—  SPECIALTY CONFERENCE  — Bone & Soft Tissue Pathology Tuesday, March 1, 2011, 7:30 PM CC 001 A/B Click the button above to add this event to your Itinerary Planner... Lessons I Have Learned From My Teachers Moderator: ANDREW E. ROSENBERG Massachusetts General Hospital Boston, MA Disclosure: In accordance with ACCME guidelines regarding disclosure, the USCAP policy requires that faculty members who have a significant financial or other relationship with a commercial company, entity, or service (which will be discussed in this Symposium) must disclose this to attendees. The Academy also requires that speakers disclose any products that are not labeled for the use under discussion. The speakers listed below have indicated they have nothing to disclose. Panelists: Sharon Weiss, Emory University Hospital, Atlanta, GA K. Krishnan Unni, WFHC – Elmbrook Memorial Hospital, Brookfield, WI G. Petur Nielsen, Massachusetts General Hospital, Boston, MA Alan Schiller, Mt. Sinai Medical Center, New York, NY Christopher Fletcher, Brigham and Women’s Hospital, Boston, MA Clinical histories are displayed below. For the fastest viewing of virtual slides, click: under each thumbnail image below. You must have Aperio ImageScope installed on your PC. If you do not already have Aperio ImageScope, Windows users with administrator privileges may download and install a free version in order to view USCAP Virtual Slides. Click the icon on the right to get your free copy:   Or, click on slide thumbnail images to view each slide in a Web-based slide viewer, which is somewhat slower. If you have any difficulties viewing these slides, email or call George Clay at +1.724.449.1137. Case 1 Submitted by: Sharon W. Weiss - Clinical Summary: The patient was a 68 year old woman who underwent lumpectomy and radiation for breast carcinoma in 1998. In 2001, she developed multiple, small (<1 cm) flesh-pink colored papules within the area of radiation several of which were biopsied. One lesion is depicted in images 1 and 2. Another lesion is depicted in images 3 and 4. The lesions persisted and increased in number necessitating a second set of biopsies in 2003. These lesions more closely resembled those depicted in images 3 and 4. Over the next 4 years she developed approximately 60 new lesions. A third set of biopsies was performed in 2007. At this time some of the lesions appeared red and raised. Following biopsy, a wide excision of the chest wall was performed. Images 5-7 are taken from the chest wall excision. Case 1 - Figure 1 Case 1 - Figure 2 Case 1 - Figure 3 Case 1 - Figure 4 Case 1 - Figure 5 Case 1 - Figure 6 Case 1 - Figure 7 Case 2 Submitted by: K. Krishnan Unni - Clinical Summary: A 15-year-old girl presented with pain in hip of a few months duration. Case 2 - Figure 1 Case 2 - Figure 2 Case 2 - Figure 3 Case 2 - Figure 4 Case 3 Submitted by: G. Petur Nielsen - Clinical Summary: A 61 year old female developed back pain radiating into the right buttock/medial thigh after a fall. The pain persisted despite physical therapy. Imaging studies showed lesions involving thoracic and lumbar vertebrae. A biopsy of one of the lesions was performed. Case 3 - Slide 1 Click to view with ImageScope Click to view with a Web-Based Viewer Case 3 - Figure 1 Case 3 - Figure 2 Case 3 - Figure 3 Case 4 Submitted by: Alan L. Schiller - Clinical Summary: A 57 year old women with known breast carcinoma s/p lumpectomy 5.5 years complains of skull tenderness. X-ray taken. Thought to be metastatic carcinoma. Persistent tenderness over the next eight months leads to biopsy. Case 4 - Figure 1 Case 4 - Figure 2 Case 5 Submitted by: Christopher Fletcher - Clinical Summary: A 78 year old man presented with an enlarging mass in the triceps muscle. A well-circumscribed 19cm mass was excised. Case 5 - Figure 1 Case 5 - Figure 2 Case 5 - Figure 3 Case 5 - Figure 4 Case 5 - Figure 5 Case 5 - Figure 6 Case 5 - Figure 7 S-100 Case 5 - Figure 8 Pan-K Handouts for all Specialty Conferences will be accessible via the "Educational Materials" section on the homepage the morning after each respective conference. Printed copies of the handout will not be available at the meeting.