Short Courses and Special Courses

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

Friday, March 23, 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


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

Course Description

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 pneumoconiosis 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.

Six virtual slides along with case histories will be posted on the USCAP website for review by 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.

Learning Objectives

Upon completion of this educational activity, the learner will 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.


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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