gynae cytology slide seminar - the agatha …
TRANSCRIPT
GYNAE CYTOLOGY SLIDE
SEMINAR - THE AGATHA
CHRISTIE MYSTERIES
TUESDAY 4TH OCTOBER 2016 14.30-16.00 HALL 3A
CHAIR: DINA R MODY, MD
CO-CHAIR: LUIGI DI BONITO, MD
FORMAT: UNKNOWN CASES WITH AUDIENCE PARTICIPATION
Speakers order
• Dr Mody, Introductions
• Case 1 Dr Mody
• Cases 2, 3 Dr Hoda
• Cases 4,5 Dr Gupta
• Cases 6,7 and summation Dr Di Bonito
CASE 1 DR MODY
• 62 Year old woman, immigrant from South East Asia, seen in our charity clinic. Pap (SurePath) and HPV performed
YOUR DIAGNOSIS FOR CASE 1
• Adenocarcinoma
• Benign/reactive atypia
• High Grade Squamous Intraepithelial Lesion
• Low Grade Squamous Intraepithelial lesion
• Something else...don’t waste my time, just tell me!!
CASE 2 :DR HODA
62-year-old,
Prior Paps: negative
History: Breast cancer, 2004
Medications: Estrogen 5 years until 2002
ThinPrep
CYTOLOGICAL DIAGNOSIS: CASE 2
A. Reactive endocervical cells
B. Endocervical adenocarcinoma, usual type
C. Atrophy
D. Endometrial adenocarcinoma
E. Minimal deviation endocervical adenocarcinoma
CYTOLOGICAL DIAGNOSIS
A. Reactive endocervical cells
B. Endocervical adenocarcinoma in situ
C. HSIL
D. Endocervical adenocarcinoma
E. LSIL
CASE 4 DR GUPTA
• A 34-year-old lady
• Presented with primary infertility
• Cervix- bled on touch
• Liquid-based sample (SurePath® technique) was taken
DIAGNOSIS 1. Atypical glandular cells
2. Follicular cervicitis
3. Inflammatory smear
4. Mild dyskaryosis/ LSIL
5. Moderate dyskaryosis/ HSIL
CASE 5 : DR GUPTA
• A 35-year-old lady
• Presented with primary infertility
• Abnormal bleeding per vaginum x 6 months
• Pain lower abdomen x 6 months
DIAGNOSIS 1. Adenocarcinoma
2. Infection with carcinoma
3. Mild dyskaryosis/ LSIL
4. Reactive endocervical cells
5. Severe dyskaryosis/ HSIL
CASE 6 DR DI BONITO
• 37 YEARS OLD PATIENT
• REGULAR PERIODS, 10TH DAY AT MENSTRUAL CYCLE
• PREVIOUS SCREENING PAP TEST NEGATIVE
NEGATIVE
LG- SIL
HG- SIL
ASC
SQUAMOUS CARCINOMA
AGC
ADENOCARCINOMA IN SITU
ADENOCARCINOMA
How would you report ?
CASE 7 DR DI BONITO
• 35 YEARS OLD PATIENT
• 21TH WEEK OF PREGNANCY
• COLPOSCOPY: POLYPOID DECIDUOSIS
• VAGINAL BLEEDING