GYN – ASC Archived Cyto-econferences


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Archive Item Code: 3600-A

Item Name: Pap Test Challenges from Coast to Coast
Michele A. Smith, MS, SCT(ASCP)
Kara Hansing, Med, SCT(ASCP)

Presentation date: April 22, 2014; Expires: April 22, 2017
Cytotechnologists from coast to coast have teamed up to provide challenging Pap Test cases. Review the unusual, the difficult, and the interesting Pap test dilemmas that we face every day or once in a lifetime. As we know, one challenge often leads to further challenges making the case even more difficult. Each case will be presented as they were submitted into the laboratory. Discussions of the challenge may include: morphology, molecular, collection, correlation, follow up, and regulatory guidelines.


Archive Item Code: 3600-E

Item Name: Pap Test and HPV Correlation: The Value of Morphology
Barbara McGahey Frain, MS, CT(ASCP)

Presentation date: August 26, 2014; Expires: August 26, 2017
The focus of this archive will be a case-based approach to Pap Tests with expected, as well as unexpected high risk HPV results. Clinical/histologic follow up will be provided. Some unusual conditions will be addressed. Technical considerations and trouble-shooting based on one organization’s experience will be included.


Archive Item Code: 3600-I

Item Name: Atypical Glandular Cells: Perils and Pitfalls in Cervicovaginal Cytology
Dina R. Mody, MD

Presentation date: December 9, 2014; Expires: December 9, 2017
This archive will demonstrate the glandular lesions of the cervix with its histologic correlates and pitfalls. Immunohistochemistry on cell blocks of liquid based specimens as well as tissue correlates will be demonstrated. Updates to Bethesda 2014 will be discussed.  Some newer concepts will be discussed time permitting.


Archive Item Code: 3500-K

Item Name: Difficult Differential Diagnoses in GYN Cytology Secondary to Hormonal Influence
Michael R. Henry, MD

Presentation date: February 23, 2014; Expires: February 23, 2017
Cervical cytology varies tremendously depending on the hormonal status of the woman. This is especially true in the background of pregnancy (increased hormonal activity) or menopause (decreased hormonal activity). Increased or decreased levels of hormones create an environment, which affects the cervical mucosa and can lead to cellular changes that may be difficult to distinguish from true epithelial abnormalities.  This presentation addresses these issues with especial attention to atrophy versus HSIL and the epithelial changes seen in the background of pregnancy.


Archive Item Code: 3500-I

Item Name: Glandular Lesions in Liquid Based Pap Tests:  Challenges of Hyperchromatic Crowded Groups
Donna K. Russell, MS, CT(ASCP)

Presentation date: December 10, 2013; Expires: December 10, 2016
Despite limitations of the Pap Test for detecting glandular abnormalities, the cytology of glandular epithelium in the female genital tract has assumed greater importance in recent years.  Improved sampling of the endocervical canal and an increase in the incidence of endocervical neoplasms has had an impact in detection of these lesions and their mimickers.  This webinar will provide an overview of benign, reactive, and neoplastic glandular lesions in liquid based preparations (both Thin Prep® and SurePath® preparations).  Pitfalls in glandular lesion diagnosis and patient management issues are highlighted.


Archive Item Code: 3500-D

Item Name: Pap Tests and Clinical Consequences: OB-GYN Observations on Pap Results
Harvey Cramer, MD and Jeffrey Rothenberg, MD

Presentation date: July 23, 2013; Expires: July 23, 2016
In this presentation, an experienced gynecologist will discuss his perspectives on cervical cytology and outline clinical issues pertaining to cytology practice that most cytotechnologists and cytopathologists may not be aware of. Current cervical cytology screening guidelines, technical aspects of performing a pelvic examination and Pap smear procurement and the therapeutic ramifications of the various cytologic diagnoses as well as his personal perspectives on the use of HPV testing will be discussed. Comments regarding the cytomorphologic aspects of the cases being presented will be provided by the cytopathologist. The value of close interaction between clinician and cytopathologist is strongly emphasized.


Archive Item Code: 3400-D

Item Name: Workload Limits and Quality Assurance in Image-assisted Gynecologic Screening
Tarik M. Elsheikh, MD

Presentation date: July 24, 2012; Expires: July 24, 2015
With the current and projected shortage of the cytotechnologist workforce and desires to reduce laboratory costs, markedly increased productivity with image assisted screening, not necessarily increased sensitivity, became an attractive option for many labs. This may be accomplished by imposing pre-determined productivity quota, and reducing QA measures to the minimum required by CLIA. More recent literature, however, has shown that the FDA approved cytotechnologist workload limits are too high and can lead to increased error rate, and that the CLIA-mandated quality measures, by themselves, may fail to detect poor cytotechnologist performers. In this webinar, review of recent literature and recommendations for cytotechnologist workload limits and QA measures are presented.


Archive Item Code:

Item Name: Glandular Lesions in Pap Test: An Update
Rana S. Hoda, MD, FIAC

Presentation date: November 22, 2011; Expires: November 22, 2014
A vast array of glandular processes present in Pap test cytology and distinguishing benign vs. neoplastic lesions can pose a diagnostic challenge.  This webinar has been designed to discuss morphologic criteria, differential diagnosis and benign mimics of glandular lesions in Pap test.  HPV testing, ASCCP patient management guidelines and histologic correlation will also be addressed.


Archive Item Code: 3300-C

Item Name: Use of Imaging Systems in Gynecologic Cytology
Angelique W. Levi, MD

Presentation date: June 28, 2011; Expires: June 28, 2014
One-third of cervical cytology false-negatives are caused by screening and interpretive errors in which abnormal cells are incorrectly classified. Automated screening instruments address these key sources of error and cost.  FDA-approved imaging systems will be reviewed with a brief history of cytology automation, and the Yale experience will be discussed.

Archive Item Code: 3300-D

Item Name: Squamous Cell Abnormalities of the Uterine Cervix: Black and White with Shades of Gray
Jamie L. Covell, BS, CT(ASCP)

Presentation date: July 26, 2011; Expires: July 26, 2014
Since its inception in the 1940’s, the Pap test has focused primarily on the detection of squamous carcinoma and related lesions in the uterine cervix. This webinar discusses and illustrates the morphologic features of squamous abnormalities seen in Pap test specimens, their differential diagnoses and their mimics