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Archive Item Code: 3600-F
Item Name: Importance of Rapid On-site Evaluation (ROSE) for EUS-FNA: Endoscopist Observations and Pathologic Diagnosis
Benjamin L. Witt, MD
Douglas G. Adler, MD
Presentation date: September 23, 2014; Expires: September 23, 2017
This archive will begin with an overview of the literature on the impact of rapid on-site evaluation of EUS-guided pancreatic FNAs. A case-based discussion focusing on specimen triage and intra-procedural communication will follow. The cases will center on common entities and their inherent diagnostic challenges. Both the endoscopist’s and pathologist’s perspectives will be presented.
Archive Item Code: 3600-G
Item Name: Pancreatic Cysts Evaluated by EUS-FNA: Current Status
Michele D. Reid, MD, MS
Presentation date: October 28, 2014; Expires: October 28, 2017
This is an overview of the challenges and practical clues for the cytologic diagnosis of non-neoplastic and neoplastic cystic pancreatic lesions encountered in every day practice. The lecture will include a brief overview of pancreatic fine needle aspirations (FNAs) and endoscopic ultrasound guided-FNA, its associated pitfalls and limitations, as well as the cytopathologist’s role in rapid on-site evaluation and specimen triage. This will be followed by a detailed discussion of the most commonly encountered low- and high-risk pancreatic cysts. A review of the key cytologic and clinical features, with histologic correlation, and diagnostic terminology will be included. The cytologic features of low- and high-grade atypia in neoplastic mucinous cysts will be included. The judicious use and interpretation of ancillary studies in diagnosing and distinguishing pancreatic cysts from common mimics will also be discussed. _____________________________________________________________________________________________________________
Archive Item Code: 3500-F
Item Name: Pancreatic Fine Needle Aspiration Biopsy
Edward B. Stelow, MD
Presentation date: September 24, 2013; Expires: September 24, 2016
Pancreatic fine needle aspiration (FNA) clearly represents the majority of pathologic sampling of pancreatic disease. This presentation focuses on the broad array of FNA samples that can be seen with the sampling of solid or cystic lesions of the pancreas. The clinicocytologic features of pancreatic ductal adenocarcinoma, pancreatic neuroendocrine tumor, solid pseudopapillary neoplasm, acinar cell carcinoma, mucinous neoplasms, and pancreatitis are discussed. The use of anclillary testing are also described.
Archive Item Code: 3400-F
Item Name: EUS-FNA of the Pancreas: Finer Points of a Thin Needle Point
Nirag Jhala MD, MIAC
Presentation date: September 25, 2012; Expires: September 25, 2015
This webinar will highlight areas of challenges and pitfalls to avoid on common EUS-FNA samples obtained from the pancreas. In addition, it will highlight salient morphologic features of common solid and cystic pancreatic lesions. Furthermore, the webinar will also highlight differential diagnosis and where indicated how to judiciously use ancillary studies that could help to further confirm the diagnosis on these limited samples.
Archive Item Code: 3300-I
Item Name: Fine Needle Cytology of Pancreatic Tumors: an Integrated Approach
Mostafa M. Fraig, MD
Presentation date: December 13, 2011; Expires: December 13, 2014
This webinar focuses not only on the cytopathologic criteria for making the right diagnosis and avoiding pitfalls in pancreatic tumors, but also how to integrate the clinical and radiologic findings to reach this diagnosis with confidence and accuracy. Practical and logistical issues will be addressed as well.