—  SPECIALTY CONFERENCE  —

Surgical Pathology
 Monday, February 13, 2006 - 7:30 PM
Centennial Ballroon II - IV



Moderator:

Elvio Silva
MD Anderson Hospital
Houston, TX

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:
Cesar A. Moran
M.D. Anderson Cancer Center
Houston, TX

Clinical Summary:

A 49-year-old female presented with chest pain and some respiratory difficulty of several months. Radiographic examination revealed the presence of an anterior mediastinal mass. Surgical resection of the anterior mediastinal tumor was performed.


Case 1 - Figure 1
Case 1 - Figure 2



Case 1 - Figure 3
Case 1 - Figure 4




Case 2

Submitted by:
A. Kevin Raymond
M.D. Anderson Cancer Center
Houston, TX

Clinical Summary:

The patient is a 46-year old woman who complained of severe, progressive knee pain. Imaging studies show a destructive lesion involving the distal femur. The patient underwent a surgical procedure.


Case 2 - Figure 1
Case 2 - Figure 2
Case 2 - Figure 3



Case 2 - Figure 4
Case 2 - Figure 5



Case 2 - Figure 6
Case 2 - Figure 7




Case 3

Submitted by:
John R. Goldblum
The Cleveland Clinic
Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio

Clinical Summary:

43-year-old female with a slowly growing 2 cm mass on the ring finger.


Case 3 - Figure 1
Case 3 - Figure 2
Case 3 - Figure 3



Case 3 - Figure 4
Case 3 - Figure 5




Case 4

Submitted by:
Robert J. Kurman
Johns Hopkins University School of Medicine
Baltimore, MD

Clinical Summary:

A 53 year old woman presented with a pelvic mass and underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy. At surgery bilateral ovarian tumors were found one measuring 8 cm and the other 6 cm in greatest dimension. Microscopically, the tumors were similar. Slides were from one of the ovarian tumors.


Case 4 - Figure 1
Case 4 - Figure 2
Case 4 - Figure 3




Case 5

Submitted by:
Juan Rosai
Centro Diagnostico Italiano
Milano, Italy, and Genzyme, Inc., New York

Clinical Summary:

(Contributed by Dr. Sanford Robbins, Annapolis, MD)

52-year-old male with bilateral thyroid nodules, which had been demonstrated on an MRI done for work-up of shoulder pain. The larger nodule was located in the left lobe; it measured 4.2 x 3.7 x 4.9 cm and according to the patient it had been present for about 10 years. A FNA of this nodule was interpreted as "hypercellular, with changes suggestive of a neoplasm". A total thyroidectomy was carried out.

Grossly, the left thyroid lobe contained an encapsulated lobulated, solid, pink-tan mass measuring 4.5 cm in greatest diameter. The right lobe had a multinodular appearance with focal cystic changes.

The Seminar sections are from the nodule located in the left lobe.


Case 5 - Figure 1
Case 5 - Figure 2
Case 5 - Figure 3