week of september 29, 2008. 24 year old female. thinprep pap a.lactobacillus b.gonorrhea...
TRANSCRIPT
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Week of September 29, 2008
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24 year old female. ThinPrep papA. LactobacillusB. GonorrheaC. TrichomonasD. Bacterial VaginosisE. Artifact 1
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24 year old female. ThinPrep papD. Bacterial Vaginosis –
coccobacilli cover the squamous cells. Also called “Clue cells” 1
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2
43 year old male. FNA of neck massA. Nematode wormB. RhabdomyosarcomaC. Normal muscleD. Squamous cell carcinomaE. Colloid
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2
43 year old male. FNA of neck massC. Normal muscle – strips/chunks of
muscle with peripherally placed nuclei and striations
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3
57 year old male. Urine cytology
A. Reactive urothelial cellsB. High grade TCCC. Low grade TCCD. Squamous cell carcinomaE. Polyoma virus
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3
57 year old male. Urine cytologyE. Polyoma virus – enlarged cell with
smudgy intranuclear inclusion. Do not mistake for High grade TCC!
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4
62 year old female. Peritoneal fluidA. Positive for tumor - AdenocarcinomaB. Reactive mesothelial cellsC. AtypicalD. Positive for tumor – LymphomaE. Benign lymphocytic effusion
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4
62 year old female. Pleural fluidA. Positive for tumor - Adenocarcinoma “Cannonball” group of epithelial cells with
large nuclei and distinct cell borders. Pleomorphism and irregular nuclear membranes are seen. Patient had history of breast cancer.
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5
53 year old female. Pleural fluidA. Positive for tumor - AdenocarcinomaB. Reactive mesothelial cellsC. AtypicalD. Positive for tumor – LymphomaE. Benign lymphocytic effusion
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5
53 year old female. Pleural fluidA. Positive for tumor – Adenocarcinoma Large pleomorphic single cells with secretory vacuoles c/w adenoca. Signet rings forms are noted. Pt also has history of breast cancer. Don’t miss single malignant cells in effusions!
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6
36 year old female. Thyroid FNAA. GoiterB. IndeterminateC. Positive for tumor – papillary
thyroid carcinomaD. Positive for tumor – follicular
carcinomaE. Hurthle cell neoplasm
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6
36 year old female. Thyroid FNAB. Indeterminate – multiple
microfollicles with no colloid in the background. This is suspicious for a potential follicular neoplasm. On cytology we call this indeterminate because we cannot determine whether this is a follicular adenoma or a follicular carcinoma (for which you need to see either capsular +/or vascular invasion on histo)
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7
60 year old male s/p bilateral lung transplant. BAL
A. AspergillusB. CandidaC. PCPD. MucorE. Fusarium
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7
60 year old male s/p bilateral lung transplant. BAL
A. Aspergillus – septated hyphae with 45 degree branching
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8
29 year old female. ThinPrep pap
A. ReactiveB. Endocervical cellsC. ASC-USD. LSILE. HSIL
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8
29 year old female. ThinPrep pap
D. LSIL – enlarged nuclei with koilocytic change. Also have binucleates
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63 year old male. FNA of lungA. AdenocarcinomaB. Squamous cell carcinomaC. Small cell carcinomaD. BACE. Reactive lymphocytes
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9
63 year old male. FNA of lungC. Small cell carcinoma – note the
molding
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10
26 year old female. ThinPrep papA. LSILB. HSILC. Endometrial cellsD. Squamous cell carcinomaE. Tubal metaplasia
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10
26 year old female. ThinPrep papB. HSIL