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Diagnostic Cytology Seminar 2018
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The Diagnostic Cytology Seminar 2018 features slides and case histories for some challenging and interesting cases. This is your chance to make a thought-provoking diagnoses before clicking on the diagnosis button.



Charles D. Sturgis, MD

Sean McNair, MPH, CT(ASCP)


John M. Stewart, MD

Carlie Sigel, MD

Joshua Koppenhafer, MPH, CT(ASCP)

Erika E. Doxtader, MD



 Case 1

Clinical History

An 81 year-old woman presented with bilateral flank pain
(right > left) and unintentional weight loss of 3.6 kg over
3 month duration. She had a past medical history including
tubular adenomas of the colon and hypothyroidism. A
rounded lesion measuring 3 cm was detected in the wall
of the lesser curvature of the stomach. EUS FNA was performed.

Case 2

Clinical History

A 25 female presented to the emergency department
with central chest pain. Findings of unintentional
weight loss and fatigue were confirmed. Imaging studies
demonstrated mediastinal / hilar thoracic lymphadenopathy,
and clinical concerns for lymphoma were discussed in the
medical record. The patient underwent EBUS FNA of an
enlarged subcarinal (station 7) lymph node.

Case 3

Clinical History

A 24 year-old male with a past medical history of resection
of a neck mass in childhood presented with an ipsilateral
retro-orbital tumor causing unilateral proptosis. Touch
preparations were made from an incisional biopsy specimen.

Case 4

Clinical History

A 60-year-old male patient with a history of retroperitoneal
sarcoma 10 years ago, presents with a new liver mass and
several abdominal tumor implants. An ultrasound-guided
core biopsy, with touch preparation is performed on an
anterior peritoneal nodule, which has increased in size,
since the patient’s last CT scan.

Case 5

Clinical History

A 72-year old male with a remote history of Hodgkin’s
disease presented with left sided chest and posterior back
pain. He was found to have a right hilar mass, pulmonary
nodules and an adrenal mass. An endobronchial
ultrasound-guided Fine-Needle Aspiration is performed on
a right paratracheal lymph node.

Case 6

Clinical History

A 45 year-old female presented with chest pain and was
diagnosed with a pericardial effusion. Her past medical
history was pertinent for pulmonary histoplasmosis and
hypothyroidism. Imaging studies confirmed a 6 cm mass
in the mediastinum with compression of the main and right
pulmonary arteries as well as impingement upon the left
mainstem bronchus. An EBUS FNA of the mass
was performed.


Case 7

Clinical History

A 41 female presented with abdominal pain and worsening
obstipation. Imaging studies confirmed a large
retroperitoneal / posterior abdominal mass arising either
within or adjacent to the pancreas. The patient had a known 
history of a thigh tumor excised some years previously. An
EUS FNA of the mass was performed.

Case 8

Clinical History

A 54 year-old female with a past history of “breast cancer”
presented to her primary care physician with a 2 cm firm
nodule in the soft tissue adjacent to her sternum.
A percutaneous fine needle aspiration was performed.




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