Cytology Weekly Cases

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Cytopathology Challenge! Weekly Cases
Oct 17, 2008
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• 54 year old male s/p TURP. Bladder wash
• High grade TCC
• Low grade TCC
• Instrumentation effect
• Sarcoma
• Nematode

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3
Poorly preserved multinucleated cell

• Esophageal brushing.
• Unremarkable squamous cells
• HSV
• Squamous cell carcinoma
• Adenocarcinoma
• Artifact

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4

• Hilar lymph node FNA
• Cartilage and soft tissue
• Small cell carcinoma
• Squamous cell carcinoma
• Adenocarcinoma
• Reactive lymph node

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5

• Endobronchial brushing.
• Benign bronchial cells.
• Suspicious for malignancy.
• Sq. cell carcinoma.
• AdenoCa.
• PCP.

Plasmacytoid cells with large nucleoli
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6

• Lung mass FNA
• Lymphoma
• Suspicious for malignancy
• Small cell carcinoma
• AdenoCa
• Squamous cell carcinoma

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7

• Elderly male with nasolabial fold mass, FNA.
• Reactive, neg for malignancy
• Squamous cell ca
• Melanoma
• Seborrheic keratosis
• Epidermal inclusion cyst

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8

• 21 y/o male with neck mass, FNA.
• Colloid nodule
• Epidermal inclusion cyst
• Melanoma
• Schwanomma
• Goiter

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Mucin vacuole

• FNA of cervical lymph node.
• Unsatisfactory specimen
• Reactive lymph node
• Metastatic squamous cell carcinoma
• Metastatic adenocarcinoma
• Melanoma

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Pancreas FNA A. Benign ductal cells B. Mucinous
neoplasm C. Pancreatic adenocarcinoma D.
Metastatic carcinoma E. Pseudocyst
Orderly honeycomb arrangement
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• 61 yo ThinPrep pap.
• Reactive changes
• Trichomonas
• Atrophy
• LSIL
• HSIL

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