Tuesday, April 28

CASE	TOPIC	HISTORY	LINK
1	Pulmonary Pathology	A 60-year-old man presents with fever and cough. He is a former smoker with upper lobe-predominant emphysema. Imaging demonstrates a large left hilar mass and widely metastatic disease involving hilar and mediastinal LNs, subcutis, abdomen and pelvis.	Slide
2	Pulmonary Pathology	A 73-year-old man presents with hemoptysis. He is a current smoker with an 80 pack-year history. Imaging demonstrates a 9 cm pulmonary mass with metastasis to bone, liver and adrenal gland.	Slide
3	Pulmonary Pathology	During evaluation of rectal bleeding, a 35-year-old man was incidentally found to have two adjacent nodules in right lower lobe, 3.2 and 2.6 cm, with peripheral calcifications. 6 month follow-up imaging demonstrated enlargement by 4 mm. He is a current every day smoker.	Slide
4	Neuropathology	59-year-old male experiences tonic-clonic seizure while at a business meeting. One month later, he experiences abrupt-onset right distal lower extremity weakness while on a fishing trip.	Slide
5	Neuropathology	17-year-old male presenting with seizure activity, cognitive impairment, and profound right-sided hemiparesis.	Slide
6	Neuropathology	9-year-old male initially presenting to outpatient ophthalmology clinic for vision difficulties in the right eye, compensating by turning his head to the right.	Slide
7	Cytopathology	76-year-old woman presented with abdominal pain, radiating to lower back and epigastric area, associated with bloating and occasional nausea. She also reported 4-5 pounds weight loss in the past 2 months. Abdominal CT demonstrated an ill-defined hypointense area within the pancreatic neck/body, measuring 1.4 cm, with upstream pancreatic duct dilation. The patient underwent endoscopic ultrasound-guided fine needle aspiration.	H&E: Slide Smear: Slide
8	Cytopathology	54-year-old healthy woman, seen in the emergency room after a fall while biking, with complains of chest and abdominal pain. No acute traumatic abnormality of the chest, abdomen, or pelvis was found. However, CT of the abdomen showed an incidental pancreatic body mass measuring 10 cm. The patient underwent endoscopic ultrasound-guided fine needle aspiration.	H&E: Slide Smear: Slide
9	Ophthalmic Pathology	77-year-old woman with history of chronic blepharitis for the past 4 years not responding to medical treatment, including steroids. Patient presented to the oculoplastic surgeon with left upper eyelid margin thickening and cicatricial changes in the palpebral conjunctiva. Contralateral eyelids did not have significant changes. A full thickness left upper eyelid wedge biopsy was performed.	H&E: Slide

Wednesday, April 29

CASE	TOPIC	HISTORY	LINK
10	Genitourinary Pathology	A 59-year-old female had a 3.1 cm renal mass detected after developing flank pain after lifting a heavy box.  A partial nephrectomy was performed.	Slide
11	Genitourinary Pathology	A 70-year-old male was found to have a 2.1 cm renal mass during work-up for abdominal pain.  A needle biopsy was performed, and then 5 months later a partial nephrectomy was performed.	Slide
12	Genitourinary Pathology	A 26-year-old female was incidentally found to have a 4.9 cm upper pole renal mass.  The patient states the mass was present two years previously and was 3 cm.  A partial nephrectomy was converted to a radial nephrectomy.	Slide
13	Gynecologic Pathology	A 38-year-old woman presents with severe menorrhagia and undergoes endometrial curettage.	PDF
14	Gynecologic Pathology	A 44-year-old woman undergoes hysterectomy for abnormal uterine bleeding with imaging studies showing an enlarged uterus and thickened endometrial stripe.	PDF
15	Cytopathology	A 67-year-old with a heavy smoking history presents with a large non-healing wound on his forehead with imaging studies showing supraclavicular and mediastinal lymphadenopathy.  He undergoes fine needle aspiration of a right supraclavicular lymph node.	PDF
16	Head & Neck Surgery		No Images Provided
17	Head & Neck Surgery		No Images Provided
18	Infectious Disease Pathology	a.           Case 1: 40-year-old man originally from Arkansas who is a teacher in at an international school in Ghana. He recently completed a vacation in Tunisia and Morocco and started noticing lesions on the arms and legs at sites of previous bug bites. (DR-25-26475 A1; SECTRA) b.           Case 2: 66-year-old man with history of relapsing polychondritis (on chronic prednisone and weekly etanercept) and myelodysplastic syndrome. He has developed a non-healing painful tongue ulcer over the past 6 weeks. (XR-13-14895 A1; DPAS) c.           Case 3: 65-year-old man with multilevel spinal involvement with methicillin-sensitive Staphylococcus aureus (MSSA) associated with an epidural abscess, high-grade bacteremia with MSSA, right prosthetic knee infection with MSSA, and aortic valve endocarditis with MSSA.  Now presenting with a new ulcerative tongue lesion. (SR-19-31706 A1; DPAS) d.           Case 4: A 65-year-old man with chronic non-healing ulcers of the lower back and buttocks. e.           Case 5: The patient is a 75-year-old man with a history of moderate to severe aortic insufficiency and a 45-pack year smoking history, with a 3.5 cm nodule of the right mid lung noted on chest X-ray. He is a retired United States truck driver currently living in the upper midwestern United States. Given his former smoking history and concern for malignancy, a right video-assisted thoracoscopic surgery with wedge excision was performed. f.            Case 6: 54-year-old male with acute myelogenous leukemia presented with right periorbital swelling, diplopia, and bloody nasal discharge. He had just received induction chemotherapy in the previous week. Physical examination revealed right periorbital swelling with proptosis and subconjunctival hemorrhage, and nasal endoscopy revealed significant edema and hemorrhage of the right middle turbinate. A right endonasal medial maxillectomy with debridement of the medial orbital tissues was performed. (No slide, just IMAGE)	Case 1: Slide Case 4: Slide Case 5: Slide  Case 6: No image
19	Digital Pathology		No Images Provided

Thursday, April 30

CASE	TOPIC	HISTORY	LINK
20	Breast Pathology	A 72-year-old woman with history of a right breast palpable complex cystic mass underwent excisional biopsy, which revealed a 1.8 x 1.4 cm firm, white mass with irregular margins.	H&E: Slide 1 H&E: Slide 2
21	Breast Pathology	An 82 year-old women presented with a 2.2 x 1.5 cm enhancing left breast mass on MRI. No other suspicious enhancement or lymphadenopathy. Sections from the lumpectomy specimen are shared for morphologic evaluation.	Slide 1 Slide 2
22	Breast Pathology	An 88-year-old woman presented with a 2.6 x 1.6 cm hypoechoic nodule in the 9 o’clock position of the right breast and underwent an ultrasound-guided core biopsy.	Slide
23	Soft Tissue / Dermatopathology	A 46-year-old male presented with a slowly growing, subcutaneous leg mass.	Slide
24	Bone Pathology	A 63-year-old woman presented with a mass involving the mastoid and zygomatic bones and adjacent soft tissues.	Slide
25	Bone Pathology	A 27-year-old male presented with a slowly growing lower back mass, reportedly present and stable for over 1 year.	Slide
26	Head & Neck Pathology	27-year-old male with a right buttock mass	Slide
27	Head & Neck Pathology	50-year-old male with a left adrenal gland mass	Slide
28	Soft Tissue / Dermatopathology	75-year-old male with a Larynx lesion	Slide
29	Endocrine Pathology		No Images Provided
30	Endocrine Pathology		No Images Provided
31	Endocrine Pathology		No Images Provided

Friday, May 1

CASE	TOPIC	HISTORY	LINK
32	Gastrointestinal Pathology
33	Gastrointestinal Pathology
34	Gastrointestinal Pathology
35	Hematopathology	82 y/o male with history of mantle cell lymphoma, splenectomy with pancreatic tail incidentally removed. 87 y/o woman, carpal tunnel specimen.	H&E: Slide 1 Congo Red: Slide 2 H&E: Slide 3 Congo Red: Slide 4
36	Hematopathology	71 y/o man who presented with shortness of breath.  Lung wedge for pulmonary nodule. 72 y/o man, lung nodule.	H&E: Slide 1 Congo Red: Slide 2 H&E: Slide 3 Congo Red: Slide 4
37	Hematopathology	54 y/o woman with abdominal wall mass.	H&E: Slide 1 Congo Red: Slide 2