week of september 29, 2008. 24 year old female. thinprep pap a.lactobacillus b.gonorrhea...
TRANSCRIPT
Week of September 29, 2008
24 year old female. ThinPrep papA. LactobacillusB. GonorrheaC. TrichomonasD. Bacterial VaginosisE. Artifact 1
24 year old female. ThinPrep papD. Bacterial Vaginosis –
coccobacilli cover the squamous cells. Also called “Clue cells” 1
2
43 year old male. FNA of neck massA. Nematode wormB. RhabdomyosarcomaC. Normal muscleD. Squamous cell carcinomaE. Colloid
2
43 year old male. FNA of neck massC. Normal muscle – strips/chunks of
muscle with peripherally placed nuclei and striations
3
57 year old male. Urine cytology
A. Reactive urothelial cellsB. High grade TCCC. Low grade TCCD. Squamous cell carcinomaE. Polyoma virus
3
57 year old male. Urine cytologyE. Polyoma virus – enlarged cell with
smudgy intranuclear inclusion. Do not mistake for High grade TCC!
4
62 year old female. Peritoneal fluidA. Positive for tumor - AdenocarcinomaB. Reactive mesothelial cellsC. AtypicalD. Positive for tumor – LymphomaE. Benign lymphocytic effusion
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.
5
53 year old female. Pleural fluidA. Positive for tumor - AdenocarcinomaB. Reactive mesothelial cellsC. AtypicalD. Positive for tumor – LymphomaE. Benign lymphocytic effusion
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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36 year old female. Thyroid FNAA. GoiterB. IndeterminateC. Positive for tumor – papillary
thyroid carcinomaD. Positive for tumor – follicular
carcinomaE. Hurthle cell neoplasm
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)
7
60 year old male s/p bilateral lung transplant. BAL
A. AspergillusB. CandidaC. PCPD. MucorE. Fusarium
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60 year old male s/p bilateral lung transplant. BAL
A. Aspergillus – septated hyphae with 45 degree branching
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29 year old female. ThinPrep pap
A. ReactiveB. Endocervical cellsC. ASC-USD. LSILE. HSIL
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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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63 year old male. FNA of lungC. Small cell carcinoma – note the
molding
10
26 year old female. ThinPrep papA. LSILB. HSILC. Endometrial cellsD. Squamous cell carcinomaE. Tubal metaplasia
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26 year old female. ThinPrep papB. HSIL