Cytology Weekly Cases

							Cytopathology Challenge!
     Weekly Cases
    September 24th 2007
63 year old male with liver transplant
BAL for pulmonary infiltrates
A. PCP
B. Candida
C. Blastomycosis
D. Histoplasmosis
E. Coccidiomycosis
25 year old female
ThinPrep Pap

A.   Reactive/Infectious
B.   ASCUS
C.   LSIL
D.   HSIL
E.   AGC
22 year old female
ThinPrep Pap

A.   Reactive/Infectious
B.   ASCUS
C.   LSIL
D.   HSIL
E.   AGC
66 year old female with
Pancreatic Cancer. Pleural
fluid cytospin

A.   Reactive Mesothelials
B.   Viral effect
C.   Atypical
D.   Suspicious
E.   Positive for tumor
25 year old female
ThinPrep Pap

A.   Reactive/infectious
B.   ASCUS
C.   LSIL
D.   HSIL
E.   AGC
47 year old female
with lung transplant.
BAL Silver stain

A.   Aspergillus
B.   Penicillium
C.   Mucormycosis
D.   Actinomycetoma
E.   Artifact
58 year old male with
lung mass. BAL.

A.   Pulmonary Macrophages
B.   Reactive Endobronchial cells
C.   Bronchioloalveolar carcinoma
D.   Viral Effect (CMV)
E.   Adenocarcinoma
67 year old female
with axillary lymphadenopathy,
breast mass, lung mass, liver
Mass. Lymph node FNA cell block.

A.   Metastatic breast CA
B.   Metastatic lung CA
C.   Metastatic hepatocellular CA
D.   Metastatic leiomyosarcoma
E.   Fibrotic lymph node
71 year old male.
Bladder Washing

A.   Normal/reactive
B.   Low Grade TCC
C.   High grade TCC
D.   Metastatic tumor
E.   Artifact
71 year old female
Pancreatic mass.
FNA cell block

A.   Reactive
B.   Atypical
C.   Suspicious
D.   Positive for tumor
E.   Indeterminate
                                          Answers
1.        Histoplasmosis
      •      Organisms inside macrophage, culture positive

2.        LSIL
      •      Koilocytes!

3.        Infectious
      •      Trichomonas (hiding next to PMN!)

4.        Positive for tumor
      •      Metastatic Pancreatic Cancer

5.        Infectious
      •      Yep, it’s trich again!

6.        Artifact
7.        Reactive Endobronchial cells
      •      See the cilia…..

8.        Metastatic leiomyosarcoma
      •      Spindle cells. Immunos were helpful, but no other choice listed is morphologically feasible

9.        Normal
      •      Normal urothelium with an umbrella cell

10.       Positive for tumor
      •      Adenocarcinoma