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34th European Congress of Cytology
Rovaniemi, Finland, June 15-18th 2008
Slide Seminar 5, June 18th, 9.00-10.30
Respiratory Tract
Programme in pdf
Chairs:
Helmut Popper, Austria
Paavo Pääkkö, Finland
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Case 1
Presented by: Helmut Popper, Austria
Clinical History
66 year old man, smoker. Tumor in right upper lobe expanding into the mediastinum; involvement of hilar lymph nodes. Chronic bronchitis on bronchoscopy.
Topography of the specimen:
Brush cytology from S2 and S3 and Bronchial biopsy from S2 and S3
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Diagnosis & discussion |
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Case 2
Presented by: Helmut Popper, Austria
Clinical History
Clinically suspected B-cell lymphoma.
Topography of the specimen: Pleural effusion Pleural cytology (effusion cytology) and tumor nodules in the pleura, and infiltrates within lung, taken by VATS biopsy.
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Diagnosis & discussion |
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Case 3
Presented by: Helmut Popper, Austria
Clinical History
65 year old man. Sarcoidosis? Pneumoconiosis? Systemic disease of the lymphohistiocytic system?
Topography of the specimen: BAL and transbronchial biopsies
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Diagnosis & discussion |
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Case 4
Presented by: Handan Zeren, Faculty of Medicine, Dept of Pathology, Balcali, Turkey
Clinical History
55 year old man with a history of smoking, 2 packs per year for more than 30 years. Mass lesion involving the right upper lobe. Clinical diagnosis is lung cancer.
Topography of the specimen: Right upper lobe, pertially involving the main bronchus.
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Diagnosis & discussion |
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Case 5
Presented by: Paavo Pääkkö, Department of Pathology, Oulu University Hospital, Finland
Clinical History
58 year old man, heavy smoker. Chest radiograph showed a hilar tumor. Bronchoscopy showed a luminal narrowing and suspected intramucosal tumor growth.
Topography of the specimen: Bronchial brush
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Diagnosis & discussion |
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Case 6
Presented by: Paavo Pääkkö, Department of Pathology, Oulu University Hospital, Finland
Clinical History
Female, 82 years. Irregular smoking history of 40 years. Stopped smoking 20 years ago. The patient was hospitalized for dyspnea. High resolution CT showed dense bilateral consolidations. Either eosinophilic pneumonia or cryptogenic organizing pneumonia (COP, i.e. bronchiolitis obliterans organizing pneumonia=BOOP) was suspected.
The patient had suffered from cough and mucus production for several months. Later she also suffered from dyspnea.
Topography of the specimen: Broncho-alveolar lavage
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Diagnosis & discussion |
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Case 7
Presented by: Paavo Pääkkö, Department of Pathology, Oulu University Hospital, Finland
Clinical History
50 year old man with a smoking history of 30 years. Hemoptysis for two last weeks before admission. Chest radiograph revealed a tumor in the upper lobe which was later removed for histopathological evaluation.
Topography of the specimen: Sputum.
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Diagnosis & discussion |
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Case 8
Presented by: Francoise Galateau-Salle, France
Clinical History
Right pleural effusion in a patient with a previous history of squamous cell carcinoma pT4N0M0 seven years earlier.
49 year old man, smoker 25 packs/year with a previous history of squamous cell carcinoma of the larynx treated by surgery (pT2N2). He presented with a sudden onset of dyspnea and massive right pleural effusion. Clinical examination revealed a voluminous axillary lymphadenopathy and a muscular mass in his lower back associated with liver metastasis. CT scan showed diffuse bilateral nodular infiltrate (nodules<0.8 mm), multiple liver metastases, a voluminous mass (8 cm large) compressing the left psoas muscle and a lytic lesion 1.8 cm large in the proximal right femur.
Topography of the specimen: Right pleural effusion.
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Diagnosis & discussion |
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