|November 16, 2010|
|7:30 am - 9:00 am||Video Microscopy Tutorial #16
*Please Note: This is a Speaker & Topic change from the Registration Brochure*
Glandular Lesions in Cervicovaginal Cytology: ThinPrep and SurePath
Dina R. Mody, M.D.
1) List the diagnostic criteria for endocervical adenocarcinoma in situ and invasive adenocarcinoma on all preparation types
2) Describe the morphologic differences between a high-grade squamous intraepithelial lesion and endocervical adenocarcinoma in situ
3) Identify the benign mimics of glandular neoplastic lesions in cervicovaginal cytology
4. Recognize patterns of endometrial and extrauterine carcinomas in all preparation types
This 1.5 hour microscopic tutorial will review examples of significant glandular lesions in cervicovaginal cytology using both conventional and liquid-based preparations (ThinPrep® and SurePath®). The lesions include adenocarcinoma in situ of the cervix, endocervical adenocarcinoma, endometrial and extrauterine carcinomas. The findings of these significant lesions will be contrasted with other benign mimics like tubal metaplasia, microglandular hyperplasia, lower uterine segment endometrium and post-conization diathermy artifact. Criteria to separate high-grade squamous intraepithelial lesions from adenocarcinoma in situ will also be presented. Time permitting, selected consultations will be reviewed.
|7:30 am - 9:00 am||Video Microscopy Tutorial #17
Thyroid Cytopathology: Coming to Terms with Bethesda
Syed Z. Ali, M.D.
1) Recognize and apply morphologic criteria to diagnose thyroid disease and identify diagnostic issues and limitations
2) Understand The Bethesda System for Reporting Thyroid Cytopathology
3) Appreciate the clinical implications of cytologic interpretations and be familiar with management guidelines of each diagnostic category
Thyroid Fine Needle Aspiration is one of the most commonly performed procedures in nongynecologic cytopathology. The Bethesda System for Reporting Thyroid Cytopathology, “TBSRTC” (or simply “Thyroid-TBS”) was introduced to develop a robust and reproducible reporting system, obviate inconsistencies in terminology for thyroid FNAs and provide management guidelines for the treating physicians. The tutorial will elaborate on the terminology issues and morphologic criteria from the Thyroid atlas project that form the framework for the TBSRTC. By illustrating each diagnostic category of TBS with selected examples of cases with direct-smear glass slides, the presentation will facilitate the understanding and application of the six diagnostic categories. Emphasis will be placed on accurate identification of morphologic clues, awareness of potential pitfalls and phrasing/wording the final report as recommended by TBS. The presentation format will be interactive and ample time will be available for Q&A.
|7:30 am - 9:00 am||Video Microscopy Tutorial #18
Pancreatic FNA Cytopathology
Edward B. Stelow, M.D
1) Paticipants will know the cytologic features of pancreatic ductal adenocarcinoma
2) Participants will be able to list the various pancreatic neoplasms that can be diagnosed by fine needle aspiration
3) Participants will be able to describe the use of ancillary tests for coming to specific diagnoses with pancreatic FNAs
Pancreatic cytopathology comprises a substantial component of many institutions' FNA biopsy services. Correct interpretations are key for the correct clinical management of patietns with pancreatic lesions. This tutorial will review the cytologic features of common and obscure pancreatic pathologies. Included for discussion will be ductal adenocarcinoma (and its many variants), pancreatic endocrine neoplasms, acinar cell carcinomas and solid pseudopapillary neoplasms. Predominately cystic lesions will also be addressed including mucinous neoplasia (both intraductal papillary mucinous neoplasms and mucinous cystic neoplasms). As inflammatory lesions can mimic neoplasia, they will also be discussed, including chronic pancreatitis and autoimmune pancreatitis. We will generally work within an algorythm. Limitations and ancillary studies will also be discussed.
|10:30 am - 12:00 pm||Video Microscopy Tutorial #19
Fine Needle Aspiration of the Salivary Gland
William C. Faquin, M.D., Ph.D.
1) Diagnose key salivary gland tumors in FNA specimens
2) Formulate a differential diagnosis based upon cytomorphologic features
3) Recognize diagnostic pitfalls in salivary gland cytology
Using a series of classic salivary gland FNA cases as well as examples of key variants, this tutorial will focus on the microscopic evaluation and diagnosis of important salivary gland tumors and their pitfalls.
|10:30 am - 12:00 pm||Video Microscopy Tutorial #20
Spectrum of High Grade Lesions in Gynecologic Cytology
Jamie L. Covell, B.S., CT(ASCP)
1. Appreciate cytomorphology of high grade squamous intraepithelial lesions and high grade glandular lesions
2. Recognize differences between ASC-US and ASC-H
3. Learn to recognize differences between AGC and AIS
4. Learn strategies to deal with difficult high grade lesions on Paps
There is a definite spectrum of High Grade Squamous and Glandular lesions encountered in routine pap smear screening. Recognizing this spectrum is crucial for a confident diagnosis to ensure appropriate patient follow up and management. Using illustrative cases, this tutorial will cover the spectrum of high grade lesions in gynecologic cytology. Essential cytomorphologic features, differential diagnostic considerations, use of adjunctive testing and use of appropriate recommendations will be covered.
|10:30 am - 12:00 pm||Video Microscopy Tutorial #21
Spectrum of Soft Tissue Cytology: Fine Needle Aspiration and Core Needle Biopsy Touch Preparations Initial Evaluation, Triage and Diagnosis
Dina R. Mody, M.D.
1) To understand the spectrum of Soft tissue lesions/pathology encountered in practice
2) Discuss the approach to be taken at the time of adequacy evaluation and triage for specialized testing
3) Familiarize the audience with the general diagnostic approach towards soft tissue lesions
4) Understand the limitations and pitfalls in soft tissue cytology and strategies to avoid them
This video microscopy tutorial will present an approach to the evaluation, triage and diagnosis of soft tissue fine needle aspiration and touch preparations of core needle biopsies with cytology histology correlation. An algorithmic approach to the interpretation of primary soft tissue neoplasm, both benign and malignant, will also be discussed in a case presentation format. Triage at the time of adequacy evaluation and special studies including appropriate molecular testing will also be discussed.
|1:30 pm - 3:00 pm||Video Microscopy Tutorial #22
Diagnostic Pitfalls in Pulmonary Cytology
Claire W. Michael, M.D.
1) Develop the skill to generate a differential diagnosis based on the exhibited cytological pattern and to establish the diagnosis based on specific cytological features
2) Recognize lesions that masquerade as malignancies and be familiar with their mimicking and distinguishing features
3) Develop the skill to resolve diagnostically difficult cases and avoid errors
Cytology of lung specimens presents unique diagnostic challenges and is among the most frequent source of medico-legal action in non-gynecologic specimens. This tutorial will focus on both benign and malignant mimickers that could contribute to serious false diagnoses or misclassification. Discussion will include: Benign lesions such as pneumocyte hyperplasia, organizing pneumonia and granulomatous lesions versus adenocarcinoma, basal cell hyperplasia versus small cell carcinoma, viral and therapy induced cytopathic changes versus malignancy, etc. as well as malignant tumors with subtle features masquerading as benign such as adenocarcinoma with bronchoalveolar growth pattern, bronchial associated lymphoma, etc.
|1:30 pm - 3:00 pm||Video Microscopy Tutorial #23
Urine Cytology Made Easy
Eva M. Wojcik, M.D.
1. Review cytologic features and discuss potential pitfalls in urine cytology
2. Understand diagnostic limitations of urine cytology
3. Recognize clinical implications of various diagnostic categories in urine cytology
Urine cytology is one of the most challenging areas we are dealing with in cytopathology. This interactive workshop will present a simplified, clinically relevant approach to urine specimens. The emphasis will be placed on understanding urine cytology and potential clinical implications of our diagnoses.
|1:30 pm - 3:00 pm||Video Microscopy Tutorial #24
Fine Needle Aspiration of the Kidney and Adrenal Gland
Gregg A. Staerkel, M.D.
1) Recognize the role and limitation of fine needle aspiration cytology in the diagnosis of kidney and adrenal gland lesions
2) Describe the cytomorphologic features of common primary, benign and malignant, tumors of the kidney and adrenal gland
3) Identify ancillary studies useful in the diagnosis of kidney and adrenal gland lesions
This workshop will provide instruction, through an initial didactic lecture and handout, on the morphological features of common and not-so-common lesions of the kidney and adrenal gland. The utility of radiological studies, history and immunochemistry stains will be emphasized for appropriate lesions. Videoconferencing of selected glass slides will be done during the second half of the workshop to help solidify certain key points.