The Diagnostic Cytology Seminar 2020 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.
MODERATORS:
Jennifer Brainard, MD
Melissa L. Randolph, BS, SCT(ASCP)
PANELISTS:
Longwen Chen, MD, PhD
Juan Xing, MD
Mariana Canepa, MD
Christa Swisher, BS, CT(ASCP)
Click on View Slides to continue to Diagnosis button.
If viewing on a mobile device, scroll over to see all cases.
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Case 1
Clinical History
A 47 year old man with chronic back pain presented to the Emergency Department with worsening back pain and new onset abdominal pain. A CT scan showed multiple liver, spleen, lung and bone lesions as well as hilar and mediastinal adenopathy. An EBUS-guided FNA of an 11L lymph node was performed.
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Case 2
Clinical History
An 82 year old man presented with a 6 month history of fatigue and weight loss. The patient is a former smoker with asbestos exposure. A chest CT showed a large right hilar mass which is mildly PET avid. An EBUS-guided FNA of the right
hilar mass was performed.
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Case 3
Clinical History
A 74 year old man with history of severe coronary artery disease status post CABG and diabetes presented to his primary care physician with right upper extremity swelling. He was referred for CT angiography which showed an anterior
mediastinal mass with a suspected thrombus in the superior vena cava. A transesophageal echo showed a mediastinal mass with extension to the right atrium and superior vena cava. A touch preparation and biopsy of the superior vena
cava mass was performed.
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Case 4
Clinical History
A 72 year old woman with history of diabetes presented to the Emergency Department with left leg swelling and numbness. A venous Doppler showed extensive left leg deep venous thrombosis (DVT). A CT scan of the chest to rule out a pulmonary
embolism revealed a 4cm right paratracheal mass. An EBUS-guided FNA of the right paratracheal mass was performed.
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Case 5
Clinical History
A 63- year-old woman that has experienced post-menopausal bleeding for a period of 7 months. Pap Test, Cervical/Endocervical, however, Cervix could not be visualized.
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Case 6
Clinical History
A 56 year old man with history of papillary thyroid carcinoma presented to his ophthalmologist with a one year history of blurred vision and a one month history of a dark spot in his right eye. A multi pigmented right choroidal mass
was seen on exam associated with subretinal hemorrhage. The patient was referred to ocular oncology. An FNA of the choroidal mass was performed.
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Case 7
Clinical History
A 46 year old male former smoker presented with exertional dyspnea and cough. A chest x-ray showed a right hilar fullness. A CT scan showed a large soft tissue attenuation mass in the mediastinum and right hilum. An EBUS-guided
FNA of the mass was performed.
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Case 8
Clinical History
A 48 year old male with MEN I and a history of hyper-parathyroidism. 2.4 cm Left Pleural Based Mass
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Bonus Case 9
Clinical History
The patient is an 82 year old woman with a history of nasopharyngeal carcinoma with a new right lower lobe lung nodule. Aspirate of the right lower lobe nodule.
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