Surgical Pathology
Tuesday, March 27, 2007, 7:30 PM
Convention Center 6 A/B/C/F
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Moderator:
CHRISTOPHER D.M. FLETCHER Brigham & Women's Hospital Boston, MA
Clinical histories and Virtual Slides as well as Still Images are displayed below.
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Case 1
Submitted by: Elaine S. Jaffe - National Institutes of Health, Bethesda, MD
Clinical Summary: The patient is a 45-year-old female who presented with left upper quadrant pain. CT and ultrasound showed a 5.6 cm mass within the inferior pole of the spleen. Laparoscopic splenectomy was performed.
Case 2
Submitted by: Kumarasen Cooper - University of Vermont, Burlington, VT
Clinical Summary: An 18-year-old female presented with a history of an enlarging abdominal mass. At surgery, a large adnexal pelvic mass was resected. The contralateral ovary and uterus appeared normal.
Case 3
Submitted by: Thomas M. Ulbright - Indiana University School of Medicine, Indianapolis, IN
Clinical Summary: A 6-year-old boy presented with bilateral gynecomastia. Serum estradiol was elevated (30 pg/ml). On physical examination, both testes were firm, without discrete masses. Testicular ultrasound showed multiple, small (< 3 mm) echogenic foci in both testes. Bilateral testicular biopsy was performed. The slide is from the left testicular biopsy.
Case 4
Submitted by: Jeffrey L. Myers - University of Michigan, Ann Arbor, MI
Clinical Summary: A 46-year-old woman was referred for evaluation of diffuse lung disease. She developed symptoms of cough in January 2006. Over the next several weeks these progressed to worsening dry cough with dyspnea. Pulmonary function tests showed mild airflow limitation, and a CT scan was described as showing mosaic attenuation. She improved within 48 hours of being started on prednisone, but her symptoms returned within 1 week of being tapered from the drug. She was a non-smoker. She started working in a new office environment that included a "large bird, something like a parakeet" around the time that her symptoms began. She had worked previously as a daycare provider. She underwent surgical lung biopsy.
Case 5
Submitted by: Ralph H. Hruban - Johns Hopkins Medical Institutions, Baltimore, MD
Clinical Summary: This 60-year old man presented with the recent onset of jaundice. Abdominal imaging revealed a poorly defined mass in the head of his pancreas. A pancreatoduodenectomy was performed.
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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