Cytology Weekly Cases

1
Cytopathology Challenge Weekly Cases
Week of August 18, 2008
2
64 year old female with omental tumors. Ascitic
fluid. A) Malignant mesothelioma B) Squamous cell
carcinoma C) Amoebiasis D) Lymphoma E) Artifact
1
3
64 year old female with omental tumors. Ascitic
fluid. A) Malignant mesothelioma B) Squamous cell
carcinoma C) Amoebiasis D) Lymphoma E) Artifact
1
4
Low power

• 69 year old female. Hx of breast cancer. Ascitic
  fluid.
• Reactive mesothelial cells
• Lymphoma
• Carcinoma
• Squamous cell carcinoma
• Infection

2
5
Low power

• 69 year old female. Hx of breast cancer. Ascitic
  fluid.
• Reactive mesothelial cells
• Lymphoma
• Carcinoma
• Squamous cell carcinoma
• Infection

2
6

• 30 yo male. BAL
• PCP
• Alveolar proteinosis
• Tumor diathesis
• Amoeba
• Actinomycetes

3
7

• 30 yo male. BAL
• PCP
• Alveolar proteinosis
• Tumor diathesis
• Amoeba
• Actinomycetes

3
8

• 55 yo female. Lung FNA.
• Reactive endobronchial cells
• Sq. cell carcinoma
• Small cell carcinoma
• AdenoCa
• PCP

4
9

• 55 yo female. Lung FNA.
• Reactive endobronchial cells
• Sq. cell carcinoma
• Small cell carcinoma
• AdenoCa
• PCP

4
10

• 24 year old female. ThinPrep pap
• Trichomonas
• AGUS
• Organ of Chievitz
• HSIL
• Organ of Zuckerkandl

5
11

• 24 year old female. ThinPrep pap
• Trichomonas
• AGUS
• Organ of Chievitz
• HSIL
• Organ of Zuckerkandl

5
12

• 82 y/o male. Urine
• BK virus
• Reactive urothelial cells
• Atypical
• Positive for high grade TCC
• Positive for SCC

6
13

• 82 y/o male. Urine
• BK virus
• Reactive urothelial cells
• Atypical
• Positive for high grade TCC
• Positive for SCC

6
14

• 83 yo male with hepatic mass and chest wall mass.
  FNA from soft tissue.
• Infection
• Myeloma
• Rhabdomyosarcoma
• Carcinoma NOS
• Merkel cell carcinoma

7
15

• 83 yo male with hepatic mass and chest wall mass.
  FNA from soft tissue.
• Infection
• Myeloma
• Rhabdomyosarcoma
• Carcinoma NOS
• Merkel cell carcinoma

7
16

• 28 year old female. ThinPrep pap
• LSIL
• HSIL
• Negative
• Squamous metaplasia
• Tubal metaplasia

8
17

• 28 year old female. ThinPrep pap
• LSIL
• HSIL
• Negative
• Squamous metaplasia
• Tubal metaplasia

8
18

• Thyroid FNA
• Papillary Thyroid carcinoma
• Benign follicles
• Artifact
• Medullary thyroid ca
• Goiter

9
19

• Thyroid FNA
• Papillary Thyroid carcinoma
• Benign follicles
• Artifact
• Medullary thyroid ca
• Goiter

9
20

• 39 yo male with popliteal FNA. This is most
  consistent with
• Myxoma
• Nodular fasciitis
• Leiomyosarcoma
• Myxoid liposarcoma
• Small cell osteosarcoma

10
21

• 39 yo male with popliteal FNA. This is most
  consistent with
• Myxoma
• Nodular fasciitis
• Leiomyosarcoma
• Myxoid liposarcoma
• Small cell osteosarcoma

10
22
Extra Credit(not cytology related)

• What is the Organ of Chievitz?
• What is the Organ of Zuckerkandl?