Short Courses and Special Courses

SC14 - Key Consult Case Questions: An Approach to the 6 Most Common Reasons for Submitting Liver Consults

Thursday, March 22, 2018 - 1:00 pm - 4:30 pm
This Short Course session includes up to a half-hour break.

Session Credits:

3 CME and 3 SAMs


Michael Torbenson, MD, Mayo Clinic, Rochester, MN
Matthew M. Yeh, MD, PhD, University of Washington, Seattle, WA

Course Description

This course was created after examining the most common reasons for submitting liver cases for extramural consultation, and focuses on the best approach for the 6 most common reasons: (1) classifying well differentiated hepatic neoplasms; (2) using immunostains to identify site of origin for carcinomas; (3) fatty liver disease questions including distinguishing steatosis from steatohepatitis, identifying possible concomitant autoimmune hepatitis, and etiology of cases with no metabolic syndrome or alcohol use; (4) approach to biopsies with a hepatitic pattern of injury; (5) histological clues to the etiology of cirrhotic livers; and (6) approach to the almost normal liver biopsy. Taken together, these topics represent >80% of all reasons why cases were submitted for consultation.

Learning Objectives

Upon completion of this educational activity, the learner will be able to:

  • Understand effective use of morphology and immunohistochemistry to distinguish benign liver tumors from well differentiated hepatocellular carcinoma
  • Understand the effective use of morphology and immunohistochemistry when evaluating metastatic tumors
  • Provide effective approaches to manage key pitfalls and challenges in medical liver biopsies with fatty liver disease
  • Provide strategies to manage the almost normal liver biopsy
  • Provide effective approaches to the challenges of interpreting chronic hepatitis NOS and cirrhosis NOS


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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