—  SPECIALTY CONFERENCE  —

Cytopathology
Sunday, February 12, 2006 - 7:30 PM
Regency VI




Moderator:

Celeste N. Powers
Virginia Commonwealth University
Richmond, VA

Prior to this Annual Meeting, slides and case histories for this Specialty Conferences were posted below so they may be reviewed in advance. During the meeting, the slides and protocols were also available for study in the microscope room (Chicago B - F Room) for participants who wished to review them prior to the evening session.

Click here for the handout from this conference.


Click on each slide thumbnail image for an enlarged view
Case 1

Submitted by:
Gregg A. Staerkel
University of Texas
M.D. Anderson Cancer Center, Houston, TX

Clinical Summary:

44 year-old woman noted progressive left-sided otalgia from a 3.5 cm parotid gland mass. Palpation disclosed a firm, hypomobile, tender left postauricular mass with ill-defined margins. Fine needle aspiration was performed.



Case 1 - Figure 1
Diff-Quik, medium power

Case 1 - Figure 2
Papanicolaou, low power

Case 1 - Figure 3
Papanicolaou, medium power



Case 1 - Figure 4
Papanicolaou, medium power

Case 1 - Figure 5
Papanicolaou, low power




Case 2

Submitted by:
Barbara A. Crothers
Walter Reed Army Medical Center
Washington, DC

Clinical Summary:

A 33 year old woman presented for follow-up Pap test four months following definitive treatment for invasive adenocarcinoma of the cervix arising from endocervical adenocarcinoma in-situ. The tumor was stage T1b N0 MX. The clinical history on the Pap test indicated a "history of cervical cancer" and was submitted as a cervicovaginal Thin Prep specimen.



Case 2 - Figure 1
Thin Prep® Pap test, Papanicolaou stain, 20X

Case 2 - Figure 2
Thin Prep® Pap test, Papanicolaou stain, 60X

Case 2 - Figure 3
Thin Prep® Pap test, Papanicolaou stain, 100X



Case 2 - Figure 4
Thin Prep® Pap test, Papanicolaou stain, 100X

Case 2 - Figure 5
Thin Prep® Pap test, Papanicolaou stain, 40X




Case 3

Submitted by:
Richard M. DeMay
University of Chicago
Chicago, IL

Clinical Summary:

Fine needle aspiration biopsy of soft tissue mass in the forearm.



Case 3 - Figure 1
LBC, Pap stain




Case 4

Submitted by:
Eva M. Wojcik
Loyola University Medical Center
Maywood, IL

Clinical Summary:

A 54 year old female with history of cervical squamous cell carcinoma diagnosed 15 years earlier for which she underwent a total abdominal hysterectomy followed by radiation therapy was referred to the gynecology – oncology clinic for the evaluation of a pelvic (perirectal) mass. Pap Test (Thin PrepTM) of a vaginal cuff was obtained.



Case 4 - Figure 1
Thin Prep® Papanicolaou stain, high power

Case 4 - Figure 2
Thin Prep® Papanicolaou stain, high power

Case 4 - Figure 3
Thin Prep® Papanicolaou stain, high power



Case 4 - Figure 4
Thin Prep® Papanicolaou stain, high power

Case 4 - Figure 5
Thin Prep® Papanicolaou stain, high power




Case 5

Submitted by:
Gregg A. Staerkel
University of Texas
M.D. Anderson Cancer Center, Houston, TX

Clinical Summary:

57-year-old man with back and neck discomfort had a chest CT which disclosed a 2 cm anterior chest wall mass and multiple low density lesions within the liver. A liver aspiration was performed.



Case 5 - Figure 1
Papanicolaou, medium power

Case 5 - Figure 2
Papanicolaou, high power



Case 5 - Figure 3
Papanicolaou, medium power

Case 5 - Figure 4
Papanicolaou, high power




Case 6

Submitted by:
Barbara A. Crothers
Walter Reed Army Medical Center
Washington, DC

Clinical Summary:

A 50 year old woman presented to the GYN clinic with a history of recent vaginal spotting over four months. Her cervical Pap test requisition stated that she was not postmenopausal, had not had a hysterectomy, was on birth control pills and had a normal Pap test one year ago. The physician also noted that she had a cervical polyp on examination and recent abnormal endometrial bleeding.



Case 6 - Figure 1
Thin Prep® Pap test, Papanicolaou stain, 40X

Case 6 - Figure 2
Thin Prep® Pap test, Papanicolaou stain, 60X

Case 6 - Figure 3
Thin Prep® Pap test, Papanicolaou stain, 60X



Case 6 - Figure 4
Thin Prep® Pap test, Papanicolaou stain, 60X

Case 6 - Figure 5
Thin Prep® Pap test, Papanicolaou stain, 60X




Case 7

Submitted by:
Richard M. DeMay
University of Chicago
Chicago, IL

Clinical Summary:

  • Fine needle aspiration biopsy

  • 45 year old male

  • 1 cm tonsillar/parapharyngeal mass


Case 7 - Figure 1
Smear, Pap stain

Case 7 - Figure 2
Smear, Pap stain

Case 7 - Figure 3
Smear, Diff-Quik stain




Case 8

Submitted by:
Eva M. Wojcik
Loyola University Medical Center
Maywood, IL

Clinical Summary:

A 64 year old man, as part of his work-up for microhematuria, was found to have a large, partially cystic right kidney mass. CT-guided FNA of the renal lesion was performed.



Case 8 - Figure 1
Papanicolaou stain, high power

Case 8 - Figure 2
Diff-Quik stain, high power



Case 8 - Figure 3
Diff-Quik stain, high power

Case 8 - Figure 4
Diff-Quik stain, high power