—  SPECIALTY CONFERENCE  —

Gynecologic Pathology
 Sunday, March 18, 2012, 7:30 PM
Convention Centre Ballroom A/B




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Two Debates in Gynecologic Pathology
Moderator: RICHARD ZAINO
Hershey Medical Ctr
Hershey, PA
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:

Case #1 EIN is Superior to WHO in the Diagnosis and Management of Precursors of Endometrioid Adenocarcinoma
PRO: Marisa R. Nucci, Brigham & Women’s Hosp, Boston, MA
CON: Lora Hedrick Ellenson, New York Presbyterian Hosp, New York, NY

Case # 2 The Diagnosis of the Usual Complete or Partial Mole Requires an Immune and/or Molecular Workup Rather Than Just a Good H&E Stain and Some Experience
PRO: Brigitte M. Ronnett, Johns Hopkins Hospital, Baltimore, MD
CON: Janice M. Lage, Medical Univ of SC, Charleston, SC




Clinical histories are displayed below. For the fastest viewing of virtual slides, click:



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Case 1

Submitted by: Marisa R. Nucci - Brigham & Women’s Hosp, Boston, MA

Clinical Summary:

59 year old with postmenopausal bleeding; endometrial sampling.


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Case 2

Submitted by: Lora Hedrick Ellenson - New York Presbyterian Hosp, New York, NY

Clinical Summary:

Case A. 54 year old woman with postmenopausal bleeding

Case B. 34 year old woman with irregular bleeding

Case C. 40 year old woman with menometrorrhagia


Case 2A - Figure 1
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Case 2B - Figure 1
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Case 3

Submitted by: Brigitte M. Ronnett - Johns Hopkins Hospital, Baltimore, MD

Clinical Summary:

Case A: 34 year old; “R/O partial mole”.

Case B: 35 year old; Estimated gestational age = 6-7 weeks; β-HCG = 105,599 mIU/mL; Ultrasound: “multicystic mass filling endometrium, possible small abnormal gestational sac, suspicious for hydatidiform mole—could be partial”.

Case C: 49 year old; Incomplete abortion.

Case D: 19 year old; Recurrent missed abortions.

Case E: 41 year old; Rising quantitative β-HCG; Ultrasound: no evidence of fetal heart tones or definite fetal pole; R/O molar pregnancy.


Case 3A - Figure 1
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Case 4

Submitted by: Janice M. Lage - Medical Univ of SC, Charleston, SC

Clinical Summary:

Case 1: 25-year-old woman presents with vaginal bleeding. Vaginal ultrasound of the uterine corpus shows intrauterine pregnancy with no fetal tissues. Uterine evacuation is performed.

Case 2: 32-year-old woman presents with vaginal bleeding. Vaginal ultrasound of the uterine corpus shows intrauterine pregnancy with no fetal tissues. Uterine evacuation is performed.

Pertinent Laboratory Data:

Case A: Pregnancy test is positive.

Case B: Pregnancy test is positive.


Case 4A - Figure 1
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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.