Transcript Document

Diagnostic Cytology Seminar
November 6, 2006
Sheraton Centre
Toronto, Ontario, Canada
Moderator: Celeste N. Powers, M.D., Ph.D.
Panelists: Terence Colgan, M.D.
Tarik M. Elsheikh, M.D.
Jennifer A. Brainard, M.D.
Michael Facik, M.P.A., CT(ASCP)
CASE 1 ANSWER
FNA Dx:
Cystic lesion, suspicious for papillary ca
Thyroidectomy:
Papillary Thyroid Carcinoma, oxyphilic type
CASE 2 ANSWER
FNA DX:
Metastatic Renal Cell Carcinoma
Nephrectomy:
Renal Cell Carcinoma, mixed clear and granular
cell types, Fuhrman Grade III, multifocal
CASE 3 ANSWER
BAL Dx:
Acute Inflammation
Infectious Process,Nocardia spp.
(negative for AFB, PCP)
CASE 4 ANSWER
Cx Cytology:
AGUS, Carcinoma not excluded
Endometrial Biopsy:
Endometrioid carcinoma, FIGO II
Hysterectomy:
Adenocarcinoma,
endometrioid type with focal squamous differentiation,
FIGO II arising in an endometrial polyp without
myometrial invasion
CASE 5 ANSWER
FNA Dx:
Malignant cells present consistent with
adenosquamous carcinoma
Patient lost to follow up.
CASE 6 ANSWER
FNA Dx:
Rosai-Dorfman’s Dz (Sinus histiocytosis
with massive lymphadenopathy)
Lymph Node Biopsy Dx:
Rosai-Dorfman’s Dz (Sinus histiocytosis
with massive lymphadenopathy)
CASE 7 ANSWER
Cx Cytology:
NILM
Squamous metaplasia, Cervicitis
Cervical Biopsy:
Carcinosarcoma (Malignant mixed
mesodermal tumor)
CASE 8 ANSWER
FNA Dx:
Salivary Gland neoplasm, cytologically
benign, favor monomorphic adenoma
Parotidectomy:
Acinic Cell Carcinoma