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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:

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Diagnostic cytology seminar november 6 2006 sheraton centre toronto ontario canada

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
CASE 1 ANSWER

FNA Dx:

Cystic lesion, suspicious for papillary ca

Thyroidectomy:

Papillary Thyroid Carcinoma, oxyphilic type


Case 2 answer
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
CASE 3 ANSWER

BAL Dx:

Acute Inflammation

Infectious Process,Nocardia spp.

(negative for AFB, PCP)


Case 4 answer
CASE 4 ANSWER

Cx Cytology:

AGUS, Carcinoma not excluded

Hysterectomy:

Adenocarcinoma,

endometrioid type with focal squamous differentiation, FIGO II arising in an endometrial polyp without myometrial invasion

Endometrial Biopsy:

Endometrioid carcinoma, FIGO II


Case 5 answer
CASE 5 ANSWER

FNA Dx:

Malignant cells present consistent with adenosquamous carcinoma

Patient lost to follow up.


Case 6 answer
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
CASE 7 ANSWER

Cx Cytology:

NILM

Squamous metaplasia, Cervicitis

Cervical Biopsy:

Carcinosarcoma (Malignant mixed mesodermal tumor)


Case 8 answer
CASE 8 ANSWER

FNA Dx:

Salivary Gland neoplasm, cytologically benign, favor monomorphic adenoma

Parotidectomy:

Acinic Cell Carcinoma