Bone & Soft Tissue Pathology
Wednesday, March 28, 2007, 7:30 PM
Convention Center 5 A/B
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Moderator:
BRIAN P. RUBIN Cleveland Clinic Cleveland, OH
Clinical histories and Virtual Slides as well as Still Images are displayed below.
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Case 1
Submitted by: Andre M. Oliveira - Mayo Clinic, Rochester, MN
Clinical Summary: 65 year-old male with a 22 x 14 x 5 cm mass in the retroperitoneum and symptoms of urinary retention.
Case 2
Submitted by: Anthony Montag - University of Chicago, Chicago, IL
Clinical Summary: 52 year old with right lower arm mass for four years, slowly growing. Previous history of lesion in same arm 25 years ago, but no records available.
Case 3
Submitted by: Carrie Y. Inwards - Mayo Clinic, Rochester, MN
Clinical Summary: A mass involving the distal ring finger of a 35 year old male who states that it has been there for several years.
Case 4
Submitted by: Gene P. Siegal - University of Alabama, Birmingham, AL
Clinical Summary: A 15 year old young woman first came to our attention because of an apparent "re-growth" of a tumor mass immediately adjacent to the site of a previous surface lesion removed at age 11.
Radiologic images (Case - 4 Figs. 1-2) revealed an abnormal lesion adjacent to the lateral aspect of the distal fibula with some mixed elements including bone and cartilage but without continuity to the fibula marrow. The consulting radiologist felt an organizing hematoma would need to be excluded but a neoplastic proliferation could not be completely eliminated. Representative images of the histology are provided for your review (Case 4 - Figs. 3-4).
The intra-operative radiograph (Case 4 - Fig 5) and original slide from three years earlier were subsequently obtained and additional images are provided (Case 4 - Figs. 6-7).
The patient was not treated beyond simple excision and now at age 17 has developed a second recurrence. A representative radiologic (Case 4 - Fig 8) and two histopathologic (Case 4 - Figs. 9-10) images are similarly provided.
Case 5
Submitted by: Jean-Michel Coindre - Institut Bergonie, Bordeaux, France
Clinical Summary: A 62-year-old man presented with a 15 cm tumor developed in the retroperitoneum with involvement of the small intestine.
During the meeting the slides and protocols will be available for study in the microscope
room in the Manchester Grand Hyatt (Betsy A-C) for participants who wish to review them prior to the
evening session.
Handouts for all Specialty Conferences will be accessible via the
"Educational Materials" section on the homepage the morning after each respective conference. Printed
copies of the handout will not be available at the meeting. However, we will provide a booklet at the
meeting which will have a page for each Specialty Conference, listing the names of speakers and space for the important "take home messages".
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