HISTOPATHOLOGY REPORTS 2010

Military HospitalIkoyiLagos12 March 2009

HIST/MHL/150/08Agunuete Sunday50+ M L/Testicular massReceived cream white with testicular tissue measuring 1.0*0.1*0.01Part degeneratic testicular tissue with marked fibrosis and hyalinisation.There are features of Atrophy.

Diagnosis: section increase

GI Ayuba, FMCPath

ColConsultant Pathologist

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HISTOPATHOLOGY REPOR

Military HospitalIkoyiLagos02 April 2009

HIST/MHL/?/09Major Gen (Rtd) C R U Ihelire57yrs M

Received a greyish cyst of epidymis measuring 4 x 3 x 1.5cm filled with colourless fluid P E x 3Section shows a true cyst with Endothelial lining and no feature of neoplasm.

Diagnosis: Epidyclimal cyst:- Simple cyst.

GI Ayuba, FMCPath


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HIST/MHL/17/09Kaba Mohammed57yrs M

Received white cream coloured occipital mass measuring 6x 5x 4cm cut section reveals whitish surface.PE x4Section of the lipoma show a soft tissue tumour proliferating spindle shape fibroblast with mascular channel having prominent endothelial lining but no pericytes.

Diagnosis:- Excised soft tissue :-Heamangopericytoma.

GI Ayuba, FMCPath



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HIST/MHL/16/09Brig Gen Mana Adekanye44yrs M

Recived dark brown endometrial tissue all measuring 4x3x2cm .The tissue looks heamarrhagic .PE x 4.Section show haemarrhagic fibrin and proliferative glandular and strucal hyperplasia. No feature of malignancy seen

Diagnosis: Endometrial biopsy:- simple Endometrial hyperplasia.

GI Ayuba, FMCPath



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HIST/MHL/15/09Mrs Salamatu Mohammed27yrs F

Received right breast tissue with skin measuring 4x10x4cm.cut section reveals yellow patches PE x4.Section show epidermis with dermal mammary fat acini and duct, there is a focal , large haemarhagic necrotic ductal structure with no viable cell seen.

Diagnosis Right Breast:- tumour necrosis (post chemotherapy).

GI Ayuba, FMCPath



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HIST/MHL/14/09Mrs Celina Maina54yrs FReceived whitish cervical polyp Measuring 5x 2x 1cm. P E x 4.Sections show endocervical glands in a fibromyloid stroma with a squamous epithelial lining .No features of malignancy noted.

Diagnosis crervicop polyp:- polyp

GI Ayuba, FMCPath



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HIST/MHL/13/09Mrs Stella Obialor34yrs F

Received cream coloured uterine fibriod cut section reveals whitish tissue .measuring


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HIST/MHL/10/09Fatima Ayeko16yrs F

Received a whitish appendix tissue measuring 5x2x0.5cm PE x 4Section shows colouric mucose with lymphoid follicular and transperant acute inflammatory cellular infiltrates for monocytes seen in the subserose

Diagnosis: Appendix :- Acute Inflammation

GI Ayuba, FMCPath



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HIST/MHL/11/09Pte Hussaini Ibrahim31yrs MReceived whitish brown fragment of tissue process.Sections shows marked fibro collagenous tissue with focal dystrophic calci ficatoin.No feature of bare seen.

Diagnosis: Left. dorsum(hand) :-Reactive fibrous hyperplasia

GI Ayuba, FMCPath



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HIST/MHL/11/09Enoeluwe39yrsF

Received 3pieces of cream coloured tissue measuring the( biggest )9*8*5cmCut surface reveals whitish surfacePe *4Section shows proliferating interlacing bundle of smooth muscles with no features of malignancyDiagnosis:uterine tissue:lieomyomata

GI Ayuba, FMCPath

ColConsultant Pathologist GI Ayuba, FMCPath

ColConsultant Pathologist Diagnosis:


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HIST/MHL/06/09Raheem Opeloyeru52yrs MReceived 2 tiny fragments of Eye-tissue processed whole.Section shows hyperkeratin with cluster of whorles malignan squamous cell.

Diagnosis ; squamous cell cancer

GI Ayuba, FMCPath



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Military HospitalIkoyiLagos27th March 2009

HIST/MHL/05/09Miss Christiana Asuke39yrs F

Received a tiny fragment of conjuctional tissue.Processed whole.

Diagnosis; Hyperkeratin squamous cell carcinoma

GI Ayuba, FMCPath



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HIST/MHL/04/09Cpl Lakus Dapdil38yrs M

Received whitish facial tissue measuring 1.5 x 0.5cm. Processed whole.

Section shows a polypiod mass with haemorrhage linker and exterior manosin

Diagnosis; Stratified / Torsin of polyp

GI Ayuba, FMCPath



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HIST/MHL/07/09Mrs Queen O?yr F

Received a whitish appendix tissue with yellowish fat measuring 7.0 x 1.5 x 0.5cm.PE x 3.Secttion shows appendix with exterior proliferation of lymphoid tissue.No feature of malignancy or inflammation seen

Diagnosis; Appendix:- lymphoid proliferation.

GI Ayuba, FMCPath



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HIST/MHL/01/09 Mrs Omeche Audu28yrs FNecrosis ++ haemarrhagic haemosiderin sheet of cubodal to oval cell with high nuclear cytoplasm ratio and vascularization.feature are those of immature feratin Patient is advice to do AFP and quantification HGH more history is needed to make a diagnosis.

GI Ayuba, FMCPath



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HIST/MHL/153/08Miss Peace Ononiwu27yrs FReceived pieces of fibrofatty tissue measuring 6.0 x 3.5 x 1.5 cm.cut surface reveals irrgular greyish white PE x 2.

Diagnosis; Subcutenously inflamed fibrohyperplesia

GI Ayuba, FMCPath



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HIST/MHL/02/09Mr Jibunoh Nnamdi27yrs MOsterclast—of giant cell with macrophagic .Haemarrhgic legion with no delinasle cyst wall

Diagnosis; Aneu-ysual bare cyst.

GI Ayuba, FMCPath



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HIST/MHL/?/09Mrs Abiodun Idowu54yrs FAxillary taul

Haemarrhagic smear showing numerous clusters of mature lipocyte.No feature of malignancy noted.

Diagnosis: Axillary taul :- lipoma

GI Ayuba, FMCPath



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CYT/MHL/01/09Dr Chuks Nwigwe36 yrs F

Endocervical Smear

Adequate cellular smear showing normal squamous and endocervical cell with no feature of malignancy.

Diagnosis Pap Smear:- Normal Study

GI Ayuba, FMCPath



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CYT/MHL/?/09John Marcus? M

Ascetic Fluid

Non cellular smear.

Diagnosis Ascetic fluid:- Non Cellular

GI Ayuba, FMCPath



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HIST/MHL/07/08Aliyu Haminu16yrs M

Skin / sole of the Foot

Received creamy white friable tissue measuring 0.5 x 0.5 x 0.5 cm.process in-to-to.Sections shows hyperkeratoson: No dermal tissue noted. No feature of viral infection noted.the sample sufulted

Diagnosis: Plantar leson: - Hyperkeratoson

GI Ayuba, FMCPath



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HIST/MHL/157/08Maj Edith Obaraye4yrs M

Uterine fibroidReceived cream whitish 11 piecies of uterine fibroid tissue.the largest mass measures 11 x 8.5 x 6.5cm.The smallest mass measures 2.5 x1.5 x 0.1cm.Section shows interlacing sum Mm fibn with no feature of malignancy.

Diagnosis: lieomyota

GI Ayuba, FMCPath



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Military HospitalIkoyiLagos2 Feb 2009

CYT/MHL/?/09 Mrs Christiana Bala Sule? yrs FCytology:-Cellular adequate showing regular exfoliated squamous cells with no atypia in the endocervical cuboidal cells.No chronic infection noted.

Diagnosis:- Pap smear:- Normal study.

GI Ayuba, FMCPath



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HIST/MHL/?/08Miss Modupe Ogunyimika39yrs F

Uterine fibroidReceived cream white fibroid tissue measures 3.0 x 2.0 x 1.5cm.cut surface reveals……..

Diagnosis:- Lieyomate

GI Ayuba, FMCPath



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HIST/MHL/106/07D/o Wo Alexander Unaji17yrs

Breast lumpReceived a piece of nodular cream white tissue measuring 1 x 1 x 1 x cm.Cut surfaces reveals creamy white surface P.E x 3

Diagnosis: fibo-adenoma.

GI Ayuba, FMCPath



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HIST/MHL/149/08Rita Osiorbor?yr F

Received dark-brown haemorrhagic endomentrial curretins tissue .Process whole or A.E

Diagnosis: Endomentral hyperplasia

GI Ayuba, FMCPath



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Military HospitalIkoyiLagos22 Feb. 2009

CYT/MHL/150/09 Dsp Felicia Idiakhewa40yrs FCervical smearHaemarrhegic smear .No cell seen

Please repeat

GI Ayuba, FMCPath



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Military HospitalIkoyiLagos12 feb, 2009

CTY/MHL/?/09 Mrs Ohande Ngozi31yrs FPap smear

Adequate cellular smear showing regular cell with no feature of malignancy.

Diagnosis: Pap smear:- Normal study.

GI Ayuba, FMCPath



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CYT/MHL/?/09Brig.Gen.(Rtd) Amina Ahmadu48yrs FPap Smear

Haemarrhagic Adequate smears showing highly plearmorphic hyperchromatety cell with high nuclear cytoplasmicRation

Diagnosis: Pap smear: - High grade intrapepitheral lesion

GI Ayuba, FMCPath



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Military HospitalIkoyiLagos02 Feb 2009

CYT/MHL/?/09Pte Dala Sule? yrPap Smear

Cytology:- cellular adequate smear showing regular exfoliated squamous cells with no atypia in the endocervical cuboidal cell.No chronic infection noted.

Diagnosis: Pap Smear:- Normal StudyColConsultant Pathologist GI Ayuba, FMCPath



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Military HospitalkoyiLagos12 March 2009

CTY/MHL/?/09Mrs Adun Dele? yrCervical SmearCellular Smear.Regular squamous and cuboidal cell

Diagnosis: Pap smear :- Normal study

GI Ayuba, FMCPath



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CTY/MHL/02/09Mrs Patience Okoh38yrs F

Pap SmearAdequate cellular smear showing regular squamous cell with no feature of Malignancy

Diagnosis: Pap smear:- Normal study

GI Ayuba, FMCPath



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HIST/MHL/141/08Samson Danjuma25yrs M

Skin LessionReceived a dark brown skin leisson tissue measuring 1 x 0.5 x 0.05 PE x 2Section shows hyperkeratonic acanthotic skin with exhuberant dermal well vascuband fibrocollagen hyperplasic of cys no apl or degenative of diagnosis seen

Diagnosis: Skin lession:- Non specific inflammation

GI Ayuba, FMCPath



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CYT/MHL/?/09Mrs Veronica Carlton57yrs F

Pap SmearRegular Squamous cell with slight pleomerphism . No feature of malignancy noted.

Diagnosis: Pap smear Normal

GI Ayuba, FMCPath



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HIST/MHL/?/09Mrs Adun Dele


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Military HospitalIkoyiLagos12 March .2009

HIST/MHL/149 /08Rita Osiorbor


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Age : ?Endometrial cuurrentins Receirved darkbrown haemorrhagic endomentral currentings tissue.Process hole

Diagnosis: Endomentrial hyperpletnGI Ayuba, FMCPath



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Military HospitalIkoyiLagos12 March2009

CYT/MHL/?/08Brig.Gen Mariam Adekoya44 yrs MCervical NeoplasmHaemorrhagic adequate smear showing plemerphr cell with hyperchromatic nuclear and high nuclear cytoplasmic ratio.Diagnosis: pap smear :-High grade intraputhel lesyh car(111)GI Ayuba, FMCPath



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HIST/MHL/?/08Olayinka Olanitori56yrs FPost HysterectomyDiagnosis:- Normal StudyGI Ayuba, FMCPath



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Military HospitalIkoyiLagos12 March 2009-.

CYT/MHL/?/08D/o Favour Agbamus9yrs Lt Breast LumpFatty Slide ,focal ? of dual population of cellsDiagnosis: Bening

GI Ayuba, FMCPath


Military HospitalIkoyiLagos03Dec 2008.

CYT/MHL/?/08Mrs Osiobor Rita


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Age: ?Pap’s SmearPlease Repeat

GI Ayuba, FMCPath



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Military HospitalIkoyiLagos19 Feb.2009

CYT/MHL/?/08Gen Mojisola W/o Oduwole50yrsPap SmearAdequate cellular swear,showing regular cell with pyknotic nuclei and no feature of malignancy.Diagnosis: pap smear:- Routine study.GI Ayuba, FMCPath


Military HospitalIkoyiLagos12 March 2008.

HIST/MHL/02/08


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Ovarian cyst ( Left twisted ovarian cyst)

Received a brownish cystic mass measuring 4x3x2cm with yellowish fluid. PEx3

Sections show multi-locculated well vascularised cysts with focal thrombosed vascular channels, lined by flattened cuboidal cells with NO features of dysplasia or haemorrhagic necrosis.

Diagnosis: Left Ovarian cyst: Simple cyst with early torsion

GI Ayuba, FMCPath



HIST/MHL/03/08John Okiaku34 MaleRight breast tissue


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Received a grey white tissue measuring 3x3x0.5cm

Sections show proliferating ducts in a fibroblastic stroma with no features of malignanc

Diagnosis: Right breast: Fibrocystic changeGI Ayuba, FMCPath

Col


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HIST/MHL/04/08Monica D/o LtCol UndiadeyeRt Breast lump x 1yr

Rcvd 3 pcs of crean white tissues measuring 5x4x1cm. PEx2

Sections show proliferating ducts and stroma with focal slit-like ductal configuration. No features of malignancy are noted.

Diagnosis: Rt Breast lump: FibroadenomaGI Ayuba, FMCPath


Military HospitalIkoyi


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Lagos13 March 2009.

CYT/MHL/?/08Ms Veronica CarltonPap smearRegular squamous cell with slight plemorphism.No features of malignancy seen.Diagnosis:normal studyGI Ayuba, FMCPath



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HIST/MHL/?/08 Melnikov Valentine42 yrs Malecervical smear

cellular smear.Regular squamous and cuboidal cells Diagnosis:Normal study

GI Ayuba, FMCPath



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CYT/MHL/02/09Patience Okoh38 female papsmear

Adequate cellular smear showing regular squamous cells with no features of malignancy.

Diagnosis:pap smear:Normal study

GI Ayuba, FMCPath



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HIST/MHL/07/09Abiodun Idowu54yrs FFNABSmear showing numerous clusters of mature lipocytes.No features of malignancy noted.

Diagnosis: Axillary tail:Lipoma

GI Ayuba, FMCPath



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HIST/MHL/08/08Felicia Idiakhewa40yr femaleCervical smear

Haemarrhagic smearNo cells seen.Please rep

GI Ayuba, FMCPath



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HIST/MHL/09/08Ohanele Ngozi31yrs femalepap smear

adequate cellular smear showing Regular cell with no features of malignancy.

Diagnosis:Pap smear:Normal study

GI Ayuba, FM



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HIST/MHL/0179/08WoBrig Gen(RTD)48 yrs FPap smear

Heamorrhagic.Adequate smears showing highly pleomorphic ,hyperchromatic cells with high nuclear cytoplasmic ratio.

Diagnosis: Pap smear:high grade intraepithelium resin.

GI Ayuba, FMCPath



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HIST/MHL/011/08Lt Col Gary Usman55yrs male

Rcvd 3 pcs of cream white tissues measuring 1x1x1cm. AEx3

Sections show a subcutenous tumour having haphazardly proliferation of plump fibroblasts with a poor delimited deep resection margin. No mitotic figure seen, no features of malignancy.

Diagnosis: Subcutenous mass: Benign fibrohistiocytoma

GI Ayuba, FMCPath



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HIST/MHL/012/08Olumuyiwa Alabi39yrs maleNasal polyp (Bilateral)Rcvd a friable tan brown tissue measuring 5x4x1cm. AEx4

Sections show follicular polypoid lymphoid proliferation with focal sheets of mature regular chondrocytes. No feature of malignancy noted.

Diagnosis: Nasal polyp: Inflammatory polyp

GI Ayuba, FMCPath



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HIST/MHL/013/08Mr Bassey?age MaleLt Breast lumpPhysician : Dr Omoubude

Rcvd a cream white yellow tissue measuring 1.5x1x0.5cm. cut surface reveals tan brown appearances.

Sections show proliferating lactiferous ducts in a loose fibromyxoid stroma. Focal slit-like ductal spaces are noted. No features of malignancy seen.

Diagnosis: Lt Breast lump: Fibroadenoma

GI Ayuba, FMCPath

Col



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Lagos14 March 2008.

HIST/MHL/014/08Mrs Busola Anfela?age FemaleUterine fibroidsRcvd six pcs of tan brown nodular fibous tissues largest measuring 13x8x5cm ans smallest 11x7x1.5cm. PEx7

Sections show bundles of smooth muscles interlacing and forming focal whorled patterns. No features of malignancy noted in all the samples submitted.

Diagnosis: Uterine fibroids: Lieomyomata

GI Ayuba, FMCPath



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HIST/MHL/015/08Miss Rita Okonye32 yrs femaleConjunctival nodule right eye

Rcvd a tiny pieces tan brown tissue measuring 0.5x0.5x0.5cm. Processed whole;

Sections show proliferating stromal cells with whorled keratin deposition by malignant squamous cells.No other features are seen.

Diagnosis: Conjunctival nodule: Squamous cell carcinoma

GI Ayuba, FMCPath



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HIST/MHL/016/08Mrs S Nwabueze 36yrs femaleMissed abortion

Received 3 pieces of tan brown tissue measuring 3x1x0.5cm PEx4

Sections show a polypoid mass with oedematous stroma, lymphoplasma cellular proliferation and occasional mast cells. There are foci of stratified squamous cells that appear regular in architecture. No features of malignancy is noted.

Diagnosis: Endometrium: Endometrial polyp

GI Ayuba, FMCPath



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HIST/MHL/017/08Mohammed, S/o Col Mohammed 3yrs maleAdenoids

Received friable tan brown tissue aggregating 4x3x0.5cm. PEx4

Sections show follicular proliferation of lymphoid cells. No features of malignancy noted.

Diagnosis: Adenoids: Lymphoid proliferation

GI Ayuba, FMCPath



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HIST/MHL/018/08Rifkatu Samuel Buba34yrs femaleBreast lump, r/o CA

Rcvd a fatty brownish tissue measuring 6x4x1cm. Cut surface reveals cream white tissue. PEx4

Sections show proliferating ducts and rather loose fibrocollagenous stroma focally forming slit-like spaces. No features of malignancy noted.

Diagnosis: Fibroadenoma

GI Ayuba, FMCPath



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HIST/MHL/019/08Chinwe Iro28yrs femaleFibroid/POCRcvd dark brown haemorrhagic tissues measuring 5x3x1cmCut surface reveal haemorrhagegrey white surface. PEx4

Sections show in part degenerating chorionic villi with ghost appearances of decidoid/ fatty cells and in part, proliferating fibromyxoid tissue, mild to moderate lymphoplasma and eosinophillic cellular proliferation, haemorrhaic necrosis and stratified squamous epithelial lining. No fallopian tube or ovarian tissues seen in the specimen submitted.Diagnosis: POC, Uterine tissue: 1. Degenerating non viable Product of conception

2. Sub serous pedunculated lieomyoma undergoing torsion

GI Ayuba, FMCPath



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HIST/MHL/020/08Mr George Christian28 yrs maleAppendix

Rcvd a greyish white tissue measuring 7x0.5x0.5 PEx3

Sections show lymphoid hyperplasia, non perforated wall, transmural eosinophillic cellular infiltration. No fibrosis, no features of malignancy.

Diagnosis: Vermiform Appendix: Acute inflammation

GI Ayuba, FMCPath



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HIST/MHL/021/08George Akrokeokia11yrs male? Papilloma from the finger (?site)Rcvd greywhite tissue measuring 0.5cm3 PEx3

Sections show ulcerated epithelium, moderate dermal lymphoplasma and neutrophillic proliferation and revascularisation.

Diagnosis: Papilloma: Pyogenic granuloma

GI Ayuba, FMCPath



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HIST/MHL/022/082002NA/51/20 L/Cpl Onyeukwu Emmanuel28yrs maleExcised tissue ?Keloids

Rcvd a kidney shaped brownish tissue measuring 5.5x3x1.5cm. PEx4

Sections show subcutenous dermal tumour with haphazardly arranged eosinophillic bundles of collagen. Much different from hypertrophic scar. No features of malignancy noted.

Diagnosis: Excision biopsy ?site: Keloids

GI Ayuba, FMCPath



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Military HospitalIkoyiLagos20 May 2008.

HIST/MHL/023/08Mrs Bambe Tinu56yrs femaleUterine cervix

Rcvd dark grey uterine tissue measuring 7x5x3cm. Cut surface show necrotic tissue

Sections show distended endocervical glands with moderate chronic inflammatory cellular infiltrates and necrosis. No extocervical lining or features of invasive malignancy were noted.

Diagnosis: Cervix: Chronic inflammation

GI Ayuba, FMCPath



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HIST/MHL/024/08Oluwashola Iyadun32 yrs Breast lump

Rcvd cream white breast tissue measuring 5.3x3x2cm

Sections show lobular proliferation of acini and ducts with features of malignancy seen.

Diagnosis: Breast (Lt): Fibroadenoma

GI Ayuba, FMCPath



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HIST/MHL/025/08Innocent Gbeenech32yrs MExcised mass

Rcvd whitish 5.5x3x2cm tissue

Sections show poorly preserved sheets of fibromyxoid tisuue with focal whorled patterns of keratin perls. No features of malignancy noted.

Diagnosis: Jaw mass: FIbromyxoma

GI Ayuba, FMCPath



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HIST/MHL/026/08 Sola Akerele42Fibroids

Rcvd cream white tissue measuring all together 13x12x9cm

Sections show interlacing bundles of smooth muscles with no features of malignancy

Diagnosis: Uterine tissue: Leiomyomata

GI Ayuba, FMCPath



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HIST/MHL/027/08Adenusi Laiwola56yrs femaleUterus/OvariesRcvd dark brown uterus with ovarian cyst. Measuring 7.5x5x3cm

Sections show, in part, interlacing bundles of smooth muscles fibres and in part, ovarian stroma with numerous endometrial glands of varying sizes containing pale granular secretory material. No features of malignancy are noted.

Diagnosis: Uterus: LeiomyomataOvary: Endometriosis

GI Ayuba, FMCPath


Military Hospital of 160

HISTOPATHOLOGY REPORT

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IkoyiLagos20 May 2008.

HIST/MHL/028/08Miss Oyetunde Aiyedehin32yrs femaleLt reast lumps x 2yrsLMP 16/02/08, Menarche 12yrs, no nipple discharge, not on contraceptives.

Rcvd multiple yellow tissue measuring 5x4x2cm

Sections show numerous proliferating ducts distended with apocrine metaplasia and papillary projections into the cysts.No features of malignancy noted.

Diagnosis: Lt breast lump: Lactating adenoma

GI Ayuba, FMCPath


Military HospitalIkoyiLagos


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20 May 2008.HIST/MHL/029/08 Adeyemi Adebola

?68yrs maleAppendixRcvd an appendectomy spp. PEx3

Sections show colonic mucosa with a transmural acute inflammatory cellular infiltrates. There is inflammation of the mesoappendix.

Diagnosis: Appendix: Suppurative acute inflammation

GI Ayuba, FMCPath



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HIST/MHL/030/08Miss Ogunlowo Fike27yrs femaleLt Breast mass

Rcvd brownish yellow tissues aggregating 2x1x1cm PEx2

Sections show proliferating lobular glands with compressed ducts forming slit-like spaces. No feature of malignancy noted.

Diagnosis: Breast lump: Fibroadenoma

GI Ayuba, FMCPath



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HIST/MHL/031/08Abinbola Olagbeju27yrs femaleClitoridal cyst

Rcvd dark brown clitoridal cyst measuring 4x2x1cm

Sections show an intradermal epidermalcyst with hyperkeratosis and acanthosis and no feature of malignancy.

Diagnosis: Clitoridal cyst: Dermoid cyst

GI Ayuba, FMCPath



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HIST/MHL/032/08Akintola Umar40yrs femaleUterine fibroid

Rcvd grey white tissues aggregating 8x6x6cm PEx4

Sections show interlacing bundles of smooth muscles with focal hyaline degeneration. No features of malignancy are noted.


GI Ayuba, FMCPath


Military Hospital


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HIST/MHL/033/08Lorin Oputa34Fibroid

Rcvd cream white tissues aggregating 8x5x3

Sections show interlacing bundles of smooth muscles with focal hyaline degeneration and increased cellularity. No malignant feature seen.


GI Ayuba, FMCPath




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20 May 2008.HIST/MHL/034/08Capt Henry Ibettoe26yrs maleRcvd tan brown tissue measuring .5x.2x.1cm

Sections show hyperkeratosis with no epidermal tissue

Diagnosis: Excision: Keratinous cyst

GI Ayuba, FMCPath



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HIST/MHL/035/08Eric ObaguSubcutaneous tissue

Rcvd grey tissue measuring 2x1x1cm

Sections show a subcutaneous oval mass composed of proliferating fibroblasts. No increased mitotic index. Numerous mast cells and histiocytes are noted.

Diagnosis: Subcutaneous mass: Benign Fibrohistiocytoma

GI Ayuba, FMCPath



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HIST/MHL/036/08Grace Monday40yra maleAppendix

Rcvd appendix spp. Cut surfaces show luminal faecal matter. PEx3

Sections show transmural infiltration with acute inflammatory cellular infiltrates. No features of malignancy noted.

Diagnosis: Appendix: Acute inflammation

GI Ayuba, FMCPath


Military Hospital


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HIST/MHL/037/08 Mrs Toyin Awokulein49yrs femaleUterine and ovarian masses

Rcvd cream white and brownish tissues measuring 17x14x8cm. PEx4

Sections show uterine tissue composed of interlacing bundles of smooth muscles and endometrial glands. Other sections show regular ovarian tissue.Diagnosis: Uterus: Leiomyomata

Ovary: Normal tissue

GI Ayuba, FMCPath




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20 May 2008.HIST/MHL/038/08Odunewu Lara39yrs maleUterine fibroidRcvd greyiosh white tissue measuring 6x5x2cm. PEx4

Sections show a very cellular proliferation of interlacing bundles of smooth muscles with plump ovoid to spindle shaped cells. A normal fallopian tube was noted.

Diagnosis: Uterus/Fallopian tube: Leiomyomata

GI Ayuba, FMCPath



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HIST/MHL/039/08Mrs Ikeakunam Franca50yrs femaleTAH

Rcvd a TAH specimen measuring altogether 32x20x20cm.

Sections show: Ovary: Simple cyst wall with numerous copora lutea. Uterus: Interlacing bundles of smooth muscles with no features of malignancy.

Diagnosis: TAH: Leiomyomata and ovarian cyst

GI Ayuba, FMCPath



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Military HospitalIkoyiLagos29 July 2008.

HIST/MHL/056/08W/o Col Obiamaka Edem40yrs femaleLt Breast tissue ?mastectomy sppUlcerated left breast with nipple retraction ?carcinoma Lt BreastReceived a nodular tumour with a fungating ulcer at the center having a skin hood. The deep resection margin is involved with the tumour. The tissue measures 12x8x8cm. Sections taken from the areolar, right edge of tumour and deep resection margin. PEx3

Sections show malignant invasive ductal tunmour composed of columnar secreting cells with focal Comedo type central necrosis. An occasional tumour vascular emboli is noted. The deep resection margin is not free of tumour.

Diagnosis: Lt Breast Lump: Invasive, metastasized Ductal cystadenocarcinoma

GI Ayuba, FMCPath



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HIST/MHL/058/08 Linus Udie45yrs MaleAppendix

Sections show necrotic appendix with luminal colonic mucosa and a transmural pyogenic acute inflammatory cellular infiltrates.

Diagnosis: Appendix: Acute necrotic suppurative inflammation.

GI Ayuba, FMCPath



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HIST/MHL/060/08Mrs Omoze BAlogun34yrs FemaleConjunctival cyst (Left)

Sections show stratified squamous mucosa overlying a submucous tumour composed of proliferating glandular round to oval cells with large hyperchromatic vesicular nuclei having centrocytic occasionally pink nucleoli. These features are reminiscent of those of amelanotic variant of malignant melanloma.

Diagnosis: Conjunctival cyst: Malignant melanoma

GI Ayuba, FMCPath



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HIST/MHL/066/08LtCol OT Ojutaiye39yr maleAppendix mass

Rcvd bropwnish appendix tissue measuring 2.5x1.5x0.5. PEx3Sections show transmural acute inflammatory cellular infiltrates with perforation into the meso appendix.

Diagnosis: Appendix: Perforated suppurative inflammation

GI Ayuba, FMCPath



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HIST/MHL/068/08Tami Agboro29yrs FUterine fibroids

Rcvd multiple nodular tissue masses measuring 12x10x9cm. PEx4

Sections show sheets of interlacing smooth muscle bundles with no features of malignancy

Diagnosis: Myeomectomy spp: Liemyomata

GI Ayuba, FMCPath




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Lagos29 July 2008.

HIST/MHL/070/08 Miss Oluchi Uche28yr femaleConjunctival cystRcvd dark brown cyst measuring 1x0.5x0.2cm

Sections show haemorrhagic necrosis with an overlying conjunctival mucosal lining. There are foical perivascular tumour cells composed of round to oval epitheliod cells.

Diagnosis: Conjunctival cyst: Epitheliod haemangioma

GI Ayuba, FMCPath



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HIST/MHL/071/08Mrs Adepeju Ebiwari35yrs femaleAppendix

Rcvd yellowish brown appendix measuring 5x2x1.5cm PEx3

Sections show a transmural acute inflammation


GI Ayuba, FMCPath



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HIST/MHL/073/08Modupe Afowowe34yrs femaleUterine tissue TAH

Rcvd a TAH nodular spp measuring 21x15x8.5cm. PEx4Sections showEndometrium: regular proliferative glandsMyemetrium: interlacing bundles of smooth muscles with hyaline degeneration.Cx: Regular normal study.Diagnosis: TAH: Lieomyomata of the uterus.

GI Ayuba, FMCPath



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HIST/MHL/074/0839yrs femaleExcised multiple fibroidsRcvd multiple nodular tissue aggregating 21x8x4cm PEx4

Sections show essentially interlacing bundles of smooth muscle with focal hyaline type degeneration. No malignant transformation noted.

Diagnosis: Uterine masses: Lieomyomata

GI Ayuba, FMCPath


Military Hospital


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IkoyiLagos29 July 2008.

HIST/MHL/075/08Abiola Ola28 ?sexAppendix

Rcvd dark brown appendix measuring 1.5x1x0.5cm. PEx3

Sections show a transmural acute inflammatory celluar infiltrates.

Diagnosis: Appendix: Acute suppurative inflammation

GI Ayuba, FMCPath



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HIST/MHL/076/08Mrs Ama Edwards75 yrs femaleLeft breast lumpRcvd brownish fatty breast tissue measuring 8x6.5x2.5cm. cut surfaces reveal nodular necrotic easily friable tissues.

Sections show proliferating ductal tumour composed of round to oval and columnar hyperchromatic cells with prominent nucleoli. Focal vascular metastasis noted.

Diagnosis: Left breast lump: Metastasizing Invasive Ductal Adenocarcinoma.

GI Ayuba, FMCPath




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29 July 2008.HIST/MHL/077/08Okere Raymond 28yrs maleConjunctivaRcvd tiny brown tissue measuring 1x0.5x0.1cm

Sections show fibromyxoid tissue with hyaline elastotic degeneration.

Diagnosis: Conjunctiva: Pinguecular

GI Ayuba, FMCPath



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HIST/MHL/078/08Felicia Odeh32 yr femaleExcised PterygiumRcvd tiny brown excised tissue . 1x.5x.1cm

Sections show marked mucosal folds, submucosal tumour composed of haemorrhagic proliferation of round to oval cells secreting abundant keratin and forming whorls.

Diagnosis: Pterygium ?site: Squamous cell carcinoma.

GI Ayuba, FMCPath



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HIST/MHL/079/08Ruth Sami19yrs femaleThyroglosal cyst

Rcvd brownish cystic mass measuring 2x1.5x0.5cm. PEx2

Sections show a xcyst lined by stratified squamous cells with luminal keratin. No features of malignancy is noted.

Diagnosis: Thyroglosal cyst: Epidermal cyst.

GI Ayuba, FMCPath



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HIST/MHL/080/08Sarah Patrick DodoCervical lymph nodes26yrs femaleRcvd fatty greywhite tissue( 1x.5x.5cm) AEx1

Sections of the cervical L/N show foci of acelluar caeseous necrosis with foreign type giant cells.

Diagnosis: Cervical lymph nodes: Tuberculosis

Please check immune status

GI Ayuba, FMCPath




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Lagos29 July 2008.

HIST/MHL/081/08Blessing Desmond Ekene35yrs fUterine tissue

Rcvd multiple uterine tissues measuring 10x8x4cmSections show florid proliferation of interlacing bundles of smooth muscles with no features of malignancy.

Diagnosis: Uterine tissue: Lieomyomata

GI Ayuba, FMCPath



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HIST/MHL/082/08Bukola Bolaji Akinlolu39yrs femaleUterine tissue

Rcvd multiple uterine tissues measuring 10x8x4cmSections show florid proliferation of interlacing bundles of smooth muscles, focal hyaline degeneration with no features of malignancy.

Diagnosis: Uterine tissue: LieomyomataGI Ayuba, FMCPath




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29 July 2008.HIST/MHL/083/08Helen JimmyUterine tissue

Rcvd multiple uterine tissues measuring 10x8x4cmSections show florid proliferation of interlacing bundles of smooth muscles with no features of malignancy.

Diagnosis: Uterine tissue: lieomyomata

GI Ayuba, FMCPath



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HIST/MHL/084/08LtCol Sam Agbanusi48yrs malePlantar granuloma

Rcvd left foot lump (1.5x0.5x0.2cm) PEx2

Sections show nodular proliferations of spindle shaped fibroblastic cells with regular nuclei in a dense stroma.. No features of malignancy noted.

Diagnosis: Left foot lump: FibromaGI Ayuba, FMCPath




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29 July 2008.HIST/MHL/085/08Ezekiel Adeola58yrs MTonsils Rt/Lt

Rt: 2.3x1x0.3cm dark brown tissuesLt: 2x0.5x0.2cm gey white tissue

Left show myxomatous tissue with no epitheliqal cells noted in sample studied.Right show lymphoid cells proliferating in myxomatous stroma. No features of malignancy noted.

Diagnosis: Lt and Rt; Chronic inflammation.

GI Ayuba, FMCPath




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29 July 2008.HIST/MHL/086/08L/Cpl Ahmed Awolo32yrPeriodontal cyst. Swelling associated with non vital tooth.

Rcvd greyish perodeontal tissue measuring 2x1x0.3cm PEx3

Sections show fibrocollagenous tissuewith chronic inflammatory and epitheliod cells. No bone or odontogenic epithelium seen. No malignant features seen.

Diagnosis: Periodontal cyst: Apical cyst

GI Ayuba, FMCPath



HIST/MHL/087/08


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Bolanle Yusuf27yrs femaleBreast lumpRt: 5x2x1.9cm lumpLt: 7.5x4.5x2cm lump

Sections show proliferating glands and a fibromyxoid stroma. No features of malignancy noted.

Diagnosis: Right And Left Breast Lumps: Benign Phyloides Tumour

GI Ayuba, FMCPath



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HIST/MHL/088/08Freda Odigie16yrs FBreast lump

Rcvd creamy white breast tissue. 2.8x2x1.5cm

Sections show proliferating ducts in a fibro myxoid stroma.

Diagnosis: Breast lump: Fibroadenoma

GI Ayuba, FMCPath



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Military HospitalIkoyiLagos23 Sep 2008.

HIST/MHL/090/08Ekaete Akpan Sunday45yrs FemaleUterine tissue

Rcvd dark brown tissue measuring 10.5x8x5cm. PEx4

Sections show a malignant tumour composed of papillary proliferations lined by low cuboidal serous cells with chronic inflammatory cellular infiltrates.

Diagnosis: ?Uterus: Invasive well differentiated serous papillary adenocarcinoma

GI Ayuba, FMCPath



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HIST/MHL/091/08Olaide Hammed47yrs femaleUterine spp

Rcvd numerous nodular grey white tissues aggregating 14.5x11x8cm PEx4

Sections show proliferating interlacing bundles of smooth muscles with focal hyaline degenerations. No features of malignancy are noted.

Diagnosis: Uterine spp: Lieomyomata

GI Ayuba, FMCPath



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HIST/MHL/092/08Miss Sioma Ujie21yrs FemaleBreast lump

Rcvd 3 pcs of crean white tissues measuring 2x1.5x0.5cm. PEx2

Sections show proliferating ducts and stroma with focal slit-like ductal configuration. No features of malignancy are noted.

Diagnosis: Rt Breast lump: Fibroadenoma

GI Ayuba, FMCPath



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HIST/MHL/093/08Mr Adegoke Olatimehin25yrs maleNeck biopsy

Rcvd 3 yellowish nodular brown tissue aggregating 5x4x3cm.PEx2

Sections show destruction of the nodal architecture, uniform hyperchromatic dysplastic lymphoid proliferation with high nuclear cytoplasmic ratio having open nuclei interspersed with regular looking lymphocytes. An occasional ‘owls eye’ Reed Sternberg Cells are seen.

Diagnosis: Cervical L/Nodes: Lymphocyte predominant Hodgkins lymphoma

GI Ayuba, FMCPath



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HIST/MHL/094/08Leo George ?age MaleLymph n ode biopsy

Rcvd cream white nodular tissue measuring 1x.5x.5cm PEx1

Sections show near total replacement of the nodal architecture by creamy caeseous necrotic material with marginal focal Langhans type giant cells.

Diagnosis: Cervical Lymph node: Tuberculoid adenitis{Please check immune status, if not already done} Pt to see me at Creek Hospital if in doubt.

GI Ayuba, FMCPath



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HIST/MHL/095/08Funke Awosika30yrs femaleUterine spp




GI Ayuba, FMCPath



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HIST/MHL/096/08Mayaki Emmanuel13 yr Male?Mole

Received yellowish brown tissue measuring 2x-5cm PEx2

Sections shows verrucous epidermis, intradermal fibrocollageneous proliferation with storriform and haphazard arrangement with histiocytes. No features of malignancy noted.

Diagnosis: Molar Swelling, ?site: Benign Fibrous histiocytosis

GI Ayuba, FMCPath



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HIST/MHL/097/08Udosen Idoreyin?age FUterine spp




GI Ayuba, FMCPath



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HIST/MHL/098/08Mba Aja32yrs ?sexGluteal mass

Rcvd 3 pcs of creamish brown tissues . AEx1

Sections show epidermal acanthosis, club shaped rete pegs, acute on chronic dermal inflammationNo feature of malignancy

Diagnosis: Gluteal mass: Psoritiform dermatitis

GI Ayuba, FMCPath



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HIST/MHL/099/08Bunmi, Akinseloyin Taiyo24yrs FOvarian cyst

Rcvd cream white cystic tissue measuring 23x18x13cm PEx3

Sections show only cyst wall composed of fibro collagen and elastic tissues lined by flat endothelial lining. No features of malignancy seen.

Diagnosis: Right Ovarian cyst: Simple Follicular cyst

GI Ayuba, FMCPath



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HIST/MHL/100/08Tayo Olorunlero 24yrs FemaleBreast lumpRcvd dark brown and focally yellowish tissue measuring 6.5x3.5x2cm. PEx4

Sections show proliferating lobules with cystic spaces having apocrine metaplasia in a fibrocollagenous stroma. Focal lymphoid aggregates are seen. No feature of Malignancy noted.

Diagnosis: Breast lump ?site: Fibrocystic change

GI Ayuba, FMCPath



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HIST/MHL/101/08Patience Oyagha?age FUterine spp




GI Ayuba, FMCPath



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HIST/MHL/102/08Rhoda Joktan Matthew?age FBreast Mass

Rcvd dark brown and focally yellowish tissue measuring 3.5x2.5x1.5cm. PEx3



GI Ayuba, FMCPath



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HIST/MHL/103/08Col Olajumoke Alli36yrs ?sex??ganglion?cyst

Rcvd bits of grey white tissue all together measuring 4x3x2cmPlease indicate site with clinical history to enable proper diagnosis.

GI Ayuba, FMCPath



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HIST/MHL/104/08Blessing Nkpe?age FBreast lumpRcvd dark brown and focally yellowish tissue measuring 3.5x2.5x2cm. PEx2



GI Ayuba, FMCPath



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HIST/MHL/105/08David Sotonji47yrs MNasal Polyps

Rcvd greyish white friable tissues aggregating 3.5x2x1cm AEx1

Sections show lymphocyte proliferations with occasional squamous cellular proliferations and numerous foreign body type giant cells. These are features of Granulomatous polypposis. No features of malignancy is noted.

Diagnosis: Nasal polyp: Foreign body type Granuloma

GI Ayuba, FMCPath



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Military HospitalIkoyiLagos29 Oct 2008.

HIST/MHL/106/08Grace Dauda???age FLump Rt Breast

Rcvd 6 fibrofatty tissues measuring together 7x4.5x2cm. PEx3

Sections show florid proliferating fibroblasts with focal ductal and acinal mild to moderate proliferation. No feature of malignancy noted.

Diagnosis: Rt Breast lumps: Fibroadeneoma

GI Ayuba, FMCPath



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HIST/MHL/117/08Mrs Boye Chizoba ???age F

No clinical data on form

Rcvd cream white fibro-nodular tissues measuring 13x12wx7cm. PEx4

Sections show marked hyperplasia interlacing bundles of smooth muscles with focal hyaline degeneration. No malignant tendencies seen.

Diagnosis: Uterine mass: Lieomyomata

GI Ayuba, FMCPath



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HIST/MHL/110/08Pauline Isiwele39yrs FemaleMyoma

Rcvd cream white fibro-nodular tissues measuring 13x9wx6cm. PEx4

Sections show marked hyperplasia interlacing bundles of smooth muscles with focal hyaline degeneration. No malignant features seen.


GI Ayuba, FMCPath



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HIST/MHL/112/08Emmanuel BOMABEBE10yrs MaleCutaneous haemangioma overlying Lt Cheek bone

Rcvd cream white fibro-nodular tissues measuring 2.3x1.5wx1cm. PEx2

Sections show numerous collapsed endothelial lining, thickened tubular structures with blood clots and hemosiderin. No features of malignancy seen.

Diagnosis: Cavernous Haemangioma

GI Ayuba, FMCPath


Military Hospital


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IkoyiLagos29 Oct 2008.

HIST/MHL/116/08David Udoh54yrs maleExcision biopsy Axilla

Sections show mature lipocytes only.

Diagnosis: Axillar mass: Lipoma

GI Ayuba, FMCPath



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HIST/MHL/118/08Miss Wemimo Ojowuro35 FLt Breast tissue mass x 7yrs

Rcvd grey white fibrous tissue measuring 2x1x.5cm. AEx2

Sections show proliferating ducts and fibroblasts with focal lobular acini froming slit like spaces. No features of malignancy is noted.

Diagnosis: Lt Breast lump: Fibroadenoma

GI Ayuba, FMCPath



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HIST/MHL/119/08Ssgt Imabong Ugbaje45yrs FUterine tissue (Post hysterectomy)Rcvd grey white tissue measuring 11x6x5cm. PEx3

Sections show proliferating endometrial glands deep into the myometrium and moderate lymphocytic cellular infiltration. No malignant features seen.

Diagnosis: uterine tissue: Adenomyosis

GI Ayuba, FMCPath



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HIST/MHL/120/08Ariyo Ezekiel Niyi26yrs MExcised lump posterior neck

Sections show sheets of mature lipocytes only.

Diagnosis: Posterior back tissue: Lipoma

GI Ayuba, FMCPath



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HIST/MHL/122/08Adegoke Rebecca25 yrs FOvarian tissue ?cyst

Sections show oedematous fibrocollagenous tissue with haemorrhagic necrosis and intravascular infiltration by polymorphonuclear (pus) cells.

Diagnosis: Ovarian tissue: Hamorrhagic necrosis + Septicaemia

GI Ayuba, FMCPath



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HIST/MHL/123/08Mrs janet Okorom???age FTAH

Rcvd 7 pieces of fibrocollgenous tissue measuring together 26x18x12cm

Sections show marked hyperplasia interlacing bundles of smooth muscles with focal hyaline degeneration. No malignant features seen.


GI Ayuba, FMCPath


Military Hospital


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HIST/MHL/115/08Bertina Obiki18yrs FAppendix

Rcvd a cream white appendix tissue measuring 7x1x0.5cm. PEx3

Sections show hypertrophied lymphoid follicles with marked eosinophillic infiltration of the sub mucosa.


GI Ayuba, FMCPath



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HIST/MHL/121/08Akinkumi Oluwafunmite21 FENT Bilateral Antro choanal polyp

Received cream whit to yellowish tissue measuring 2x1x0.5cm. PEx2

Sections show polypoid mass lined by low columnar focally ciliated and partly ulcerated mucosa overlying an oedematous fibromyxoid submucosa and moderate eosinophillic and neutrophillic inflammation. No malignant feature seen.

Diagnosis: Bilateral nasal polyp: Acute non specific Inflammatory polyp.

GI Ayuba, FMCPath


Military Hospital


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HIST/MHL/125/08Regina Fafesobi???age FEndometrial polyp

Sections show polypoid masses lined by low cuboidal epithelium with a submucous tubular glandular proliferation and mild to moderate lymphoplasma inflammatory cellular infiltration.

Diagnosis: Endometrium: Endometrial Polyp

GI Ayuba, FMCPath



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HIST/MHL/114/08Dapic Lukas???Age MInguinal sac

Sections show haemorrhagic fibrinous tissue with fibrocollagen and mild inflammation. No features of necrosis or malignant transformation.

Diagnosis: Inguinal sac: Non necrotic fibrous sac

GI Ayuba, FMCPath



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HIST/MHL/111/08Olayemi Aiyedahu16yrs femaleBuccal fistula x 6weeks

Rcvd a whitish grey tissue with dark brown patches measuring 1x.5x.3cm

Sections show granulation tissue with surgical haemorrhage and acute inflammatory celluar infiltrates. These features are consistent with those of Cancrum Oris. Quick intervention with antibiotic to take care of fusifrom bacteria etc and subsequent repair is solicited.

Diagnosis: Buccal fistula: Granulation tissue (Cancrum Oris)

GI Ayuba, FMCPath



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HIST/MHL/131/08Linda Oven???Age ???sexCervical lymph node r/o lymphoma

Sections show total replacement of the nodal architecture with non celluar caesous material that is invading and replacing some striated muscles. Focal vascular channels trasversing the periphery. No other features seen.

Diagnosis: cervical tissue: Tuberculosis

GI Ayuba, FMCPath



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68 NARHYLAGOS10 JUNE 2010

68NARHY/HIST/001/2010EX63NA/212790 WO SUNDAY ALABI65YRSTEETICULAR BIOPSY ?Ca PROSTATE

Histology: sections show florid proliferation of seminiferous tubules with focal spermatogenic activities and chronic inflammatory cellular infiltrates.Focal nerves and vascular channels are seen to be invaded by hyperchromatic round to oval cells. There is capsular invasion of the tunica vaginalis by tumour cells.

Diagnosis: Testicular biopsy: Metastatic Carcinoma of the Prostate gland.

GI Ayuba, FMCPath



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68NARHY/HIST/004/2010CHRISTIANA W/O 79NA/28807 SGT EZE38YRS FEMALEBREAST LUMP NO HISTORY GIVEN ABOUT THIS PATIENT. PLS SUPPLY THAT IN SUBSEQUENT REQUESTS. Not even the site of incision.GROSS: Rcvd a piece of yellowish brown tissue with an attached negroid skin measuring 11x10.5x6.2cm and weighing 134.8g. cut surfaces show brownish cystic spaces and brownish surfaces. PEx4MICROSCOPY: sections show sheets of proliferating ductal malignant cells invading false capsules, blood vessels and forming numerous ‘comedo’ type central necrosis. There is a moderate host cellular response. No lymphnode isolated.

Diagnosis: Breast ??site: Invasive Ductal carcinoma . NOS

GI Ayuba, FMCPath



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PATHOLOGY DEPT68 NARHYLAGOS10 JUNE 2010

68NARHY/HIST/001/2010EX63NA/212790 WO SUNDAY ALABI65YRSTEETICULAR BIOPSY ?Ca PROSTATE

Histology: sections show florid proliferation of seminiferous tubules with focal spermatogenic activities and chronic inflammatory cellular infiltrates.Focal nerves and vascular channels are seen to be invaded by hyperchromatic round to oval cells. There is capsular invasion of the tunica vaginalis by tumour cells.

Diagnosis: Testicular biopsy: Metastatic Carcinoma of the Prostate gland.

GI Ayuba, FMCPath

Col


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Consultant Pathologist


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68NARHY/HIST/004/2010CHRISTIANA W/O 79NA/28807 SGT EZE38YRS FEMALEBREAST LUMP NO HISTORY GIVEN ABOUT THIS PATIENT. PLS SUPPLY THAT IN SUBSEQUENT REQUESTS. Not even the site of incision.GROSS: Rcvd a piece of yellowish brown tissue with an attached negroid skin measuring 11x10.5x6.2cm and weighing 134.8g. cut surfaces show brownish cystic spaces and brownish surfaces. PEx4MICROSCOPY: sections show sheets of proliferating ductal malignant cells invading false capsules, blood vessels and forming numerous ‘comedo’ type central necrosis. There is a moderate host cellular response. No lymphnode isolated.

Diagnosis: Breast ??site: Invasive Ductal carcinoma . NOS

GI Ayuba, FMCPath

Col


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Consultant Pathologist

68 NARHYLAGOS01 July 2010

68NARHY/HIST/005/2010Mrs Yemisi Ojo Adefemi38yrs FGallbladder ?Cholecystitis

Rcvd a grey white tissue measuring 12x2.5cm and weighs 134g. The lumen is filled with numerous >100 pcs of brown stones. The mucosal surface is smooth. PEx2

Sections show regular cuboidal mucosal lining of biliary glands focally becoming stratified to two to four layers. The cells are linearly arranged with basally located nuclei. There is a moderate to severe mononuclear cellular infiltration of the mucosa and sub-mucosa. No features of neoplastic changes are seen.The features are consistent with chronic choledocystitis.

Diagnosis: Chronic Cholecystitis

GI Ayuba, FMCPath



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68 NARHYLAGOS1 July 2010

68NARHY/HIST/006/2010Florence Audu50yrs FemaleLumpectomy for histologyClinic: Dr Emodi 08037127105

Rcvd a piece of fibrofatty tissue measuring 5x3x2cm and weighing 25g.

Sections show sheets of mature lipocytes with occasional fibrous proliferation. No features of malignancy noted.Diagnosis: Lumpectomy ?site: LipomaGI Ayuba, FMCPath



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NARHYLAGOS15 July 2010

68NARHY/HIST/009/2010Paulina Posi35yrs femaleOvarian Masses

A- Rt Ovarian sppB- Lt Ovarian sppC- Omentum:

A- Right Ovary: Rcvd a piece of greyish brown cystic tissue with a tubular attachment measuring 6x5.2x2.5cm. the cystic cavities have diameters ranging from 0.4-1.7cm. the tube measures 4.7cm in length. PEx2

Histology: Sections show sheets of ground to oval hyperchromatic cells having high nuclear cytoplasmic ratio, coarse open nuclei, prominent nucleoli and 3-5 mitotic figures. There are areas forming glandular structures and focal large papillae. Haemorrgic necrosis and Sammoma bodies are noted in some cystic structures and vascular/lymphatic invasion of malignant cell clusters seen.

B- Left Ovary: Rcvd a grey brown tissue with tubular attachment measuring 6.2x3x2.5cm and weighs 34g. PEx2

Histology: histological appearances are similar to those seen in A with more haemorrhagic necrosis.


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C- Omentum: Rcvd cream white tissue measuring 3x2x2cm and weighing 15g. Cut surfaces reveals a fairly homogenous cream white appearance. PEx2

Histology: Sections show metastatic serous papillary adenocarcinoma invading omental tissue, vascular channels and lymphatics. No other features seen.

Diagnosis:A- Right Ovary: Serous (Papillary) Well differentiated CystadenocarcinomaB- Left Ovary: Serous (Papillary) Well differentiated CystadenocarcinomaC- Omentum: Metastatic Ovarian serous(papillary) Cystadenocarcinoma

GI Ayuba, FMCPath



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PATHOLOGY DEPARTMENT68 Nigerian Army Reference HospitalMyhoung Barracks Yaba, LAGOS, Nigeria25 July 2010.

68NARHY/HIST/008/10Miss Amaka NwabunikeF 20yrsLt Breast Mass (Excision Biopsy)

Rcvd 2 firm fibro fatty tissue all measuring 7x5.5x3cm and weighing 16g. Cut surface is homogenous yellowish white. PEx2

Histology: Sections show fibro-glandular proliferation with cystic dilatations of varying sizes, focal apocrine metaplasia and mild lympho-plasma cellular infiltrates. The ducts are lined by simple columnar epithelium with good polarity and no features of dysplasia or malignancy seen.

Diagnosis: Lt Breast mass Bx: Fibrocystic Change

GI Ayuba, FMCPath



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PATHOLOGY DEPARTMENT68 Nigerian Army Reference HospitalMyhoung Barracks Yaba, LAGOS, Nigeria23 July 2010.

68NARHY/Hist/001PM/10Mrs Chidinma Gbenro33 FemalePost Mortem Suprarenal glands, spleen and Liver sinusoid blood clotsReceived spp of the liver sinusoids blood clots, spleen and adrenal glands. PEx2Microscopy: the spleen show only ghost appearances of splenic follicles and fibrous remnants. The adrenal gland show haemorrhagic necrosis with cords of the cortex and medular fairly visible. Features are those of hypovolaemic shock.

Diagnosis: Postmortem specimen: Features of hypovolaemic shock

GI AYUBAFMCPath



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PATHOLOGY DEPARTMENT68 Nigerian Army Reference HospitalMyhoung Barracks Yaba, LAGOS, Nigeria14 August 2010.

68NARHY/Hist/002PM/10Sgt Sambo Musa33yrs maleSpleen, Liver and Kidneys

Liver: Show haemorrhagic congestion of sinusoids with focal fusiform dilatations, moderate to severe portal fibrosis with porto-portal bridging fibrinous necrosis. There are focal areas of mild to moderate lymphocytic celluar infiltrates.Kidneys:Cortical necrosis with congested medulary and cortical vessels. Some viable cortical glomeruli are noted.Spleen: Congested red and white pulps with focal necrosis and fibrosis.

Diagnosis: Post Mortem spp: Ischaemic Shock kidneys, Early Cirrhotic liver and Sinusoidal congested Spleen

GI AYUBAFMCPath



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PATHOLOGY DEPARTMENT68 Nigerian Army Reference HospitalMyhoung Barracks Yaba, LAGOS, Nigeria14 August 2010.

68NARHY/Hist/0011/10Ndidi Amaka Osuji36yrs FemaleUterine FibroidsReceived a nodular uterine fibrous specimen measuring 16x11x6cm with a grey white whorled fibrous appearances on cut surfaces. PEx4Sections show sheets of interlacing bundles of smooth muscles with focal areas of hyaline degeneration. No features of malignant transformation is noted.

Diagnosis: Uterine sample: Lieomyoma.

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PATHOLOGY DEPARTMENT68 Nigerian Army Reference HospitalMyhoung Barracks Yaba, LAGOS, Nigeria11 Sep 2010.

68NARHY/Hist/0016/10Helen w/o Ex 63NA/351741 Ugbo Sunday 56yrs FemaleEndometrial biopsy

Rcvd fragments of greyish brown material together aggregating 1ml. AE#sections show surgical haemorrhage and polypoid masses with peripheral pallisading of dense fibroblast and loose haemorrhagic cores. There is a moderate lymphoplasma cellular infiltration.

Diagnosis: Uterine curreting: Endometrial Polyp.

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68NARHY/Hist/0017/1002NA/51/375 L/Cpl Kehinde Ofunloye 28yrs MaleRt Sub-gluteal lipoma.

Rcvd a piece of yellowish tissue covered by a negroid skin measuring 3x2x1.2cm. PEx2

Sections show regular epidermis overlying a dermis with moderate to severe chronic inflammatory cellular infiltrates in the subcutaneous tissue, and sheets of mature lipocytes. There are serous sweat glands noted. No features of malignancy seen.

Diagnosis: Rt Gluteal mass: Chronic inflammation.

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NB: PERIPHERAL BLOOD FILM AND OTHER ANCILLIARY INVESTIGATIONS NEEDED TO DETERMINE THE NATURE OF THE LARGE NUMBER OF SUBCUTENOUS LYMPHOCYTES

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68NARHY/Hist/0018/10Miss Lydia Semi 31yrs FemaleUterine fibroids

Rcvd a nodular cream white tissue measuring 37x18x15cm and weighing 7kg. Cut surfaces reveal cream white haemorrhagic and whorled appearances. No cysts seen. No features of the cervix or any other parts of the uterus. (?Pedunculated)

Sections show sheets of interlacing bundles of smooth muscles with foci of hyline degeneration. No features of malignancy seen.

Diagnosis: Uterine mass: Lieomyomata.

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68NARHY/Hist/0018/1079NA/32952 Cpl Effiong Constantine47yrs Male???site ?lipomaRcvd 2 pieces of yellowish soft tissues measuring altogether 7x4.8x2.0cm and weighing 15.2g. cut sections show homogenous yellow surfaces.

Sections show dermal tissue composed essentially of sheets of mature lipocytes interspersed by fibrous band into lobules. No features of malignancy noted.

Diagnosis: ???SITE: Lipoma

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HISTOPATHOLOGY REPORTS 2010

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