Case of the Week 45
An inflamed appendix was removed surgically and sent to Surgical Pathology. When it was cut open, approximately 15 of the following objects were found inside the lumen:
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Answer to Case of the Week 44
Well, this was definitely a challenging case this week! Many of you wrote in with suggestions that this is some type of fly larvae, and that is certainly a good thought. However, there are no structures such as spines or mouth parts to confirm this identity, and the history would be a bit odd. Instead, [...]
An unusual case of CADASIL? Or something else?
I recently did a brain autopsy on a 70-year-old woman who died from an intraparenchymal brain hemorrhage after a seven-year history of progressive dementia. The gross photograph follows: I know what you’re thinking: an amyloid angiopathic bleed, or perhaps a hypertensive bleed, in a patient with Alzheimer disease. That’s what I was thinking until I [...]
High Grade Prostatic Intraepithelial Neoplasia (HGPIN)
High Grade Prostatic Intraepithelial Neoplasia (HGPIN): Common questions asked about HGPIN are : -How do we as pathologists make these diagnoses? -What do they mean for the patient in terms of cancer risk? -What is/are the optimal strategies for follow-up so that if cancer does eventually develop it is caught at an early, curable stage? [...]
Case of the Week 44
The following object was found in the diaper of a 1 year old female. The mother noted that it was moving when found. Identification?
Answer to Case of the Week 43
Answer: Schistosoma mansoni eggs This case seemed to generate a lot of enthusiasm from the audience. Thank you all for the great comments! The eggs shown here are classic for S. mansoni, with their large size (>150 microns largest dimension) and classic lateral spine. Chris C. asked how I thought to do the squash preparation [...]
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