MODULE 13- RESPIRATORY SYSTEM PRACTICAL PATHOLOGY (ALL) SLIDES

FIBROCASEOUS NECROSIS

LOBAR PNEUMONIA

JARS
1-Organ: laryngectomy specimen (page26) Description:The left vocal cord shows a fungating ulcerating mass. The ulcer is: - Outline: irregular - Edges: raised and everted - Floor: is covered by blood clots and necrotic debris - Base: hard and indurated Diagnosis: Intrinsic Laryngeal Carcinoma

2- Organ: Laryngeal Specimen (page 27) Description:The larynx is opened to show -A large fungating polypoidal right sided transglottic mass which is : - Colour: Grayish white - Consistency : Firm Diagnosis: Intrinsic Laryngeal Carcinoma

3- Organ: Lung (page 29) Description:Cut section shows: dilatation of the bronchi in the lower lobe which can be traced down to the pleural surface The dilatation bronchi are: -Shape: Saccular of fusiform -Walls: thickened and fibrosed -Lumen: contains purulent material -Mucosal lining: shows focal ulceration -The surrounding lung tissue : shows patchy areas of pneumonic consolidation -The pleura: dull,opaque with patches of fibrinous exudate Diagnosis: Bronchiectasis

4- Organ: Lung (page 29) Desription:The lung is -Size: large (voluminous) -Weight : light -Colour: Pale -External surface: air sacs or bullae which are: *multiple *size and shape : variable *wall: thin and mostly subpleural in location Diagnosis: Emphysema

5- Organ : Lung (page 30) Description:- The whole lung : is enlarged, airless and solidified (hepatized or liver-like) - The pleura: dull, opaque with patches of fibrinous exudate Diagnosis: Lobar pneumonia

6- Organ: Lung of a child (page 31) Description: - The hilar lymph nodes: *markedly enlarged *matted together *cut section: shows focal areas of grayish white cheesy like necrotic tissue. -The lung parenchyma: shows a subpleural area of pneumonic consolidation at lower part of upper lobe. *the covering pleura: opaque and lusterless Diagnosis: Primary Pulmonary Tuberculosis

7- Organ: Lung (page32) Description: Cut Section of the lung shows : chronic subapical cavity which is:- Outline: irregular - Wall: thickened and fibrotic - Lining: irregular and formed of grayish white cheese like friable necrotic material - The surrounding lung parenchyma: shows focal pneumonic consolidation and cavitary foci (satellites) - The hilar lymph nodes: slightly enlarged Diagnosis : Fibrocaseous pulmonary Tuberculosis

8-Organ: Lung (page 34) Description:-The whole parenchyma is studded with tubercles which are numerous, small rounded creamy yellowish with central caseation -The hilar lymph nodes and pleura : shows similar tubercles Diagnosis : Miliary tuberculosis of the lung

9- Organ: Lung (page 37) Description: Cut section shows: large solitary mass which is:- Well circumscribed and non encapsulated - Site: near the hilum in relation to main bronchus - Colour: greyish white - Consistency : hard Diagnosis : Bronchogenic carcinoma

10- Organ : Lung (page 38) Description: -external surface: knobby and irregular -Cut section: multiple nodules which are: *shape: well circumscribed *site: distributed all over the lung with condensation at the periphery *colour: greyish pink *size and shape: vary (rounded and oval) Diagnosis : Metastatic deposits in the lung