surgicopathologic cconference 2011-new.pptx
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Surgicopathologic CONFEREnce
Surgicopathologic CONFEREnceaugust green svcOBSTETRICAL CASES
Ectopic Pregnancy7 Abortion16 Trophoblastic Disease0 TOTAL OBSTETRIC PROCEDURES 24 Bilateral Tubal Ligation16Completion Curettage 12 Dilatation and Curettage4Salpingiectomy 7Suction Curettage0
GYNECOLOGICAL CASESONG prob benign4ONG prob malignant0Myoma Uteri 4Adenomyosis0AUB3GTN0Straddle injury0POP2
GYNECOLOGICAL PROCEDURES13Salpingo-oophorectomy1Oophorocystectomy0TAH1TAHBSO5TAHBSO,IO, PFC, BLND0Vaginal hysterectomy with AP repair2Myomectomy1Diagnostic curettage3
OB CASESNamePre-OP DxProcedurePost-Op DXHistopath Dx1. JS/AMHipolito,C32G3P3(3-0-0-3)
2.RA/FRCalse,J.36G8P8(8-0-2-5)
G3P2(2-0-0-2)PU 38 wks AOG, prev CS 1x (2004-BGHMC) for breech presentation, cephalic in labor
G8P7(7-0-2-4)PU 38 wks AOG, prev CS 1x (2010-BGHMC) for arrest of descent, cephalic in labor
E LSCS 2x with BTLJS/GM
E LSCS 2x with BTLRA/JSG3P3(3-0-0-3) PU, cephalic, delivered, term (38-39 wks),live baby boy (3.32kg) AGA, by E LSCS 2x + BTL for prev CS 1x, VSC
G8P8(8-0-2-5) PU, cephalic, delivered, term (39-40 wks),live baby girl(3kg) AGA, by E LSCS 2x + BTL for prev CS 1x, VSC
No histopathologic changes, bilateral fallopian tubes
No histopathologic changes, bilateral fallopian tubesNamePre-OP DxProcedurePost-Op DXHistopath Dx3.RA/FRCabading,D.21G3P3(3-0-0-3)
4.GM/JDLabotan,M.33G3P3(3-0-0-3)
G3P3(3-0-0-3) PU 39 wks AOG, CIL, prev CS 1x for twin gestation (2010 BGHMC)
G3P2(2-0-0-2) PU 37 wks AOG, Pre-eclampsia severe uncontrolled
E LSCS 2x+BTLRA/JS
E LSCS 1x+BTLGM/JSG3P3(4-0-0-4) PU,delivered, cephalic, term birth (38-39 wks) live girl, (2.63kg) by E LSCS 2x+BTL for prev CS 1x, VSC
G3P3(3-0-0-3)PU delivered,term (37-38wks) live baby boy,(2.7kg) AGA, by E LSCS+BTL for pre-eclampsia severe uncontrolledNHPC, bilateral fallopian tubes
NHPC, bilateral fallopian tubesNamePre-OP DxProcedurePost-Op DXHistopath Dx5.GM/JDMorla,E.37G3P3(3-0-0-3)
6.GM/JDUgay,M.37G2P2(2-0-0-2)
G3P2(2-0-0-2) PU 37 wks AOG, CIL, prev CS 2x for CPD(2004 UGH)
G2P1(1-0-0-1) PU 39 wks AOG, prev cs 1x for CPD (2004-WPDH)
E LSCS 3x+BTLGM/JS
E LSCS 2x+BTLGM/JSG3P3(3-0-0-3) PU,delivered, cephalic, term (40-41 wks) live boy, (3.1kg) by E LSCS 3x+BTL for prev CS 2x, VSC
G2P2(2-0-0-2)PU delivered,term (40wks) live baby boy,(2.87kg) AGA, by E LSCS+BTL for prev cs 1x, VSCNHPC, bilateral FT
NHPC, bilateral FT
NamePre-OP DxProcedurePost-Op DXHistopath Dx7.GM/JDAndomang,Z.31G5P5(5-0-0-5)
8.JS/AMPel-is,T.29G4P4(4-0-0-4)
G5P5(5-0-0-5) S/P partum, Voluntary Sterilization client
G4P3(3-0-0-3) PU 39 wks AOG, prev cs 2x for breech(2006-BGH,2008)
E BTLGM
E LSCS 3x+BTLJS/RAG5P5(5-0-0-5) S/P partum, Voluntary Sterilization client
G4P4(4-0-0-4)PU delivered,term (39-40wks) live baby girl,(2.84kg) AGA, by E LSCS+BTL for prev cs 2x, VSCNHPC, bilateral fallopian tubes
NHPC, bilateral fallopian tubesNamePre-OP DxProcedurePost-Op DXHistopath Dx9.RA/FRPlacino,B.32G3P3(3-0-0-3)
10.RA/FRMongado,M.32G3P3(2-1-0-2)
G3P2(2-0-0-2) PU 38wks AOG, CIL prev CS 2x (G1-2005,BGH CPD,2008 BGH
G3P2(1-1-0-1) PU 39 wks AOG, CIL Prev CS 2x, (2000 Placenta Previa Totalis-BGH, 2009)
E LSCS 2x+BTL
E LSCS 3x+BTLRA/JSG3P3(3-0-0-3) PU,delivered, cephalic, term (40-41 wks) live boy, (3.1kg) by E LSCS 3x+BTL for prev CS 2x, VSC
G3P3(2-1-0-2)PU delivered,term (38-39wks) live girl,(2.9kg) AGA, by E LSCS 3x+BTL for prev cs 2x, VSCNHPC, bilateral FT
NHPC, bilateral FTNamePre-OP DxProcedurePost-Op DXHistopath Dx11.RA/FRSescon,E.32G4P3(4-0-1-4)
12.JT/JDMabalotJ.33G3P3(1-2-0-3)
G4P2(2-0-1-2) PU 35-36 wks AOG, twin gestation, breech cepahalic in preterm labor
G3P2(1-2-0-2) PU 33-34 wks AOG, pre-eclampsia severe in impending eclampsia
E LSCS 1x+BTLRA/JS
E LSCS 1x+BTLRA/DBG4P3(4-0-1-4) PU,delivered, breech- cephalic, preterm (35-36 wks) live set of boys, by E LSCS 1x+BTL for twin gestation 2x, VSC
G3P3(1-2-0-3)PU delivered, preterm (34-35wks) live baby girl,(1.75kg) SGA, by E LSCS 1x+BTL for pre-eclampsia severe in impending eclampsia, VSCNHPC, bilateral FT
Hydatid cyst of Morgagni, 1st fallopian tube; NHPC, 2nd fallopian tubeNamePre-OP DxProcedurePost-Op DXHistopath Dx13.JT/JDLaureataJ.32G4P4(4-0-0-3)
14.GM/AMBalitang,E.29G2P2(2-0-0-2)
G4P3(3-0-0-2) PU 38-39 wks AOG, CIL, prev CS 3x for PCD(1999 PCDH)
G2P1(1-0-0-1) PU 37-38 wks AOG, CIL, prev CS 2x for Oligohydramnios (2003 BMC)
E LSCS 4x+BTLGM/JT
E LSCS 2x+BTLGM/DB
G4P4(4-0-0-3) PU,delivered, cephalic, term (39-40 wks) live boy, (2,.47kg) by E LSCS 4x+BTL for prev CS 3x, VSC
G2P2(2-0-0-2) PU,delivered, cephalic, term (39-40 wks) live girl, (3.38kg) by E LSCS 2x+BTL for prev CS 1x, VSC
Hydatid cyst of Morgagni, 1st FT; NHPC, 2nd FT
NamePre-OP DxProcedurePost-Op DXHistopath Dx15.DB/FRBas-ilan,L.35G7P7(6-1-0-7)
G7P6(6-0-0-6) PU 33-34 wks AOG, pre-eclampsia severe in impending eclampsia
E LSCS 1x+BTLDB/GMG7P7(6-1-0-7)PU delivered,preterm (31-32wks) live baby girl,(1.55kg) SGA, by E LSCS+BTL for pre-eclampsia severe in impending eclampsia, VSCNHPC, Bilateral fallopian tubesNamePre-OP DxProcedurePost-Op DXHistopath Dx16.DB/JDNamuro,S.28G4P4(4-0-0-4)
G4P3(3-0-0-3) PU 38 wks AOG, twin gestation transverse-transverse, in labor
E LSCS+BTLDB/JS
G4P4(5-0-0-5) PU,delivered, transverse-transverse, term (38wks) live set of girls,by E LSCS 1x+BTL for twin gestation trasnverse-transverse, VSC
NHPC, bilateral fallopian tubesCompletion Currettage (12)NamePre-OP DxProcedurePost-Op DXHistopath Dx1.DB/JDCaluza,E.36G1P0(0-0-1-0)
2.DB/JDMauri,P.22G2P1(1-0-1-1)
G1P0(0-0-1-0) PU 8-9 wks AOG, abortion incompleteNon septic non induced
G2P1(1-0-1-1) PU 9-10 wks AOG, abortion incomplete, non septic non induced
Completion Currettage
Completion CurrettageG1P0(0-0-1-0) PU 8-9 wks AOG, abortion incompleteNon septic non induced, completed
G2P1(1-0-1-1) PU 9-10 wks AOG, abortion incomplete, non septic non induced, completed
Decidua, No villi
Placental tissues and decidual tissuesNamePre-OP DxProcedurePost-Op DXHistopath Dx3.DB/JDMapili,B.33G5P3(3-0-2-3)
4.GM/JDGangab,G.36G4P3(3-0-1-3)
G5P3(3-0-2-3) PU 12-13 wks AOG, abortion incomplete, non septic non induced
G4P3(3-0-1-3) PU 9-10 wks AOG, abortion incompleteNon septic non induced
Completion Currettage
Completion Currettage
G5P3(3-0-2-3) PU 12-13 wks AOG, abortion incomplete, non septic non induced
G4P3(3-0-1-3) PU 9-10 wks AOG, abortion incompleteNon septic non induced, completed
Decidual tissues with syncytio-trophoblast
Placental tissues and decidual tissues
NamePre-OP DxProcedurePost-Op DXHistopath Dx5.DB/JDSaniben,R.16G1P0(0-0-1-0)
6.DB/JDChockial,C.17G1P0(0-0-1-0)
G1P0(0-0-1-0) PU 14-15 wks AOG, abortion incompleteNon septic non induced
G1P0(0-0-1-0) PU 8 wks AOG, abortion incomplete, non septic non induced
Completion Currettage
Completion CurrettageG1P0(0-0-1-0) PU 14-15 wks AOG, abortion incompleteNon septic non induced, completed
G1P0(0-0-1-0) PU 8 wks AOG, abortion incomplete, non septic non induced
Placental tissues and decidual tissues
Decidua, no villiNamePre-OP DxProcedurePost-Op DXHistopath Dx7.RA/FRMendoza,M.22G2P1(1-0-1-1)
8.GM/JDDait,R.29G3P0(0-0-3-0)
G2P1(1-0-1-1) PU 7-8 wks AOG, abortion incompleteNon septic non induced
G3P0 (0-0-3-0) PU 9-10 weeks AOG, abortion incomplete, non septic non inducedCompletion Currettage
Completion CurrettageG2P1(1-0-1-1) PU 7-8 wks AOG, abortion incompleteNon septic non induced, completed
G3P0(0-0-3-0) PU 9-10 weeks AOG, abortion incomplete, non septic, non induced,completedPlacental tissues and decidual tissues
Decidua, no villiNamePre-OP DxProcedurePost-Op DXHistopath Dx9.RA/FRAlvarez,M.34G6P5(5-0-1-5)
10.JT/JDTuangco,H.28G5P3(3-0-2-3)
G6P5(5-0-1-5) PU 11-12 wks AOG, abortion incompleteNon septic non induced
G5P3 (3-0-2-3) PU 12-13 weeks AOG, abortion incomplete, non septic non inducedCompletion Currettage
Completion CurrettageG6P5(5-0-1-5) PU 11-12 wks AOG, abortion incompleteNon septic non induced, completed
G5P3(3-0-2-3) PU 12-13 weeks AOG, abortion incomplete, non septic, non induced,CompletedDecidua with syncytiotro-phoblast
Decidua, no villiNamePre-OP DxProcedurePost-Op DXHistopath Dx11.RA/FRBantiag,M.34G5P3(3-0-2-3)
12.GM/AMMolitas,N.26G3P1(1-0-2-1)
G5P3 (3-0-2-3) PU 8-9 weeks AOG, abortion incomplete, non septic non induced
G3P1(1-0-2-1) PU 10 wks AOG, inevitable abortion
Completion Currettage
Completion Currettage
G5P3(3-0-2-3) PU 8-9 weeks AOG, abortion incomplete, non septic, non induced,Completed
G3P1(1-0-2-1) PU 10 wks AOG, abortion incompleteNon septic non induced, completed
Placental tissues and decidual tissues
Decidua with syncytio-trophoblastDilatation and CurrettageNamePre-OP DxProcedurePost-Op DXHistopath Dx1.RA/FRMarzo,N.35G1P0(0-0-1-0)
2.JS/AMLongboy,C.33G5P3(3-0-2-3)
G1P0(0-0-1-0) PU 9-10 wks AOG, Missed abortion
G5P3(3-0-2-3) PU 14 weeks AOG, missed abortionDilatation Currettage
Dilatation CurrettageG1P0(0-0-1-0) PU 9-10 wks AOG, missed abortion, evacuated
G5P3(3-0-2-3)PU 14 weeks AOG, missed abortion, evacuatedDecidua, no villiNamePre-OP DxProcedurePost-Op DXHistopath Dx3. JT/JDErive, L.40G3P2(2-0-1-2)
4.JT/AMSanchez,J33G3P2(0-2-1-1)
G3P2(2-0-1-2) PU 9-10 wks AOG, missed abortion
G3P2(0-2-1-1) PU 11-12 wks AOG, missed abortion
Dilatation Currettage
Dilatation CurrettageG3P2(2-0-1-2) PU 9-10 wks AOG, missed abortion, evacuated
G3P2(0-2-1-1) PU 11-12 wks AOG, missed abortion, evacuated
Necrotic decidua, no villi
Placental tissues and decidual tissuesEctopic PregnancyNamePre-OP DxProcedurePost-Op DXHistopath Dx1. DB/FRQuiros,M.25G1P0(0-0-1-0)
2.RA/FREbeng,S.34G4P2(2-0-2-2)
G1P0 Ectopic Pregnancy
G4P2(2-0-1-2) t/c Ectopic Pregnancy
Salpingectomy, rightPeritoneal lavageDB/GM
E ExlapSalpingectomy left, PLAppendectomyRA/JS
G1P0(0-0-1-0) Tubal pregnancy, right ampullary, ruptured with minimal hemoperitoneum
G4P2(2-0-2-2) Tubal pregnancy left ampullary ruptured w/ min hemoperitoneumReactive Appendicitis
-Tubal pregnancy fallopian tube ,left-hydatid cyst of morgagni
-Tubal pregnancy left , FT-early acute appendicitis, vermiform appendix
NamePre-OP DxProcedurePost-Op DXHistopath Dx3. JS/AMMartin, H24G2P1(1-0-1-1)
4.JS/AMRobles,S.22G2P1(1-0-1-1)
G2P1(1-0-0-1) Ectopic pregnancy
G2P1(1-0-0-1) t/c Ectopic Pregnancy
Salpingectomy left, PLJS/RA
E ExlapSalpingectomy right, cystectomy left, PL, blood transfusionJS/GMG2P1(1-0-1-1) Tubal Pregnancy left, ampullary ruptured with mod hemoperitoneum
G2P1(1-0-1-1) Tubal pregnancy right ampullary ruptured w/ mod. hemoperitoneumHemmorrhagic cyst left
Ruptured left tubal pregnancy
Tubal pregnancy, rightNamePre-OP DxProcedurePost-Op DXHistopath Dx5. JT/JDTacay,M.25G3P2(2-0-1-2)
6.JT/JDVigilia,L.24G2P1(1-0-1-1)
G3P2(2-0-0-2) Ectopic Pregnancy
G2P1(1-0-0-1) T/c Ectopic Pregnancy
E ExlapSalpingectomy right, PLAdhesiolysisRA/JT
E ExlapSalpingectomy left, PLRA/JT
G3P2(2-0-1-2) Tubal pregnancy right ruptured with massive hemoperitoneum,Massive adhesions
G2P1(1-0-1-1) Tubal pregnancy left ampullary ruptured with minimal hemoperitoneumRuptured tubal pregnancy, right fallopian tube
Tubal pregnancy, left fallopian tubeNamePre-OP DxProcedurePost-Op DXHistopath Dx7. JT/JDSalatic,I16G1P0(0-0-1-0)
G1P0 Ectopic Pregnancy
E ExlapSalpingectomy left, PLRA/JT
G1P0(0-0-1-0) Tubal pregnancy left ruptured with moderate hemoperitoneum,
Tubal pregnancy, left GYNECOLOGY CASESDiseases of the Uterus-Diagnostic Currettage
NamePre-OP DxProcedurePost-Op DXHistopath Dx1.JT/AM Palma,L.36G2P2(2-0-0-2)
2.GM/AMAgustin,P.26G4P3(3-0-1-3)
G2p2(2-0-0-2) Abnormal Uterine Bleeding r/o endometrial pathology
G4P3(3-0-1-3) Abnormal Uterine Bleeding r/o endometrial pathology
Diagnostic Currettage
Diagnostic CurrettageG2P2(2-0-0-2) Abnormal Uterine Bleeding r/o endometrial pathology
G4P3(3-0-1-3) Abnormal Uterine Bleeding r/o endometrial pathology
Consistent with a hemorrhagic secretory endometrium with focal features suggestive of an endometrial polypNamePre-OP DxProcedurePost-Op DXHistopath Dx3.GM/JD Bastian,S.34G3P3(3-0-0-3)
G3p3(3-0-0-3) Abnormal Uterine Bleeding r/o endometrial pathology, anemia severe secondary
Diagnostic Currettage,Blood transfusion
G3P3(3-0-0-3) Abnormal Uterine Bleeding r/o endometrial pathology, anemia corrected
Simple hyperplasia without atypiaNamePre-OP DxProcedurePost-Op DXHistopath Dx4.RA/FRDaowan,J.44G6P3(3-0-3-3)
G6p3(3-0-3-3) Myoma Uteri, Intramural
TAHBSORA/GM/JS
G6P3(3-0-3-3)Myoma Uteri Intramural
>Intramural leiyomyoma,corpus uteri>late proliferative endometrium>chronic cervicitis w/ squamous metaplasia and nabothian follicles,cervix>Cystic Follicles,bilateral ovaries>Simple cyst, right ovary>surface inclusion cyst ,left ovaryHCM,Right FTNHPC,left FT
UTERUS:12 X 13 X 9 cim
CERVIX:6 X 2 X 1.5 cm
Cut section: Whitish well CircumscribedIntramural Mass with whorled cut surfacesrNamePre-OP DxProcedurePost-Op DXHistopath Dx5.RA/JDDalangin,M.42G2P2(2-0-0-2)
G2p2(2-0-0-2) Myoma Uteri, Intramural
TAHRA/JS
G2P2(2-0-0-2)Myoma Uteri Intramural with subserous component
>Submucous,intramural and subserosal leiyomyomas, corpus uteri>Secretory endometrium>Mild chronic cervicitis with focal squamous metaplasia ad nabothian follicles
Corpus: 11 x 8 x 6 cmCervix: 4 x 3 x 1.5 cm
Cut section:Submucous, Intramural, and subserous myomasNamePre-OP DxProcedurePost-Op DXHistopath Dx6. GM/JDValdez,E.72G9P38(8-0-1-8)
G9P8 (8-0 -1 -9) POP St. IV,CAD, lateral wall ischemia not in CHFHPN II, controlled
Vaginal Hysterectomy with AP repairGM/RA/JS
G9P8 (8-0 -1 -9) POP St. IV,CAD, lateral wall ischemia not in CHFHPN II, controlled
NamePre-OP DxProcedurePost-Op DXHistopath Dx7.RA/AMDe la Cruz, C.69G8P8(8-0-0-8)
G8P8(8-0-0-8)POP St IV
Vaginal Hysterectomy with AP repairRA/GM/JS
G8P8(8-0-0-8)POP St IV
Corpus Uteri-endometrial polyp-atrophic endometriumCervix-mild chronic cervicitis
Corpus: 4.5 x 3.5 x 2.5 cmCervix: 3.8 x 2.5 x 1.8 cmNamePre-OP DxProcedurePost-Op DXHistopath Dx8.GM/AMDivina,H.42G0P0
G0P0 Myoma Uteri submucous, Complex Hyperplasia with focal atypia s/p D&C anemia sec. to acute blood loss corrected.
TAHBSOGM/RA/JS
G0P0 Myoma Uteri submucous, Complex Hyperplasia with focal atypia s/p D&C anemia sec. to acute blood loss corrected.
Uterus: 10 cm x 10 cm x 7 cmNamePre-OP DxProcedurePost-Op DXHistopath Dx9.GM/JDAzur,M.33G0P0
G0P0 Myoma Uteri submucous
Myomectomyw/ chromopertubation-adhesiolysisGM/RA
G0P0 Myoma Uteri Submucous, massive adhesions
-leiyomyomaIntra-op findings:Uterus: 10 x 10 x 8 cmSubmucous myoma: 9 x 9 x 7 cm, posteriorly locatedPatent right fallopian tube on chromopertubation
Diseases of the OvaryNamePre-OP DxProcedurePost-Op DXHistopath Dx1.RA/FR Yorong,T.37G1P1(1-0-0-1)
G1P1(1-0-0-1) Ovarian New Growth left r/o Torsion
E S&O left, PL, appendectomy
G1P1(1-0-0-1) Ovarian New Growth left leaking probably endometrioma, reactive appendicitis
>Endometriotic Cyst, Hemorrhagic corpus luteum and cystic follicles, left ovary>Vascular Congestion Left fallopian tube>Reactive PeriappendicitisNamePre-OP DxProcedurePost-Op DXHistopath Dx2.FRDe Guzman,I.44G6P3(3-0-3-3)
G6P3(3-0-3-3)Ovarian New Growth BilateralTAHBSOFR/JD/RA
G6P3(3-0-3-3) Ovarian New Growth bilateral twisted probably dermoid cyst
Mature cystic teratoma, bilateral ovaries
Left ovary: twisted, 10x8x4 cmCystic with some solid componentsUterus: 4x4x2 cmCervix: smoothRight Ovary: cystic, smooth, enlarged to 5.5 x 7 x 4cmNamePre-OP DxProcedurePost-Op DXHistopath Dx3. RA/JDAbalanza,T40G2P2(2-0-0-2)
G2P2(2-0-0-2) Ovarian new growth bilateral
TAHBSO, adhesiolysisRA/JS
G2P2(2-0-0-2) Ovarian New Growth bilateral probably endometrioma, massive adhesions, anemia secondary to acute blood loss corrected
-Intramural leiyomyomas,corpus uteri-adenomyosis-late proliferative endometrium-chronic cervicitis with squamous metaplasia and nabothian follicles-endometriotic cyst, bilateral ovaries-hydatid cyst of morgagni,bilateral FT
7.2x6.5x3.5cmuterus4.9x3.5x1.2cmcervixAnterior View.
Posterior ViewNamePre-OP DxProcedurePost-Op DXHistopath Dx4.JS/AMAlmeron,P.43G1P1(1-0-0-1)
G1P1(1-0-0-1) Ovarian New Growth right probably endometrioma
TAHBSOappendectomyJS/RA
G1P1(1-0-0-1) Ovarian New Growth right probably dermoid
-Mature cystic teratoma w/ acute hemorrhagic necrosis right ovary-secretory endometrium-acute & chronic cervicitis w/ squamous metaplasia & nabothian follicles-vascular congestion and recent hemorrhage, RFTNHP, LFT-reactive periappendicitisVermiform appendix
RIGHT OVARY:X 8 X 5 cmTwisted 2x, gangrenousUTERUS: 7 X 7X 5 cmCERVIX: 4X3X2.5 cm