SHORT COURSE

Thursday Afternoon - March 3, 1:30 PM - 5:30 PM





41. Common Diagnostic Pitfalls in Gynecologic Pathology with Emphasis in Frozen Section Diagnosis

Robert A. Soslow, M.D. Memorial Hospital for Cancer and Allied Diseases and Weill Medical College of Cornell University, New York, NY and Carmen Tornos, M.D., Stony Brook University Medical Center, Stony Brook, NY

This course will emphasize practical approaches to solving the most common diagnostic problems in gynecologic pathology. The course, divided into two sections, is designed specifically for general surgical pathologists and pathologists-in-training. The first section will provide a comprehensive overview of the most common diagnostic challenges at the time of frozen section for gynecological specimens. The cases discussed in the second section will be selected from a quality assurance audit of gynecologic material from a department with a busy gynecologic caseload. The case-based discussion is meant to highlight common diagnostic discrepancies and provide strategies for avoiding misinterpretations. Cervical, uterine and ovarian lesions will be discussed. The course directors propose a series of short, structured discussions following each case presentation. These discussions would focus on each presenter=s practical approach to differential diagnosis and guidelines used to facilitate accurate diagnosis.

A virtual slide from each case presented will be posted on the USCAP website for review by pre-registrants before the meeting. After the meeting, all participants will receive web access to the PowerPoint presentation given at the Annual Meeting along with the text portion of the syllabus. A complete syllabus will be distributed at the course. A pre and post-course quiz will be given.

Upon completion of the course, the participants should be able to: 1) recognize challenging clinical and pathologic settings that frequently lead to diagnostic problems in gynecologic pathology; 2) formulate a differential diagnosis based on review of frozen section and routinely processed slides; 3) understand the role and limitations of frozen section evaluation of gynecologic specimens; 4) use different modalities, including immunohistochemistry, to narrow the differential diagnosis and, finally, establish a reproducible, confident and accurate final diagnosis.

(LAST SCHEDULED PRESENTATION) This course may be used for CME credits or SAM credits.