Friday
Interact with experts in the field during these smaller, less formal 90-minute sessions. Interesting cases on specific topics, similar to cases being reviewed in a hospital on a multiheaded microscope are reviewed using a video microscope.
Friday | Saturday | Sunday | Monday | Tuesday
| Friday, November 4, 2011 |
1:00 pm - 2:30 pm
| Video Microscopy Tutorial #1
Credit Hours:1.5 CME/CMLE/SAM
Lung - Challenges in Cytopathologic Diagnosis
Yener S. Erozan, MD
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Educational Objectives:
1. Present selected cases representing problematic areas in cytopathologic diagnosis of lung lesions
2. Discuss differential diagnosis between malignant neoplasms and benign lesions with similar morphology
3. Discuss how to make a more specific diagnosis, and avoid mistakes, in poorly differentiated malignant neoplasms
Selected challenging lung lesions encountered in a general cytopathology practice will be presented. Emphasis will be on the differential diagnosis of benign and malignant lesions with similar morphologies as well as specific types of poorly differentiated malignant neoplasms. The presentation will be informal and open discussion with the registrants will be encouraged.
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1:00 pm - 2:30 pm
 | Video Microscopy Tutorial #2
Credit Hours:1.5 CME/CMLE/SAM
Diagnostic Challenges in GYN
Michael R. Henry, MD
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Educational Objectives:
1. Review difficult distinguishing cytologic features of look-alike entities in GYN cytology
2. Learn various cytologic features to diagnose difficult cases in GYN Pap tests
Distinguishing features between benign and significant findings in a PAP test are often subtle and difficult to separate. This session will highlight many of these look-alike entities and in the process will discuss the thought processes in determining the final interpretation used for reporting the results. Examples include the spectrum of changes seen in immature squamous cells from benign to HSIL, inflammatory conditions that mimic carcinoma, glandular look-alikes such as tubal metaplasia, IUD effect and AIS and finally pregancy related changes.
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1:00 pm - 2:30 pm
| Video Microscopy Tutorial #3
Credit Hours:1.5 CME/CMLE/SAM
Fine Needle Aspirate of a Liver Mass: Finer Points of a Thin Needle Point
Nirag C. Jhala, MD, MIAC
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Educational Objectives:
1. Characterize utility of FNA for liver Aspirates
2. Distinguish reactive hepatocytes from hepatocellular carcinoma
3. Develop algorithmic approach to distinguish hepatocellular cancers from metastatic tumors
4. Characterize utility of ancillary studies in limited samples from Liver FNA
Utility of performing Liver FNA and it s role in patient management has remained a subject of rigorous discussions. Cytopathology labs continue to receive FNA samples from liver masses and morphologic mimics present unique challenges for cytotechnologists and pathologists. This session will utilize cases from our daily practice to demonstrate algorithmic approach to distinguish reactive hepatocytes from hepatocellular carcinomas and to distinguish various morphologic patterns of hepatocellular cancers from metastatic tumors. This session will also demonstrate utility of ancillary studies on limited samples to arrive at diagnostic interpretations.
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3:30 pm - 5:00 pm
| Video Microscopy Tutorial #4
Credit Hours:1.5 CME/CMLE/SAM
Liquid-based Methods for Thyroid FNA
Edmund S. Cibas, MD
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Educational Objectives:
1. To understand the advantages and disadvantages of liquid-based cytology for thyroid FNA
2. To appreciate the cytomorphologic appearance of the common and uncommon thyroid lesions on liquid-based preparations.
A variety of preparation methods are available for thyroid FNA, including smears, liquid-based cytology (LBC), and cell blocks. These can be used alone or in combination to best fit the needs of the patient and the laboratory. This tutorial will review LBC for thyroid FNA by a microscopic review of 25 plus cases that illustrate the spectrum of lesions from benign to malignant.
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3:30 pm - 5:00 pm
 | Video Microscopy Tutorial #5
Credit Hours:1.5 CME/CMLE/SAM
Squamous Cell Abnormalities of the Uterine Cervix: Black and White with Shades of Gray
Jamie L. Covell, BS, CT(ASCP)
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Educational Objectives:
1. Describe the characteristic morphologic features for each diagnostic category of squamous abnormalities listed in the Bethesda System
2. Discuss areas of difficulty in differential diagnoses for squamous abnormalities of the uterine cervix
3. Discuss morphologic findings that may aid in the interpretation of difficult cases
4. Discuss the use of HPV testing in the management of squamous abnormalities of the uterine cervix
Squamous cell abnormalities are the most commonly reported abnormal findings in Pap tests from the uterine cervix. Using an interactive approach, participants will view classic presentations of squamous abnormalities (black and white) and compare them with cases presenting greater interpretation difficulties (shades of gray). Cases range from reactive changes to cancer with everything in between. Participants can challenge their newly expanded expertise with selected unknown cases at the end of the tutorial.
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3:30 pm - 5:00 pm
| Video Microscopy Tutorial #6
Credit Hours:1.5 CME/CMLE/SAM
EUS-FNA of Pancreatic Cysts
Martha B. Pitman, MD
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Educational Objectives:
1. Define the subclassification of the cystic lesions of the pancreas
2. Understand the existing and evolving patient management options for patients with pancreatic cysts
3. Recognize the pitfalls to diagnosis introduced by the EUS-guided biopsy technique
4. Identify the cytological criteria for the diagnosis of most cystic lesions of the pancreas
5. Understand the benefits and limitations of ancillary tests such as mucin stains, cyst fluid analysis and molecular analysis in the cytological evaluation of pancreatic cysts
This course will simulate an informal multihead microscope session illustrating non-neoplastic and neoplastic pancreatic cysts. There will be an emphasis on mucinous cysts of the pancreas. Optimal tissue triage of cyst fluid and a multimodal approach incorporating clinical and radiological information with the cytological, cyst fluid chemical and molecular analysis will be discussed in detail. A handout will be provided.
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