Diagnostic Cytology Seminar

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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)

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CASE 1 ANSWER
FNA Dx Cystic lesion, suspicious for papillary ca

• Thyroidectomy
• Papillary Thyroid Carcinoma, oxyphilic type

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CASE 2 ANSWER
FNA DX Metastatic Renal Cell Carcinoma

• Nephrectomy
• Renal Cell Carcinoma, mixed clear and granular
  cell types, Fuhrman Grade III, multifocal

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CASE 3 ANSWER

• BAL Dx
• Acute Inflammation
• Infectious Process,Nocardia spp.
• (negative for AFB, PCP)

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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

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CASE 5 ANSWER

• FNA Dx
• Malignant cells present consistent with
  adenosquamous carcinoma
• Patient lost to follow up.

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CASE 6 ANSWER
FNA Dx Rosai-Dorfmans Dz (Sinus histiocytosis
with massive lymphadenopathy)

• Lymph Node Biopsy Dx
• Rosai-Dorfmans Dz (Sinus histiocytosis with
  massive lymphadenopathy)

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CASE 7 ANSWER
Cx Cytology NILM Squamous metaplasia, Cervicitis

• Cervical Biopsy
• Carcinosarcoma (Malignant mixed mesodermal tumor)

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CASE 8 ANSWER
FNA Dx Salivary Gland neoplasm, cytologically
benign, favor monomorphic adenoma

• Parotidectomy
• Acinic Cell Carcinoma