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Case of the month - September 2007



History:





Low power view of core biopsy - both areas 'A' have a similar histological appearance (see below) - detail of area 'B' and also detail of a separate fragment follows

Low power view of core biopsy




Medium power view (x10) of area 'A' showing intense lymphocytic infiltration of lobule

Intense lymphocytic infiltration of lobule (medium power - area 'A')




High power view (x 40) of area 'A'

Intense lymphocytic infiltration of lobule (high power view - area 'A')



Medium power view (x10) of area 'B' showing a light lymphocytic infiltration of lobule and adjacent stroma - the lobule is atrophic

Lymphocytic infiltration of atrophic lobule (area 'B') and adjacent stroma



Separate fragment showing two vessels with changes suspicious of lymphocytic vasculitis

Changes suspicious of lymphocytic vasculitis



High power views (x 40): Detail of vessel above

Changes suspicious of lymphocytic vasculitis



High power views (x 40): Detail of vessel above

Changes suspicious of lymphocytic vasculitis




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