Kokilaben Dhirubhai Ambani Hospital Cases

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A 62-year-old female presented with dull aching abdominal pain and adnexal mass on evaluation. Serum CA-125 was 249 u/ml, PET scan findings: Metabolically active right adnexal mass measuring 5.2 x 3.6 cm. Additional metabolically active abdominal, retroperitoneal, left inguinal lymph nodes. Bilateral salpingectomy was performed and specimen sent for histopathology examination. Right fallopian tube mass measures 6.5 x 5 x 3 cm. Serosa was rough and on cut section appeared solid. Bilateral ovaries are normal in size & approximately measures 2.5 x 1.5 x 0.6 cm with rough external surface. Left fallopian tube was unremarkable. 

One H&E slide and ten unstained sections each from right tubal mass and right ovary is submitted.

- Case to be discussed by Raheja Hospital / K.J.Somaiya Medical College.

A 53-year-old male presented with right scrotal swelling and pain in right lumbar region. USG: Right testicular mass which is predominantly solid and shows few cystic components. Serum LDH > 400 U/L, serum β-HCG < 1.2 mIu/ml, serum AFP 1.99 ng/ml. Right high orchidectomy done. On gross examination, the entire testis shows a grey white, firm, solid tumour measuring 11 x 8.5 x 7 cm reaching upto the tunica, abutting the epididymis and reaching the base of the spermatic cord.

One H&E slide and ten unstained sections provided.

- Case to be discussed by Tata Memorial Hospital.

A 75-year-old man, complained of retrosternal burning sensation, recent weight loss of 5-6 kg. 

Endoscopy: Large ulceroproliferative mass at the gastroesophageal junction.

Biopsy done, post which received chemotherapy.

Specimen received after definitive surgery, post chemotherapy.

Gross: Polypoidal exophytic ulcerated mass measuring 8 cm, involving distal esophagus, gastroesophageal junction and proximal part of stomach.

One H&E slide and ten unstained sections provided.

- Case to be discussed by  LTMMC (Sion Hospital) / D. Y. Patil Medical College.

A 30-year-old female presented with history of swelling over bilateral feet, skin lesions and oliguria. Rise in serum creatinine from 1.2 to 3 mg/dl in 2 weeks. Diagnosed as acute renal failure (requiring dialysis). Renal biopsy done to ascertain the cause.

One HE and Three special stains digitalized slides.

- Case to be discussed by KEM Hospital / MGM Hospital.

A 66-year-old male complained of a swelling over right upper thigh, gradually increasing since 4 months. The mass was not associated with pain or restriction of daily activities. MRI: A well circumscribed lobulated and encapsulated lesion in the intermuscular plane along the anterolateral aspect of right upper thigh. It appears hyperintense on T2w images and hypointense on T1w images.

One HE digitalized slide .