2017 Annual Meeting

Evening Specialty Conference
Cytopathology

Unusual/Interesting Cases with a Message

March 6 2017, 7:30pm to 9:30pm

Moderator:
Dina R. Mody, MD
Panelists:
Paul Ohori, MD - Esther Diana Rossi, MD - Fadi Abdul-Karim, MD - Vickie Jo, MD

Pre-Meeting Materials

Case 1

Faculty:
Paul Ohori, MD

Clinical History:

A 71 year old woman presented with hoarseness and dyspnea. Biopsy of a tracheal mass and FNA of a cervical lymph node showed a carcinoma with ETV6/NTRK3 gene fusion. In addition, a 4.6 cm left thyroid mass and a 2.6 cm right thyroid mass were identified. FNA of the left thyroid mass was performed.

Morphological Findings (click to enlarge):

Figure 1Pap 10x
Figure 2Pap 60x
Figure 3Pap 60x
Figure 4Pap 60x
Figure 5Pap 60x
Figure 6DQ 20x
Figure 7DQ 10x
Figure 8DQ 40x

Case 2

Faculty:
Esther Diana Rossi, MD

Clinical History:

48 y/o man 1.5 cm left parotid nodule Evaluation under sonographic guidance (US): Ipervasculated nodule with a dishomogenous pattern Aspiration performed with two passes with 25 G needles FNAC processed with conventional cytology and liquid based cytology (LBC) Previous history of a AUS/FLUS thyroid lesion (1 year before)

Morphological Findings (click to enlarge):

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Figure 8
Figure 9
Figure 10
Figure 11
Figure 12
Figure 13
Figure 14

Case 3

Faculty:
Fadi Abdul-Karim, MD

Clinical History:

History 63 year old female. Prior Pap history unknown. No gross lesions on the cervix.

Morphological Findings (click to enlarge):

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Case 4

Faculty:
Vickie Jo, MD

Clinical History:

A 70-year-old woman presented with a left gluteal mass, with associated pain on weight-bearing and palpation. Imaging studies (CT, MRI, and ultrasound) demonstrated a deep-seated soft tissue mass measuring ~8.0 cm. CT-guided fine-needle aspiration and core needle biopsy were performed.

Morphological Findings (click to enlarge):

Figure 1 20x
Figure 2 40x
Figure 3 60x
Figure 4 60x
Figure 5 60x
Figure 6 60x

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