help with a certain pathology case

[rolen05]

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Hi everyone,

I was wondering if anyone could help me out with identifying the organ and the pathology behind it in the picture I've linked to? Even if you can just push me in the right direction I should be able to figure it out..

Thanks!

http://imageshack.us/photo/my-images/12/picture1yse.jpg/

 

[Parts Unknown]

Hi everyone,

I was wondering if anyone could help me out with identifying the organ and the pathology behind it in the picture I've linked to? Even if you can just push me in the right direction I should be able to figure it out..

Thanks!

http://bit.ly/jc1X0d

Looks like a "Temporary Error (404)."

 

[turkeyjerky]

Looks like a "Temporary Error (404)."

I agree. There's a pretty good summary of this condition in Robbins.

 

[rolen05]

never mind figured it out i think..hah

 

[RapplixGmed]

Ok this is a total complete guess but its the best I can come up with:

I'm going to guess that the organ is a thymus because those two vessels making the V look like the main stem bronchi coming off the carina. (you are looking at a cut of the posterior aspect of the thymus where it is attached to the superior mediasteinum)

The thymus sometimes gets germ cell tumors and the one that would have a characteristic yellow appearance would be a seminoma... or that yellow stuff could just be fat. The symmetrical-ness of the yellow regions also confuses me which makes me think they might be physiological rather than pathologic. Do you have physical access to the specimen? Are the yellow spots soft or hard?

 

[Parts Unknown]

Ok this is a total complete guess but its the best I can come up with:

I'm going to guess that the organ is a thymus because those two vessels making the V look like the main stem bronchi coming off the carina. (you are looking at a cut of the posterior aspect of the thymus where it is attached to the superior mediasteinum)

The thymus sometimes gets germ cell tumors and the one that would have a characteristic yellow appearance would be a seminoma... or that yellow stuff could just be fat. The symmetrical-ness of the yellow regions also confuses me which makes me think they might be physiological rather than pathologic. Do you have physical access to the specimen? Are the yellow spots soft or hard?

Methinks you're a bit too high.

 

[Concubine]

Could be lung or bifurcation of the iliacs?...multiple nodules, maybe a met? Those definitely look vessels.

 

[Parts Unknown]

Could be lung or bifurcation of the iliacs?...multiple nodules, maybe a met? Those definitely look vessels.

There is no "bifurcation." The thing has been partially sliced in half. The nodules on the right and left mirror each other.

 

[justaregularmed]

I think I'm right. Hint - Loss of basal cell layer.

 

[redsquareblack]

This may be the stupidest thing I've ever written, but I think that's an ovary.

 

[Hoju]

This is like a variation of the Rorschach inkblot test.

 

[Parts Unknown]

This may be the stupidest thing I've ever written, but I think that's an ovary.

Hmmm, what other organ in the same system commonly forms multiple firm, white nodules?

 

[Concubine]

Ha ha, I think that is a bivalved uterus with multiple leiomyomas.

 

[weightyheart]

pancreatic islet cell tumor and superior mesenteric artery

 

[Parts Unknown]

pancreatic islet cell tumor and superior mesenteric artery

The pancreas has a lobular parenchyma, this one is trabecular.

 

[Parts Unknown]

Ha ha, I think that is a bivalved uterus with multiple leiomyomas.

That's my guess, with the central cavity being endometrial. Either the surgery was supracervical or the cervix was trimmed off to make the case more challenging. That said, there is at least one potential mimic for every gross specimen.

 

[weightyheart]

prostate cancer with urethra

 

[Galenos]

Uterus with multiple leiomyoma.

 

[rolen05]

I thought it would be a thyroid...but now my group and I are throwing around ideas, and we think it could be a prostate..? Those two slits going down space for the ureters?? God knows.. Theres a bunch of other pics in this case as well but we're pretty unsure of whats going on..

 

[rolen05]

And no I don't have physical access...We were just given a powerpoint with a bunch of pictures from an autopsy, and told to give a diagnosis..

 

[rolen05]

http://www.museumofhealthcare.ca/exhibitions/moulage.html

Does it look like the third picture on that website..? Haha..

 

[RapplixGmed]

I'm going to vote for fibroids as my second guess too. Although I still find it hard to believe that the uterine cavity could be so completely obliterated that it looks like a blood vessel... or maybe this is a really old lady and the whole organ has atrophied.

 

[Parts Unknown]

I thought it would be a thyroid...but now my group and I are throwing around ideas, and we think it could be a prostate..? Those two slits going down space for the ureters?? God knows.. Theres a bunch of other pics in this case as well but we're pretty unsure of whats going on..

The ureters connect the kidneys to the bladder, the urethra is what runs from the bladder through the prostate.

And no, it's not a prostate. Even if it were, prostate cancer is very indistinct to the naked eye. It certainly doesn't form large, well defined nodules.

 

[Parts Unknown]

http://www.museumofhealthcare.ca/exhibitions/moulage.html

Does it look like the third picture on that website..? Haha..

Yes, yes it does. 👍