCOPIC

#Diagnosis → poor differentiated SCC (grade 3)

#Features
Distributed cells
Nuclear atypia
Nuclear pleomorphism
NO KERATIN PEARLS
NO SQUAMOUS NESTS
7
NORMAL TESTS
8
NORMAL TESTS
6
#GROSS

#Diagnosis → testicular TB


Caseous necrosis has cheese-like appearance
7
#MICROSCOPIC

#Diagnosis → testicular TB

#The_black_area
Hematogenous area with less nucleus
6👍1
#GROSS

#Diagnosis → cryptorchidism

#Left_testes
Atropic
Pale white in color
8👍1