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Cytopathology Challenge! Weekly Cases

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Cytopathology Challenge! Weekly Cases. April 17, 2009. FNA of abdominal mass: Colorectal adenocarcinoma Prostatic adenocarcinoma Lymphoma Abscess Sarcoma. lymphoglandular bodies. 1. Cervical LN FNA: papillary thyroid ca lymphoma multiple myeloma reactive LN HSV. - PowerPoint PPT Presentation
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April 17, 2009
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Page 1: Cytopathology Challenge!  Weekly Cases

April 17, 2009

Page 2: Cytopathology Challenge!  Weekly Cases

FNA of abdominal mass:

1. Colorectal adenocarcinoma2. Prostatic adenocarcinoma3. Lymphoma4. Abscess5. Sarcoma

1

lymphoglandular bodies

Page 3: Cytopathology Challenge!  Weekly Cases

2

Cervical LN FNA:

1. papillary thyroid ca2. lymphoma3. multiple myeloma4. reactive LN5. HSV Intranuclear

pseudoinclusion.

Page 4: Cytopathology Challenge!  Weekly Cases

3

CSF from child:

1. Unremarkable2. HSV3. CMV4. PNET5. Candida

Small round blue cells with molding.

Page 5: Cytopathology Challenge!  Weekly Cases

4

Liver FNA:

1. Benign hepatocytes2. Benign ductal cells3. Metastatic small cell

carcinoma4. Metastatic

adenocarcinoma5. Ecchinococcal cyst

Metastatic colorectal adenocarcinoma key features:

Columnar cells arranged in linear strips. Often with necrotic background.

Hepatocytes

Page 6: Cytopathology Challenge!  Weekly Cases

5

Pleural fluid:

1. mesothelial cells2. empyema3. small cell carcinoma4. squamous cell carcinoma5. adenocarcinoma

“windows”

Page 7: Cytopathology Challenge!  Weekly Cases

6

Pancreas FNA:

1. normal pancreas2. pseudocyst3. adenocarcinoma4. endocrine neoplasm5. lymphoma

Page 8: Cytopathology Challenge!  Weekly Cases

ThinPrep pap:

1. Benign endometrial cells2. Follicular cervicitis3. HSIL4. LSIL5. Adenocarcinoma

7

Page 9: Cytopathology Challenge!  Weekly Cases

8

ThinPrep pap:

1. NILM2. Reactive cellular changes3. HSIL4. AGUS5. LSIL

Page 10: Cytopathology Challenge!  Weekly Cases

9

ThinPrep pap:

1. NILM2. Reactive cellular changes3. HSIL4. AGUS5. LSIL

Trichomonas

“Trich” halo; reactive phenomenon

Page 11: Cytopathology Challenge!  Weekly Cases

10

ThinPrep pap:

1. NILM2. RCC3. HSIL4. AGUS5. LSIL

Cavitations in LSIL are larger than Trich halos and have a dark outer edge.


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