Original and light microscopic diagnosis of the light microscopically discrepant cases
Case | Site | Clinical diagnosis | Original light microscopic diagnosis | Second light microscopic diagnosis | Discrepancy type |
---|---|---|---|---|---|
1 | Oesophagus | History of eosinophilic oesophagitis, eosinophilia? Inflammation? | Eosinophilic oesophagitis | Massive eosinophilic infiltration, not enough for eosinophilic oesophagitis but consistent with reflux | Mild |
2 | Placenta | Missed abortion, trophoblastic changes or other abnormality? | Parts of first trimester pregnancy with degenerative changes and signs of IUFD and parenchyma changes suggestive of CHX abnormality | First trimester parenchymal tissue with a signs of IUFD | Mild |
3 | Placenta | Premature delivery, placental abnormality? | Extensive chorioamnionitis especially in the chorionic plate, and features suggestive of CAOS | No inflammation, no ischaemia, no villitis, some degenerative changes in the membranes, iron deposition in chorionic plate. The picture is consistent with mild COAS | Mild |
4 | Placenta | Spontaneous abortion, abnormalities? | 35 weeks placenta with less than 5% micro-infarction, no other abnormality seen | Grade one chronic villitis, ischaemia and small infarction, normal maturation (close to term) | Mild |
5 | Placenta | Premature delivery. Chorioamnionitis? | Placenta with normal weight and first signs of chorioamnionitis | Normal for gestational age, no inflammation, no funiculitis, no chorioamnionitis | Mild |
6 | Placenta | Dichorionic diamniotic twin pregnancy, IUGR | Mild chorioamnionitis and chronic villitis from unknown aetiology | Bichorionic placenta. The first part shows some increase in the maturation. The second placenta shows more advanced maturation and mild chronic villitis. | Mild |
7 | Placenta | Diabetic and hypertensive mother, pre-eclampsia? Infarction? | Placenta, mild chorioamnionitis and infarction | Recent and old infarction, no signs of maternal diabetes | Mild |
WSI, whole slide images.