2015 Annual Meeting

Basic Principles in Cytology

2015 Annual Meeting

Room CC 304/306, March 24 2015, 8:00am to 5:30pm

Tarik Elsheikh, Dina Mody, Guliz Barkan, Claire W. Michael, Jan Silverman, Edmund Cibas, Andrew S. Field, Richard DeMay

Special Course- Basic Principles in Cytology 2015

Educational Objective

Cytology has grown to play a major role in tumor diagnosis. Surgical pathologists who may have had limited or no specialized training in cytology, are increasingly asked to render more definitive diagnoses based on small cytological samples, and/or provide immediate interpretations for radiology-guided FNA’s. This special course emphasizes the essentials and basics of diagnostic cytology, and is intended for surgical pathologists who wish to be introduced or re-introduced to the discipline of cytology, or those who are interested in a “refresher” in general basic cytology. This course is also ideal for residents in training, and those preparing for boards or in-service exams. The faculty is made up of experts in the field, who will cover the most commonly encountered specimen types, including gynecologic, exfoliative, and FNA cytology. They will present detailed diagnostic criteria, adequacy requirements, differential diagnosis, and histopathologic correlation. Potential pitfalls, as well as the value of ancillary studies, including immunohistochemistry and molecular testing, will be discussed when relevant. There will be an ample opportunity for questions and audience participation. This course may also serve as an introduction to other cytology workshops or courses, which often tend to be of an advanced level, and more geared towards pathologists with strong cytology background. The goals of this special course are for the participants to become less intimidated by cytologic samples, and more confidently diagnose commonly encountered lesions, and recognize potential limitations and pitfalls. All registrants will receive a detailed text syllabus, in addition to the PowerPoint lectures and images. Upon completion of this educational activity, participants should be able to:

  1. Review essentials and basics of diagnostic cytology, including gynecologic, exfoliative, and FNA cytology.
  2. Review detailed diagnostic criteria, adequacy requirements, and histologic correlation for different organ systems and specimen types, including normal
  3.  
  4. cytology and more commonly encountered lesions.Recognize potential limitations, common pitfalls and differential diagnostic considerations.
  5. Appreciate the value of ancillary studies, including immunohistochemistry and molecular testing in the diagnostic workup.

Session Credits: CME = 7.25 / SAMs = N/A

Agenda

8:00am
Introduction
8:15am
Basic Cyto- Gynecologic Cytology
Speaker: Dina R. Mody, MD, The Methodist Hospital, Houston, TX

Dina R. Mody, MD, The Methodist Hospital, Houston, TX Upon completion of this educational activity, participants should be able to:

  1. Understand and identify the spectrum of benign, pre neoplastic and neoplastic spectrum of Cervicovaginal cytology
  2. Be familiar with the benign mimics of the various neoplastic entities
  3. Understand the role of HPV testing and biomarkers as applicable to Cervicovaginal cytology
Access to Handouts
9:00am
Basic Cyto- Urine Cytology
Speaker: Guliz A. Barkan, MD, Loyola University Medical Center, Maywood, IL

Upon completion of this educational activity, participants should be able to:

  1. Improve the participant?s ability to recognize normal urine cytology, common, and uncommon neoplasms in UT cytology by highlighting the key morphological features in cytology
  2. Discuss the diagnostic criteria, the Paris system of reporting urinary tract cytology, and review the clinical implications and outcome of each category
  3. Review the cytopreparatory techniques, commonly used ancillary tests, and their utilization in diagnosis
Access to Handouts
9:45am
Questions and Answers
10:00am
Coffee Break and Poster Viewing
10:30am
Basic Cyto- Effusions Cytology
Speaker: Clair W. Michael, MD, University Hospitals Case Medical Center, Cleveland, OH

Upon completion of this educational activity, participants should be able to:

  1. Learn how to approach the diagnosis in effusions
  2. Review characteristic morphologic features of selected benign and malignant entities
  3. Learn how to differentiate reactive mesothelium, adenocarcinoma and mesothelioma and its mimickers
  4. Review of characteristic features of various adenocarcinomas and their diagnostic pitfalls
  5. Review the role of ancillary techniques, the old and the new, in the work-up of effusions
Access to Handouts
11:15am
Pitfalls in Respiratory Cytology
Speaker: Jan F. Silverman, MD, Alleghany Health Network, Drexel University College of Medicine, and Temple University School of Medicine, Pittsburgh, PA

Upon completion of this educational activity, participants should be able to:

  1. Recognize pitfalls for false positive diagnosis of malignancy in benign respiratory cytology specimens
  2. Appreciate the variety of organisms that can be diagnosed in respiratory cytology specimens
  3. Give a more definitive diagnosis than non-small cell carcinoma and appreciate how the immunohistochemical work up aids in making a more definitive diagnosis and help the oncologist in making treatment decisions
  4. Separate metastatic malignancies to the lung from primary lung cancers and be knowledgeable about the appropriate immunohistochemical workup in making a definitive diagnosis
Access to Handouts
12:00pm
Questions and Answers
12:15pm
Lunch Break
1:15pm
Introduction
1:30pm
Basic Cyto- Salivary Glands
Speaker: Tarik Elsheikh, MD, Cleveland Clinic, Cleveland, OH

Upon completion of this educational activity, participants should be able to:

  1. Utilize a practical approach to evaluation and diagnosis of salivary gland tumors
  2. Implement strict and well defined cytologic criteria to help establish a more definitive diagnosis
  3. Recognize potential pitfalls and how best to avoid them
Access to Handouts
2:15pm
Thyroid Cytology
Speaker: Edmund S. Cibas, MD, Brigham and Women's Hospital, Boston, MA

Upon completion of this educational activity, participants should be able to:

  1. Reinforce and expand the attendee's knowledge of the role of thyroid cytology in the management of the patient with a thyroid nodule
  2. Strengthen the attendee's skills in diagnosing benign thyroid nodules by fine needle aspiration
  3. Strengthen the attendee's skills in diagnosing suspicious and malignant thyroid nodules
  4. Improve the attendee's use of the Bethesda System for Reporting Thyroid Cytopathology and the application of its six general categories.
Access to Handouts
3:00pm
Questions and Answers
3:15pm
Coffee Break
3:45pm
Lymph Node Cytopathology
Speaker: Andrew S. Field, MD, St. Vincent's University Hospital, Sydney, Australia

Upon completion of this educational activity, participants should be able to:

  1. Present an algorithmic approach to the diagnosis of FNB of lymph nodes
  2. Briefly discuss key technical aspects of FNB of lymph nodes
  3. Focus on providing an introduction to the cytomorphological diagnosis of reactive lymphadenopathies and lymphomas
  4. Present an outline of the eight lymphoid patterns in lymph node FNB smears
  5. Show how the integration of lymphoid pattern and cell type can provide diagnoses in many reactive processes and some lymphomas
  6. Demonstrate the crucial need to integrate cytomorphology and ancillary tests based on FNB lymph node material
  7. Highlight when core biopsy or excision biopsy should be suggested
Access to Handouts
4:30pm
Basic Cyto- Pancreatic Cytology
Speaker: Richard M. DeMay, MD, University of Chicago, Chicago, IL

Upon completion of this educational activity, participants should be able to:

  1. Learn the normal appearance and reactive changes in pancreatic cells
  2. Formulate a differential diagnosis of solid and cystic lesions of the pancreas
  3. Arrive at final diagnosis using ancillary testing if necessary
Access to Handouts
5:15pm
Questions and Answers

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