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Cytopathology
Monday, March 9, 2009, 7:30 PM
Convention Center BRC
Clinical histories are printed below.
Click on the case numbers for text and references of each case.
Click on each slide thumbnail image for an enlarged view
Cytology at the Forefront;
Contemporary Approach to Newer and Established Challenging Entities
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Moderator:
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EVA WOJCIK
Loyola University Medical Center
Maywood, IL
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Disclosure:
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In accordance with ACCME guidelines regarding disclosure, the USCAP policy requires that faculty members who have a significant financial or other relationship with a commercial company, entity, or service (which will be discussed in this Symposium) must disclose this to attendees. The Academy also requires that speakers disclose any products that are not labeled for the use under discussion. The speakers listed below have indicated they have nothing to disclose.
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Panelists:
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GULIZ BARKAN, Loyola University Medical Center, Maywood, IL
CHRISTINE BOOTH, Cleveland Clinic, Cleveland, OH
TINA FANNING, MD Anderson Cancer Center, Houston, TX
RANA HODA, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY
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Clinical histories are displayed below.
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for Text and References
Submitted by: Guliz Barkan, Loyola University Medical Center, Maywood, IL
An 82-year-old man presented with severe dyspnea on exertion and severe pain between his scapulae. He had a significant past medical history of adenocarcinoma of the colon, and a recent history of prostatic carcinoma with a TRUS prostatic biopsy revealing prostatic adenocarcinoma, Gleason score 4+4=8. In an effort to evaluate the dyspnea, a chest X-ray was taken, followed by CT of the abdomen, thorax, and pelvis. Imaging showed enlarged mediastinal, retroperitoneal, and retrocrural lymph nodes, numerous lung nodules < 5 mm, bilateral pleural effusions, ascitis and a heterogenous 6.0 x 6.1 x 5.3 cm. mass occupying most of the right kidney. An FNA of the renal mass was performed.
Case 1 - Slide 1
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Case 1 - Slide 2
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for Text and References
Submitted by: Guliz Barkan, Loyola University Medical Center, Maywood, IL
A 70-year-old man presented with hematuria, hesitancy, urgency, and nocturia. Imaging studies showed bilateral hydronephrosis. He had a past medical history significant for partial nephrectomy, prostatic hypertrophy with obstruction, and hyperlipidemia. A cystoscopy and bladder barbotage was performed.
Case 2 - Slide 1
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for Text and References
Submitted by: Christine Booth, Cleveland Clinic, Cleveland, OH
A 77-year old man with a history of glomerulonephritis status post renal transplant (1992) and chronic immunosuppression complains of a red nodule on his scalp. He also has a history significant for squamous cell and basal cell carcinomas of the skin, actinic keratoses and a superficial melanoma. On exam, there is an area of erythema and thickening on the right side of the face measuring 5 cm in greatest dimension. There is also a right posterior cervical mass measuring 6 x 6 cm, most likely representing matted lymph nodes. Fine needle aspiration was performed on the right posterior cervical mass.
Case 3 - Slide 1
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for Text and References
Submitted by: Christine Booth, Cleveland Clinic, Cleveland, OH
This 77-year old African American woman presented to her physician complaining of a 25 pound weight loss, abdominal discomfort and a skin rash. The rash was present on her back, hands, and legs, most prominently on the extensor surfaces. An abdominal CT scan showed a 5.5 cm lobulated pancreatic mass. The ultrasound-guided fine needle aspirate was performed.
Case 4 - Slide 1
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for Text and References
Submitted by: Tina Fanning, MD Anderson Cancer Center, Houston, TX
A 25 year old male presented with a two month history of right parotid gland swelling.
Case 5 - Slide 1 - Cell Block
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Case 5 - Slide 2 - DiffQuik
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Case 5 - Slide 3 - Pap Stain
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for Text and References
Submitted by: Tina Fanning, MD Anderson Cancer Center, Houston, TX
A 47 year old female complained of a right cheek mass which was present for several months. She noted decreased sensation in the area of the mass. There was no previous history of skin lesions or excisions.
Case 6 - Slide 1 - DiffQuik
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Case 6 - Slide 2 - Pap Stain
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Case 6 - Slide 3 - Pap Stain
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Case 6 - Slide 4 - Pap Stain
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for Text and References
Submitted by: Rana Hoda, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY
Ultrasound-guided fine needle aspiration of left lobe of liver in a 54 year-old woman with multiple liver lesions. All images are from a Diff-Quik-stained touch imprint cytology of needle core biopsy.
Case 7 - Slide 1
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for Text and References
Submitted by: Rana Hoda, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY
CT-guided fine needle aspiration of right adrenal gland in a 68 year-old woman with a 12.5 cm mass. All images are from an alcohol-fixed Papanicolaou-stained direct smear.
Case 8 - Slide 1
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