Case of the Month Archive
2008
August 2008 Case of the Month
Mass in calf of a middle-aged man.
Clinical history: 43-year-old male with a mass in
his calf.
Contributed by: Drs. J. X. O’Connell (Surrey
Memorial Hospital), B. Lategan, D. G. Grynspan and
S. Naidoo
(University of Manitoba, Department of
Pathology).
July 2008 Case of the Month
Clinical History:
32 year old previously well man with 36 hour history
of diarrhea and vomiting found dead at home. At autopsy
no significant pathology is found except for what is
shown in the H&E sections below.
Contributed by Dr. Michael S. Pollanen, Chief
Forensic Pathologist for the Province of Ontario,
Provincial Forensic Pathology Unit, Office of the Chief
Coroner for Ontario,Toronto, ON.
June 2008 Case of the Month
Clinical History
Prostate Core Biopsies - Take the Challenge!
Contributed by Dr. T.van der Kwast University Health
Network, Toronto, Canada.
May 2008 Case of the Month
Clinical History:
Colonic Polyps II - Take the Challenge (Again)!
Contributed by Dr. Runjan Chetty, University Health
Network, Toronto, Canada.
April 2008 Case of the Month
Clinical History:
Needle Core Biopsies of the Prostate: the value of past
medical histories
Case 1 submitted by Dr. Andrew Evans and Dr. T.
van der Kwast, University Health Network, Toronto ON.
Cases 2 and 3 contributed by Drs. M. Hamodat and
Dr. P. M. Wadden, Eastern Health of Newfoundland and
Labrador St. John's NL.
March 2008 Case of the Month
Clinical History:
A 16-year-old boy presented with sharp severe
unremitting pain in the right lower quadrant. He was
afebrile but did vomit once. On examination, the patient
was said to have classic signs of acute appendicitis
including tenderness at McBurney's point, Rovsing's sign
and the obturator sign. On
further inquiry, it turns out that the patient
immigrated to Canada three years ago from an unspecified
country in Africa.
Contributed by: Sate Hamza MD FRCPC, Health
Sciences Center, Winnipeg, MB.
February 2008 Case of the Month
Two GI Surgical Pathology Cases
CASE 1 "A 50-year-old woman with right lower
abdominal pain"
Contributed by: Drs. Mowafak Hamodat and Amrah
Pirzada
Eastern Health of Newfoundland and Labrador St. John's
NL.
January 2008 Case of the Month
Colonic Polyps - Take the Challenge!
Contributed by: Dr. Runjan Chetty University
Health Network, Toronto, Canada.
2007
December 2007 Case of the Month
Clinical History:
A 49 year-old man underwent ten core needle prostate
biopsies. Normal prostate by digital examination, no
urinary symptoms, PSA was 4.2 having risen from 2.5 six
months previously. One prostate core showed an isolated
finding, what is your diagnosis?
Contributed by: Dr. Andrew Evans, University Health Network,
Toronto, Canada
November 2007 Case of the Month
Clinical Summary:
A 48 year-old HIV+ man with renal failure and
proteinuria underwent a kidney biopsy.
Contributed by: Drs. Andrew Herzenberg
and Oyedele Adeyi
University Health Network,Toronto, Canada
October 2007 Case of the Month
Clinical Summary:
38-year-old post-bone-marrow-transplant patient with
acute onset anemia.
Contributed:
by
Dr. David Barth, University Health Network, Toronto,
Canada
September 2007 Case of the Month
Clinical Summary:
A 73 year old female presented with a left renal
mass on CT scan. Nephrectomy was done and a 1.5 cm well
circumscribed mass was noted in the lower pole.
Contributed:
Dr. Farah Moid, St. Joseph Health Centre, Toronto,
ON.
August 2007 Case of the Month
Clinical Summary:
FNA from 21 year-old woman.
Contributed:
by Dr. William Geddie, University Health Network,
Toronto, Canada.
July 2007 Case of the Month
Clinical Summary:
Three Fine Needle Aspiration Cytology Cases
Contributed: by Dr. William Geddie, University Health Network,
Toronto, Canada.
June 2007 Case of the Month
Clinical Summary:
A 49-year-old man presented with a 3 month history
of dramatic infiltrated, indurated, erythematous,
hard-woody plaques over both dorsal feet and calves.
Case contributed by:
Drs. Abdelrazak Meliti and S. Salama,
St. Joseph's Hospital Site, Department of Laboratory
Medicine, Hamilton, Ontario.
May
2007 Case of the Month
Clinical Summary:
47 year-old man with lymphocytosis.
Contributed by:
Dr. Bill Brien, Dr. Suzanne Kamel-Reid, and Tanya
Anderson, University Health Network, Toronto, Ontario
April 2007 Case of the Month
Clinical Summary:
27 year-old woman with chronic pancytopenia and
splenomegaly.
Contributed by: Dr. Bill Brien, Toronto Medical
Laboratories, Toronto, Ontario
March 2007 Case of the Month
Clinical Summary:
Case 1: Incidental finding in an appendix removed during
hysterectomy and bilateral salpingoophorectomy for ovarian cancer.
Case 2:Acute appendicitis.
Contributed by: Eva Szentgyorgyi, MD, FRCPC University Health
Network, Toronto, Ontario
February 2007 Case of the Month
Clinical Summary:
67 year-old man with acute onset of fatigue.
Contributed by: Dr. Douglas Tkachuk and Tanya
Anderson, University Health Network,
Toronto, Ontario.
January 2007 Case of the Month
Clinical summary: A 57 year old man presented with an episode of
transient left arm weakness (attributed to a TIA), but
was otherwise asymptomatic with no systemic signs. He
had a transthoracic echocardiogram, which revealed a
large mobile mass within the left atrium. He underwent
surgical excision of the mass.
Contributed by: Contributed by Dr. Jagdish Butany
and Dr. Mina Jamali, University Health Network, Toronto,
Ontario.
2006
December 2006 Case of the Month
Clinical Summary: Appendectomy from a previously
healthy 23 year-old man.
Contributed by: Denis Bailey, MD, FRCPC,
University Health Network, Toronto, Ontario
November 2006 Case of the Month
Clinical summary
65 year-old man with upper abdominal pain
Submitted by: Maha Guindi, MD, FRCPC and Suzanne
Kamel-Reid, PhD, FACMG; University Health Network,
Toronto Ontario
October 2006 Case of the Month
Clinical summary
47-year-old woman with rectal bleeding.
Submitted by:
Eva Szentgyorgyi, MD, FRCPC, University Health Network, Toronto
Case 8
Clinical Summary
History: This is 65 year-old female presented to her family physician
with a mass in the scalp (ie. skin). She has no known significant
medical or surgical problems. Submitted are multiple digital images of
the lesion.
Submitted by: Hameed Aljawad, MD, McMaster University,
Ayman Alhabeeb, MD, McMaster University, S. Kulkarni, MD, Humber River
Regional Hospital, Samih Salama, MD, McMaster
University
Case 7
Clinical Summary
31 year-old male presented with a nodule in the sole of the foot.
Submitted by: Dr. Hameed Aljawad, Dr. Ayman Alhabeeb, Dr. S. Kulkarni
Samih Salama, MD, McMaster University,
Case 6
Clinical Summary
A 43-year-old female who had a history of invasive breast cancer
with regional lymph node metastases one year ago presented with a
rapidly enlarging mass in the posterior fossa at the cerebellopontine
angle. The clinical impression and imaging studies were suspicious for
metastases from the breast primary.
Submitted by: Dr. Hameed Aljawad, Dr. Monalisa Sur,
Case 5
Clinical Summary
A 57 year old man presented with a one week history of shortness of
breath and weakness. Two days before he had seen a physician and had
been prescribed an oral antibiotic for "bronchitis". On examination in
the ER, he was jaundiced and in pulmonary distress with a normal chest
X-ray. He was admitted to ICU and died 10 hours after admission. An
autopsy was performed.
Submitted by: Dr. Hameed Aljawad and Dr. Monalisa Sur
Case 4
Clinical Summary
Six month old boy who presented with waxing and waning facial lesion
thought clinically to be a nevus.
Submitted by: Ken Newell
Case 3
Clinical Summary
A 49 yr old woman with a painful swollen elbow underwent a biopsy of
synovial tissue. A lump on the patient’s dog was also biopsied.
Submitted by: Dr. David Dexter
Case 2
Clinical Summary
A 33 year-old woman presented with progressive dyspnea and underwent
open lung biopsy. A 10 cm. renal mass was identified by CT scan. A core
needle biopsy of the mass was performed.
Submitted by: Dr. Sandy Boag
Case 1
Clinical Summary
16 year old boy presented with a widened mediastinum. A sample of
the mediastinal mass was obtained by mediastinoscopy.
Submitted by: Dr. David Lebrun |
