—  SPECIALTY CONFERENCE  — Genitourinary Pathology Thursday, March 25, 7:30 PM Salon 3 Click the button above to add this event to your Itinerary Planner... Controversial Issues in Urologic Pathology Moderator: JOHN CHEVILLE Mayo Clinic Rochester, MN Disclosure: 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. Panelists: THOMAS J. SEBO, Mayo Clinic, Rochester, MN DONNA E. HANSEL, The Cleveland Clinic, Cleveland, OH JOHN N. EBLE, Indiana University School of Medicine, Indianapolis, IN MAHUL B. AMIN, Cedars Sinai Medical Center, Los Angeles, CA Clinical Histories and Still Images are displayed below. Click on slide thumbnail images for an enlarged view. If you have any difficulties viewing these slides, email or call George Clay at +1.724.449.1137. Case 1 Submitted by: Mahul B. Amin - Cedars Sinai Medical Center, Los Angeles, CA Clinical Summary: 67 year old male with a history of gross hematuria, acute prostatitis and benign prostatic hypertrophy. Cystoscopy revealed a small, polypoid growth with a broad base emanating from the left side of the verumontanum in the prostatic urethra. A biopsy was performed. Pertinent Laboratory Data: Elevated PSA (7 ng/mL) Case 1 - Figure 1 Case 1 - Figure 2 Case 1 - Figure 3 Case 1 - Figure 4 Case 1 - Figure 5 Case 1 - Figure 6 Case 1 - Figure 7 Case 1 - Figure 8 Case 1 - Figure 9 Case 1 - Figure 10 Case 2 Submitted by: Donna E. Hansel - The Cleveland Clinic, Cleveland, OH Clinical Summary: A 72 year old man is referred to our urologist for nocturia and urinary urgency. His past medical history is significant for BPH, which has been treated with Flomax. The patient is a retired machinist and has a 30 pack year history of smoking cigarettes. He has not experienced gross hematuria or dysuria. The patient's current PSA is 1.62. Urinalysis was performed and was normal. Urine cytology did not reveal any abnormalities. Cystoscopy was performed and showed a normal urethra, trilobar hypertrophy of the prostate and a reddened, raised patch on the posterior wall of the bladder. A biopsy was performed. Case 2 - Figure 1 Case 2 - Figure 2 H&E Case 2 - Figure 3 H&E Case 2 - Figure 4 H&E Case 2 - Figure 5 Ki67 Case 2 - Figure 6 Case 3 Submitted by: John N. Eble - Indiana University School of Medicine, Indianapolis, IN Clinical Summary: A 14-year-old girl complained of abdominal pain. Computerized tomography showed a 40 x 20 mm solid mass in the lower pole of her left kidney. Case 3 - Figure 1 Case 3 - Figure 2 Case 3 - Figure 3 Case 4a Submitted by: Thomas J. Sebo - Mayo Clinic, Rochester, MN Clinical Summary: 75 YOM With Hematuria – Voided Urine Cytology; History of Prostate Cancer Case 4a - Figure 1 Case 4a - Figure 2 Case 4a - Figure 3 Case 4b Submitted by: Thomas J. Sebo - Mayo Clinic, Rochester, MN Clinical Summary: 60 YOM – Voided Urine Cytology; History of Renal Insufficiency Case 4b - Slide 1 Click to view with ImageScope Click to view with a Web-Based Viewer Case 4b - Figure 1 Case 4b - Figure 2 Case 4b - Figure 3 Case 4b - Figure 4 Case 4c Submitted by: Thomas J. Sebo - Mayo Clinic, Rochester, MN Clinical Summary: Right (Figures 1-3) and Left (Figures 4-6) Ureteral Brushing Cytologies 68 YOM; Hematuria with Current Cystoscopic Evidence of Bladder Mass and History of BCG-Treated Case 4c - Figure 1 Case 4c - Figure 2 Case 4c - Figure 3 Case 4c - Figure 4 Case 4c - Figure 5 Case 4c - Figure 6 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.