FNA
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Archive Item Code: 3500-L
Item Name: Fine Needle Aspiration Biopsy of Head and Neck Lesions with Update on Molecular Diagnostics Presentation date: March 25, 2014; Expires: March 14, 2017 Head and neck FNA practice includes a heterogeneous group of lesions, including salivary gland neoplasms, cervical lymph node metastases, and soft tissue tumors. This webinar focuses on a differential diagnosis-based approach to head and neck FNAs, and includes discussion of the application of ancillary studies and recent molecular advances in the field of head and neck pathology. |
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Item Code: 3500-H
Item Name: Thyroid Fine Needle Aspiration Biopsy: The Contribution of Case Review and Second Opinions Presentation date: November 26, 2013; Expires: November 26, 2016 Inter-institutional consultation in pathology has shown to improve patient safety by detecting interpretative errors that may significantly impact clinical management. Opponents have alleged increased costs due to this consultative practice without considering potential cost of surgical complications, litigation expenses and cost avoidance from lost wages. This webinar will review the mayor sources of discrepancies in thyroid aspirations and explain the clinical impact of second opinions. A review of molecular testing as an adjunct tool to subjective morphologic criteria will be summarized. |
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Item Code: 3500-A Item Name: Endobronchial Ultrasound Guided Fine Needle Aspiration: Evaluating the Lung and Mediastinum Barbara E Chadwick, MD Presentation date: April 23, 2013; Expires: April 23, 2016 Endobronchial ultrasonography with transbronchial needle aspiration biopsy (EBUS-TBNA) is a minimally invasive technique, increasingly being used to sample paratracheal, hilar or mediastinal lymph nodes or mass lesions for staging or diagnosis. EBUS-TBNA consists of fine needle aspiration performed with the assistance of a bronchoscope with an integrated ultrasound probe, often followed by rapid on-site cytologic evaluation. This webinar discusses the indications and limitations of this technique, appropriate handling of the cytologic specimen, and cytomorphologic diagnoses commonly encountered in this context |
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Item Code: 3400-A Item Name: Breast Cytopathology: Diagnostic Pitfalls Amy Ly, MD Presentation date: April 24, 2012; Expires: April 24, 2015 Breast FNA specimens may be diagnostically challenging and it can be tempting to diagnose “atypical” or “suspicious for malignancy.” However, cytopathology is most useful if we can minimize the use of grey-zone diagnostic categories. During this webinar, we will briefly review morphologic features of commonly encountered breast lesions. We will then address how to distinguish between various specific diagnostic mimics in the context of a pattern-based approach. |
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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. |
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Item Code: 3400-K Item Name: Morphologic Assessment and Ancillary Testing of Primary Lung Carcinomas by Fine Needle Aspiration Biopsy Rodolfo Laucirica, MD Presentation date: March 26, 2013; Expires: March 26, 2016 This webinar will review the cytologic features and ancillary tools used to differentiate primary lung carcinomas. We will also discuss the current status of molecular markers used for therapeutic decision making in non-small cell lung cancers assessed by fine needle aspiration biopsy. |
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Archive Item Code: 3300-L
Item Name: Redefining Fine Needle Aspiration (FNA) Cytopathology Presentation date: March 27, 2012; Expires: March 27, 2015 Onsite FNA is the accepted standard of care. Issues of communication, preparations, interpretation and reporting, essential for the accurate and precise diagnoses shall be addressed. In the shifting healthcare paradigm, topics of the point-of-care FNA service, compliance with regulations, FNA cart (Penn-A-Cart) with remote access capabilities and real time telecytopathology (TeleCyP) shall be introduced. |
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Archive Item Code: 3300-K
Item Name: What's All the FLUS About? An Update on Experience with Bethesda System Reporting of Atypical Thyroid FNAs Presentation date: February 28, 2012; Expires: February 28, 2015 The Bethesda System for Reporting Thyroid Cytopathology provides for an atypical category variously termed atypia of undetermined significance (AUS) or follicular lesion of undetermined significance (FLUS). This webinar will review criteria for this controversial designation, provide an update on published experiences with AUS/FLUS, and suggest future directions for refining this category. |
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Archive Item Code: 3300-I
Item Name: Fine Needle Cytology of Pancreatic Tumors: an Integrated Approach. 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. |
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Archive Item Code: 3300-A
Item Name: Fine Needle Aspiration of Deep-seated Masses with Histologic Correlation Presentation date: April 26, 2011; Expires: April 26, 2014 Cytologists are familiar with criteria of malignancy in Papanicolaou stain. The goal of this webinar is to correlate that with H&E sections of various tumors in lung, mediastinum, liver, pancreas, adrenal, kidney, and retroperitoneum. Tumors include various types of carcinoma, sarcoma, melanoma, germ cell tumor, and lymphoma. The technique of smear preparation, clues from gross inspection, clues from Diff -Quik stain, and low power microscopic examination will be emphasized. Following the webinar, participants will have the tools to interpret FNA in the framework of histology, radiology data and clinical presentation. |
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Archive Item Code: 3300-F |
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Archive Item Code: 3200-A
Item Name: Order Out of Chaos: The Bethesda System for Thyroid Cytopathology Presentation date: April 27, 2010; Expires: April 27, 2013 It is critical that the cytopathologist communicate thyroid FNA interpretations in terms that are succinct, unambiguous, and clinically helpful. Historically, terminology for thyroid FNA has varied significantly from one laboratory to another. For clarity of communication, The Bethesda System for Reporting Thyroid Cytopathology recommends that each report begin with one of six general diagnostic categories. |
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Archive Item Code: 3200-B
Item Name: Pitfalls in Liver Fine Needle Aspiration Presentation date: May 25, 2010; Expires: May 25, 2013 Liver fine needle aspiration FNA has become the mainstay for evaluating hepatic lesions. It is often done utilizing computed tomography as an imaging technique. The cytopathologist evaluating these aspirates on site has an important role in diagnosis such lesions. Pitfalls in liver cytopathology could arise from several potential problems. Recognizing normal liver cytology and the reactive changes (such as hepatitis and cirrhosis) will help avoiding problems of over calling these conditions. Distinguishing well differentiated hepatocellular carcinoma from benign lesions is important in not missing these lesions as benign. The 3rd pitfall is related to distinguishing the less differentiated hepatocellular carcinoma from metastatic lesions. Utilizing immunohistochemical stain is an important aid in resolving this problem. |
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Archive Item Code: 3200-F
Item Name: On-site Evaluation of FNA Biopsies: Diagnostic Approach, Criteria, & Pitfalls Presentation date: September 28, 2010; Expires: September 28, 2013 On-site evaluation of fine needle aspiration (FNA) biopsies for adequacy can be essential for accurate diagnoses. This teleconference will use a case-based approach to demonstrate adequacy criteria and to highlight diagnostic pitfalls in order to help maximize the concordance rate between preliminary and final diagnoses. |
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Archive Item Code: 3200-G
Item Name: Cytologic Features of Various Types of Breast Carcinoma Including Potential False Negative and Positive Diagnosis in Breast Aspirates Presentation date: October 26, 2010; Expires: October 26, 2013 Fine-needle aspiration of the breast is an established diagnostic method in the evaluation of palpable breast masses. This teleconference will review the cytopathologic features of some of the more commonly encountered breast carcinomas as well as common differential diagnostic dilemmas and pitfalls commonly encountered in the daily practice of breast cytopathology. The discussions will emphasize the distinction of benign lesions from morphologically similar malignant ones. |
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Archive Item Code: 3200-I
Item Name: Challenges in Salivary Gland Cytology Presentation date: December 14, 2010; Expires: December 14, 2013 Salivary gland fine-needle aspiration (FNA) is among the most difficult areas of non-gynecologic cytopathology. Using a case-based algorithmic approach, we will discuss the cytologic evaluation of several key salivary gland tumors. The session will emphasize the formulation of a focused differential diagnosis and will identify problem areas where diagnostic pitfalls can occur. The advantages and limitations of fine-needle aspiration cytology in the evaluation of various salivary gland tumors, and the use of ancillary techniques where relevant will be discussed. |
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Archive Item Code: 3200-K
Item Name: Endoscopic Ultrasound Fine Needle Aspiration (EUS-FNA) at The Community Hospital: What We Have Found That Works Presentation date: February 22, 2011; Expires: February 22, 2014 Our objective is to share our experience in developing a EUS-FNAB service at our community hospital over the past 7 years so others may benefit by the unique processes we have designed to make this technology successful in our laboratory. The intricacies of our program will be presented thoroughly by both the cytotechnologist and endoscopist. |
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Archive Item Code: 3200-L
Item Name: A Pattern-Recognition Approach tYo the FNA Diagnosis of Soft Tissue Tumors. Presentation date: March 22, 2011; Expires: March 22, 2014 A pattern-recognition approach to the diagnosis of various soft tissue tumors will be presented. Six patterns will be discussed: adipocytic, myxoid, spindle cell, small round blue cell, epithelioid, and pleomorphic. The importance of proper tissue triage for ancillary studies and awareness of diagnostic pitfalls for soft tissue tumors in each pattern will be emphasized. |
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Archive Item Code: 3100-J
Item Name: Pitfalls in Pulmonary-Thoracic Cytology Presentation Date: January 26, 2010; Expires: January 26, 2013 Pulmonary-thoracic cytology comprises both exfoliative and fine needle aspiration specimens. False positive and negative diagnoses as well as misinterpretation of one neoplasm for another are not infrequent. The goals of this conference are to illustrate several examples of potential pitfalls in pulmonary-thoracic cytology and discuss criteria to avoid diagnostic errors. |
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Archive Item Code: 3100-K
Item Name: Endoscopy and Ultrasound Guided Fine Needle Aspiration of the Mediastinum Presentation Date: February 23, 2010; Expires: February 23, 2013 Endoscopy and ultrasound guided fine needle aspiration (trans esophageal and trans bronchial) powerful modalities to obtain samples from the mediastinum. They have changed our ability to obtain tissue diagnosis and have impacted staging of cancers. This course discusses diagnostic criteria, use of ancillary studies and pitfalls in diagnosis for mediastinal lesions. |
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Archive Item Code: 3100-L
Item Name: Lymph Node Fine Needle Aspiration: A Morphologic Approach Presentation Date: March 23, 2010; Expires: March 23, 2013 Cytologic interpretation of lymph node aspirates is challenging. They present a unique set of diagnostic and architectural features. This teleconference strives to de-mystify the evaluation process. The focus is on diagnosing malignant lymphoma via pattern and morphologic recognition. Metastatic disease processes are differentiated from primary malignancies, and effective cytopreparatory techniques are discussed. |
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