As a taster…

Here are a couple of cases I’ve shown at previous teaching sessions.

Case 1

This patient has had an orbital mass growing over the last year or so, associated with pain.


 

taster02b

In this view we can see a nested tumour with a cribriform (“Swiss cheese”) architecture towards the bottom of the image consistent with adenoid cystic carcinoma.


 

taster02a

In the top right of this image, the tumour surrounds a nerve, so the symptom of pain is understandable.


 

Case 2

The next patient has had an enucleation for uveal melanoma.

taster01a

The low power view demonstrates a classic collar stud profile, and the overlying retina is largely obliterated.


 

taster01b

Elsewhere in the specimen, the retina is morphologically well preserved, with intact photoreceptors. But a thick layer of tumour cells covers the inner retina, presumably due to intravitreal spread.

 

 

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