Surgicopathologic Cconference 2011-new.pptx

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)






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 8 wks AOG, abortion incomplete, non septic non induced



G1P0(0-0-1-0) PU 8 wks AOG, abortion incomplete, non septic non induced


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)


G3P0 (0-0-3-0) PU 9-10 weeks AOG, abortion incomplete, non septic non inducedCompletion Currettage


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)


G5P3 (3-0-2-3) PU 12-13 weeks AOG, abortion incomplete, non septic non inducedCompletion Currettage


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



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


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

Documents

Surgicopathologic Cconference 2011-new.pptx