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Cytopathology
Wednesday, March 10, 2004 - 7:30 p.m.
Ballroom B
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Moderator:
CELESTE N. POWERS
Medical College of Virginia
Richmond, VA
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Click here for the handout from this conference.
Click on each slide thumbnail image for an enlarged view
KIM R. GEISINGER
Wake Forest University School of Medicine
Winston-Salem, NC
A 62 year old man had a mild cough but was otherwise completely asymptomatic and healthy. A routine
chest X-ray demonstrated a small (3 to 4 cm) mass that was centrally located in the lower lobe of the
left lung. Bronchoscopy was performed and described the presence of a "fleshy" tumor. The mass was
brushed and washed. Past medical history was significant for a high grade (Gleason 8) adenocarcinoma
of the prostate which was resected nine years earlier. Although focal capsule penetration was
evident, all lymph nodes were negative.
ROBERTO LOGROŅO
University of Texas Medical Branch
Galveston, TX
A 55 year-old man, originally from Haiti, presented to the ENT clinic with a two-month history of an
enlarging left parotid mass. A 3.0 cm firm, tender mass, which appeared to be fixed to skin, was
palpated. There was mild left facial weakness and patient denied weight loss. An FNA was performed.
CHRISTINA KONG
Stanford University School of Medicine
Stanford, CA
An 84-year-old woman is noted to have a 1 cm mass in the right breast on a screening mammogram. The
nodule is palpable and appears as an oval, well-circumscribed solid mass on ultrasound. An FNA biopsy
is performed.
MARY K. SIDAWY
The George Washington University
Washington, DC
A 65-year-old woman referred for FNA of bilateral thyroid nodules which were discovered during a
routine physical examination. A thyroid scan showed bilateral cold nodules. The patient had a
history of systemic lupus erythematosus, and ductal carcinoma in situ of the right breast that was
treated with a mastectomy. Physical examination revealed a firm 1.5 cm left lower pole nodule, and a
softer 2.5 cm nodule in right lobe of the thyroid. Both nodules moved up and down with swallowing.
Aspirate of the right lobe revealed oxyphilic follicular cells and colloid. The FNA of the left
nodule is illustrated.
KIM R. GEISINGER
Wake Forest University School of Medicine
Winston-Salem, NC
A 28-year-old man presented with a soft tissue mass in the right supraclavicular region. Clinically,
this was felt to be a hematoma. Radiographically, three was no involvement of bone. A fine needle
aspiration biopsy was performed. Most of the material was submitted for cytologic examination
including cell block with immunocytochemistry; an aliquot was sent to cytogenetics.
ROBERTO LOGROŅO
University of Texas Medical Branch
Galveston, TX
A 41 year-old male prisoner presented to the ENT clinic with a four-month history of a 3.5 cm left
neck mass, level 4-region, which was firm and non-tender. An FNA was performed.
CHRISTINA KONG
Stanford University School of Medicine
Stanford, CA
A 44-year-old man presents with a 2 cm right inguinal nodule, which has been present for 4-5 years and
is stable in size. Four months prior, he underwent FNA biopsy of a left parotid nodule at an outside
institution; cytology and flow cytometry were consistent with a benign lymph node. An FNA biopsy of
the right inguinal nodule is performed.
MARY K. SIDAWY
The George Washington University
Washington, DC
A 49-year-old woman presents with abdominal pain and a distal pancreatic mass. She has a history of
pancreatitis and a pseudocyst 19 years ago. Smears were evaluated during intraoperative consultation.
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