Short Courses and Special Courses
SC12 - Medical Renal Pathology for the General Surgical Pathologist
Thursday, March 22, 2018 - 1:00 pm - 4:30 pm
This Short Course session includes up to a half-hour break.
3 CME and 3 SAMs
Kammi Henriksen, MD, University of Chicago, Chicago, IL
Vanesa Bijol, MD, Brigham and Women’s Hospital, Boston, MA
This short course focuses on practical issues that are frequently encountered by the practicing general surgical pathologist when evaluating tumor nephrectomy/nephroureterectomy specimens, autopsies, and donor kidneys. Evaluation of pathologic changes in this complex organ can be difficult and even intimidating. We aim to highlight common diagnostic problems and provide tips to avoid common pitfalls. Given that the majority of kidney cancers are T1 tumors, which have a 5-year survival rate that approaches 100%, non-neoplastic kidney diseases are emerging as the most important diagnoses to establish during the evaluation of tumor nephrectomy specimens.
Common diseases to be presented include:
- diabetic nephropathy
- focal segmental glomerulosclerosis
- arterionephrosclerosis / hypertensive nephrosclerosis
- crescentic glomerulonephritis
Important pitfalls, including the effects of tumor compression or different cancer treatment modalities, and other relevant issues will be discussed. Evaluation of kidneys for organ donation with emphasis on the histologic parameters and their clinical implications will be reviewed. In this portion of the course, we will address the recently revised criteria for kidney transplantation, common artifacts and pitfalls in evaluation of frozen sections, pathologic lesions commonly seen in these samples, and our practical approach to the semiquantitative evaluation of vascular sclerosis and parenchymal scarring. A practical approach to the evaluation of kidneys from autopsy specimens will be introduced. Several topics to be reviewed will include renal infections, thrombotic microangiopathy, and bile cast nephropathy. The course is designed for surgical pathologists and pathologists in training, who are responsible for nephrectomy and autopsy cases, or are involved with frozen section evaluation of donor kidneys.
Upon completion of this educational activity, the learner will be able to:
- Recognize common medical renal diseases that occur in tumor nephrectomy or nephroureterectomy specimens
- Know common lesions and pitfalls during evaluation for kidney donation
- Learn an algorithmic approach to evaluation of autopsy kidneys to identify common and significant pathologic findings
Continuing Medical Education and Maintenance of Certification
The United States and Canadian Academy of Pathology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The United States and Canadian Academy of Pathology designates this live activity for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The USCAP is approved by the American Board of Pathology (ABP) to offer Self-Assessment credits (SAMs) for the purpose of meeting the ABP requirements for Maintenance of Certification (MOC). Physicians must take and pass the post-test in order to claim SAMs credit.
Physicians can earn a maximum of 3 SAM credit hours.
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