2017 Annual Meeting

SC59-Occupationally Related Pleural and Pulmonary Disorders in the 21st Century: Challenges, Pitfalls and No-Nos

March 9 2017, 1:00pm to 4:30pm


SC59-Occupationally Related Pleural and Pulmonary Disorders in the 21st Century: Challenges, Pitfalls and No-Nos

Session Credits: 3 CME and 3 SAMs

Faculty: Victor L. Roggli MD, and Thomas A. Sporn, MD, Duke University Medical Center, Durham NC and Henry D. Tazelaar MD, Mayo Clinic, Scottsdale AZ

This is a practically oriented course that focuses on common problems in the diagnosis of occupationally related pleural and pulmonary disorders. This short course will be aimed at practicing surgical and autopsy pathologists and pathologists-in-training but will also be useful to specialists in pulmonary pathology or occupational related lung disease. Emphasis will be placed on common errors in diagnosis of these disorders and recognition of difficult cases and their differential diagnostic considerations. The course will be constructed as a series of case presentations of varying lengths related to the diagnosis of early epithelial mesothelioma and its distinction from atypical mesothelial hyperplasia, desmoplastic mesothelioma and its distinction from fibrous pleurisy, some of the more common pneumoconioses and their distinction from other interstitial lung disorders, occupationally related small airways disease and its distinction from more common types of small airways disease, malignant mesothelioma and some of its less common manifestations, and neoplasms that may be confused with mesothelioma along with helpful hints for making the correct diagnosis. The case presentations will cover histopathological features, differential diagnosis, and adjuvant diagnostic techniques, including recent advances in diagnostic approach.

The Turning Point Audience Response System will be used to ask specific questions of participants and anonymously register their responses as a learning tool during each of the presentations. Six virtual slides along with case histories will be posted on the USCAP website for review by pre-registrants prior to the meeting. A syllabus reviewing diagnostic features and differential diagnosis along with a comprehensive bibliography will be posted on the USCAP website prior to the meeting. All course registrants will also receive web access to the PowerPoint presented at the USCAP Annual Meeting along with the text portion of the syllabus.

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

  • Recognize the range of histologic appearances of reactive vs. neoplastic mesothelium and fibrous pleurisy vs. desmoplastic mesothelioma, including their overlaps and approaches to the differential diagnosis
  • Recognize the common forms of pneumoconiosis and occupationally related small airways disease and their distinction from idiopathic forms of interstitial fibrosis and other forms of small airways disease, respectively
  • List the malignancies that might be confused with mesothelioma, recognize pitfalls in diagnosing pleural malignancies, and be aware of how to avoid these pitfalls.


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