Short Courses and Special Courses

SC45 - Unusual Entities in Breast Pathology - Common Mistakes but High Stakes

Thursday, March 22, 2018 - 8:00 am - 11:30 am
This Short Course session includes up to a half-hour break.

Session Credits:

3 CME and 3 SAMs


Shabnam Jaffer M.D, Dept. of Pathology, The Mount Sinai Medical Center, New York, NY
Anupma Nayak M.D. Dept. of Pathology, The Hospital of the University of Pennsylvania
Ira J. Bleiweiss Dept. of Pathology, The Hospital of the University of Pennsylvania

Course Description

Breast imaging has increased core biopsy analysis of non-palpable breast lesions, both common and rare. In the vast majority of cases, surgical pathologists can accurately and confidently identify benign and malignant disease on core biopsies; however, it is the rare problematic lesions that mimic more common entities in the breast and may get misdiagnosed. This course is designed to raise the awareness of general pathologists, breast surgical pathologists, fellows, and residents to these pitfalls in their daily practice of breast pathology so as to prevent the erroneous labeling and treatment of these lesions. Using a case based format, the course will provide a multi-disciplinary diagnostic algorithmic approach using clinical history and imaging combined with recognizing morphologic patterns, strategic use of immunohistochemistry and molecular pathology to reach a diagnosis.

After completion of this course, participants will 1) Become familiar with rare problematic lesions in the breast that may be encountered in daily pathology practice. 2) Be equipped with diagnostic approaches and strategies to effectively recognize and distinguish these rare lesions from more common ones, and as such reduce diagnostic error. 3) Effectively utilize morphology, clinical information including imaging characteristics, and ancillary tests such as immunohistochemistry and molecular studies to arrive at the correct final diagnosis and 4) Become aware of the therapeutic implications for the misclassification of these rare lesions.

A virtual slide and still images along with histories of nine cases will be posted on the USCAP website for review by registrants prior to the meeting. A syllabus will be provided reviewing a combination of imaging, morphology, immunohistochemistry and or molecular pathology to discuss and narrow the differential diagnoses of the following topics: 1) Small infiltrative glandular lesions 2) Metastases 3) Cribriform lesions 4) Spindle cell lesions 5) Matrix producing lesions 6) Biphasic lesions 7) Vascular lesions 8) Hematopoietic/ Lymphoid lesions 9) Fibrotic lesions. 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. A comprehensive reference list will be posted on the USCAP website prior to the meeting.

Learning Objectives

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

  • Perform radiologic pathologic correlation of the lesion
  • Work up the lesion with appropriate panel of immunohistochemical stains
  • Identify clinical implications of the (mis)diagnosis


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.


Return to 2018 Annual Meeting Short Course Page


view more