These are slides to accompany International Surgical Pathology Conference 2024.
Tuesday, May 7
CASE | TOPIC | HISTORY | _LINK_ |
1 | Gyn | A 77-year-old female presented with vaginal bleeding | Slide 1 Slide 2 |
2 | Gyn | A 62-year-old female found to have a widely metastatic tumor and a uterine mass | Slide 1 |
3 | Gyn | A 55-year-old woman presented with pelvic pain and a 15 cm uterine mass | Slide 1 Slide 2 |
4 | Head/Neck | 38YOM with a left preauricular lesion. | Slide 1 |
5 | Head/Neck | 13YOM with a left mandibular cyst. | Slide 1 |
6 | Head/Neck | 55YOF with a left nasal mass. | Slide 1 |
7 | GU | A 91-year-old underwent excision of a left hydrocele sac, which revealed nests and cords of infiltrative epithelioid cells. In focal areas, these cells were associated with an accompanying myxoid/desmoplastic stromal response. | Slide 1 |
8 | GU | A 74-year-old female underwent a left partial nephrectomy for a 3.9 cm mass. This tumor showed infiltration into the perinephric fat and metastatic involvement of the ipsilateral adrenal gland. | Slide 1 |
Wednesday, May 8
CASE | TOPIC | HISTORY | _LINK_ |
10 | Bone/Soft Tissue | 32-year-old male with mediastinal mass | Slide 1 |
11 | Bone/Soft Tissue | 25-year-old male with lytic tibia mass | Slide 1 |
12 | Bone/Soft Tissue | 87-year-old male with prior history of high-grade myxofibrosarcoma with multiple recurrences | H&E ERG |
13 | Derm | 13-year-old female history of left nasal obstruction and allergic rhinitis. For a year prior to presentation, patient reported headaches and snoring. A bump in the nose was noted by PCP who referred patient to ENT. A large, dark, fleshy, left nasal mass was noted and Imaging were performed followed by incisional biopsy. | |
14 | Derm | A fast-growing nodule on a 37-year-old male left nasolabial fold skin, approximately 3 cm in size. No other relevant clinical information was noted. | |
15 | Derm | 64-year-old male with history of widely metastatic epithelioid mesothelioma and malignant pleural effusion and disseminated abdominal disease, pathology was confirmed.Presented with a 1-month history of a raised lesion on the right ear that bled easily. Physical examination was significant for a violaceous polypoid papule with central hemorrhagic crust involving the right superior anti-helix. | |
18 | Breast | Female (65 yr) with a peri-prosthetic effusion 8 years following breast implant surgery. | |
19 | Breast | Female, 55 yr, with a breast mass. |
Thursday, May 9
CASE | TOPIC | HISTORY | _LINK_ |
20 | Pulmonary | A 65-year-old woman with a history of right breast cancer (2015) and left lower lobe pulmonary adenocarcinoma (2020) presents with a new 2.6 cm right upper lobe lung mass with hilar and mediastinal lymphadenopathy and multiple liver lesions. FNA of the liver lesion is provided. | Slide 1 |
21 | Cytology | A 49-year-old woman presented to clinic with complaints of recurrent chest pain. CTA showed a right lower lobe lung mass with bulky ipsilateral hilar and mediastinal lymphadenopathy. Endobronchial ultrasound (EBUS)-guided fine needle aspiration was performed. A representative cell block is shown. | Slide 1 |
22 | Cardiac | A 66-year-old patient with a 4 cm PET-avid right atrial mass. A representative section of the surgically resected specimen is provided. | Slide 1 |
23 | Hempath |
* 61-year-old male who presented 4 years prior with relapsing polychondritis. * Prior BM biopsies had no definitive diagnosis, no clonal abnormality; presumably autoimmune-related. * He has been treated with steroids and rituximab. * He has become progressively transfusion dependent and refractory to therapy. * CBC: Hb 7.4, MCV 109, WBC 6.9, plt 67. Differential: 85% PMN, 13% lymphs and 2% monocytes. * A BM biopsy is performed and is from 5 years ago. | Slide 1 |
24 | Hempath | * 44-year-old female who has BRCA2 mutation and had “spots” on her skin for 15 years. * She has no itching, rashes, ulceration or any other symptoms. * CT scan is normal. * CBC: Hemoglobin 11.7, MCV 99, platelet 247, WBC 5.8 with ANC 3.0. | Slide 1 |
25 | Hempath | * 71-year-old female with a PMHx of diabetes mellitus type 2, hypertension, hyperlipidemia, and GERD. * She was on vacation and developed progressive fatigue and somnolence associated with significant exercise intolerance. * Her symptoms did not abate after several weeks and she appeared pale and exhausted to her family members, so she was taken to the emergency room. * In the ER, her CBC showed hemoglobin 6.2 gm/dL, MCV 106, white blood cells 70.3K and platelets 55K. * A bone marrow was performed. | Slide 1 |
26 | Neuro | This 52 year-old female patient presented after a fall. Head imaging studies revealed a heterogenous, peripherally-enhancing mass centered in the right parietal lobe. | Slide 1 |
27 | Neuro | This 19 year-old male patient presented with new-onset seizures. Head imaging studies revealed a large, heterogenous mass centered in the right fronto-temporal lobe, which is associated with prominent mass effect. | Slide 1 |
28 | Neuro | This 73 year-old male patient presented with headaches. Head imaging studies revealed a dura-based, homogenously enhancing mass overlying the left fronto-parietal lobe. | Slide 1 |
Friday, May 10
CASE | TOPIC | HISTORY | _LINK_ |
32 | Endo | 35-year-old female with a history of multinodular goiter. Thyroid gland ultrasound revealed multiple nodules up to 4.6 cm. FNA of the largest nodule was suspicious for papillary thyroid carcinoma. | Slide 1 |
33 | Endo | 34-year-old female with a history of thyromegaly and a parathyroid adenoma. The parathyroid hormone levels were 202.1 (pre-op), 29.4 (5 minutes post), and 21.5 (10 minutes post). The weight of the parathyroid gland was 2.8 g at the time of frozen section. | Slide 1 |
34 | Endo | 74-year-old female with a history of cutaneous melanoma presented with a 3.6 cm nonfunctioning adrenal mass. | Slide 1 |
35 | GI | Slide 1 | |
36 | GI | Slide 1 | |
37 | Biomarker | Slide 1 |