SURGICAL PATHOLOGY
Monday, February 25, 2002 - 7:30 PM
Sheraton Chicago Ballroom

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Moderator: SAUL SUSTER Ohio State University Medical Center Columbus, OH Panelists: JONATHAN EPSTEIN, Johns Hopkins University, Baltimore, MD CHRISTOPHER FLETCHER, Brigham and Women's Hospital, Harvard Medical School, Boston, MA MICHAL MICHAL, Medical Faculty Hospital, Pilsen, Czech Republic MARK WICK, University of Virginia Health Sciences Center, Charlottesville, VA THOMAS COLBY, Mayo Clinic, Scottsdale, AR NOTE: Slides and protocols will also be available to participants for study in the microscope room (Superior Room) in advance of the evening session. Clinical histories are printed below. Click on the slide images for a larger view. Case 1 - Jonathan Epstein, Johns Hopkins University, Baltimore, MD A 42 year old man with hematuria was found to have a large mass involving the base of the bladder. Colonoscopy revealed no GI malignancy. Slide 1A Slide 1B Slide 1C Case 2 - Christopher Fletcher, Brigham and Women's Hospital, Harvard Medical School, Boston, MA A 37 year old woman presented in 1997 with acute abdominal pain. At laparotomy a 6cm. hemorrhagic mass was found in the wall of the jejunum; the mass was "ruptured". Following excision, the patient did well for 2.5 years and then developed progressive abdominal fullness. CT scan revealed 3 large intra-abdominal masses (ranging in size up to 40 cm) along with innumerable peritoneal nodules. A debulking procedure was performed. Slide 2A Slide 2B Slide 2C Case 3 - Michal Michal, Medical Faculty Hospital, Pilsen, Czech Republic A 48 year old woman with no significant past history had a right kidney tumor excised. The mass was 10 cm. in diameter, well-circumscribed, with a solid, white cut surface. Slide 3A Slide 3B Slide 3C Case 4 - Mark Wick, University of Virginia Health Sciences Center, Charlottesville, VA A 42 year old previously healthy woman complained of a painless mass in her left thigh, which had gradually increased in size over the previous year. On physical exam, the mass in the mid-thigh measured 7 cm., was discrete, firm but compressible, and non-tender. All routine tests were normal. The mass was excised. Slide 4A Slide 4B Slide 4C Case 5 - Thomas Colby, Mayo Clinic, Scottsdale, AR A 61 year old woman underwent surgical lung biopsy. Slide 5A Slide 5B Slide 5C For answers, text and references for all cases, please click here. Opinions stated and/or conclusions reached in this syllabus are the responsibility of the authors and are not necessarily endorsed by the Academy.