Ira J. Bleiweiss, M.D., Shabnam Jaffer, M.D., and Susan Drossman, M.D., Mount Sinai School of Medicine, New York, NY
The current availability of mammographic screening has necessitated the development of novel methods to evaluate non-palpable abnormalities of the breast. These techniques, mammographically or sonographically direct core biopsy, yield specimens whose pathologic interpretation can be extremely challenging. Although core biopsies of the breast have become relatively commonplace specimens in many institutions, few pathologists are aware of the imaging characteristics of the corresponding lesions or are sent the specimen radiographs taken demonstrating removed calcifications. At the completion of this course, pathologists will recognize the utility and, indeed, the necessity of correlation of pathologic appearance with radiologic imaging findings. Participants will understand the increased diagnostic specificity yielded by this technique as well as the limitations of core biopsy and when surgical biopsy should be recommended. The course will also examine proper specimen handling, complications of core biopsy, and histologic appearance of post core biopsy specimens.
After brief overviews of breast imaging and specimen handling, the majority of the course will consist of topics introduced by exemplary cases. Each case's imaging findings will be presented by a diagnostic radiologist specializing in breast imaging and will be followed by an evaluation of the pathologic findings and discussion concentrating on their correlation and impact on clinical management. The importance of communication between the pathologist and radiologist will be stressed throughout.
The course is intended for both practicing surgical pathologists and pathology residents and fellows. A set of transparency slides and a slide key will be mailed to registrants prior to the meeting. A detailed syllabus will be distributed at the course.