Jessica Levesque: /* Cytology */

2014-06-26T21:41:14Z

‎Cytology

Jessica Levesque: Created page with "== Clinical Summary == The patient is a 69 year old female with a new mass in the right pulmonary hilum. === Past Medical History === * Hyperlipidemia * Osteoporosis * Chron..."

2014-06-26T21:38:01Z

Created page with "== Clinical Summary == The patient is a 69 year old female with a new mass in the right pulmonary hilum. === Past Medical History === * Hyperlipidemia * Osteoporosis * Chron..."

New page

== Clinical Summary ==
The patient is a 69 year old female with a new mass in the right pulmonary hilum.

=== Past Medical History ===
* Hyperlipidemia
* Osteoporosis
* Chronic obstructive pulmonary disease
* Hepatitis
* Smoker (1 pack per day for 40 years, quit in 2002)

=== Past Surgical History ===
* Hysterectomy (1975)
* Hernia repair (1992)
* Cardiac catheterization (2002)
* Lumbarsacral discectomy (2008)
* Lumbarsacral fusion with rod placement (2013)

== CT ==
* 4.8 x 3.1 cm mass in the right hilum.
* 4.4 x 1.5 cm nodular densityin the right upper lobe.
* 1.5 cm enlarged paratracheal lymph node.

*CT with contrast: mass in the right hilum extends into the mediastium and the SVC is compressed.

===Clinical Plan===
Bronchoscopy for furhter evaluation.

==Pathology==

===Cytology===
<gallery heights="250px" widths="250px">
CytologicallyYoursCoW20140113Cytology1.JPG|10x magnification of a cellular specimen.(DQ)
CytologicallyYoursCoW20140113Cytology2.JPG|40x magnification showing cohesive groups of atypical cells adjacent to bronchial cells. (DQ)
CytologicallyYoursCoW20140113Cytology3.JPG|40x magnification showing a large group of cohesive cells that are molding upon one another. (DQ)
CytologicallyYoursCoW20140113Cytology4.JPG|40x magnification showing cells that are molding and forming a row of cells.(DQ)
CytologicallyYoursCoW20140113Cytology5.JPG|20x magnification of cells with chromatin that looks punctate.(pap)
CytologicallyYoursCoW20140113Cytology6.JPG|60x magnification of cells with punctate chromatin and molding.(pap)
</gallery>

====Resident Questions====
* <spoiler text="What was the initial diagnosis on rapid interpretation?"> Positive for malignancy. </spoiler>

* <spoiler text="What stains would you order?"> CD56, Synaptophysin, Chromogranin, TTF-1 </spoiler>

<div class="usermessage mw-customtoggle-diagnosis" style="cursor:pointer">Click here to toggle the diagnosis and discussion.</div>
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-diagnosis">
<div class="mw-collapsible-content">

==Final Diagnosis==

===Cytology===
* '''Small Cell Carcinoma'''.

===Discussion===
Small cell carcinoma is associated with smoking and is generally a central lesion that arises in larger airways. Small cell carcinoma is prone to central necrosis and radiologically this may be seen.
</div></div>

{{Cytologically Yours}}

[[Category:Case Reports]]

@@ Line 30: / Line 30: @@
 ===Cytology===
 <gallery heights="250px" widths="250px">
-CytologicallyYoursCoW20140113Cytology1.JPG|10x magnification of a cellular specimen.(DQ)
+CytologicallyYoursCoW20140113Cytology1.jpg|10x magnification of a cellular specimen.(DQ)
-CytologicallyYoursCoW20140113Cytology2.JPG|40x magnification showing cohesive groups of atypical cells adjacent to bronchial cells. (DQ)
+CytologicallyYoursCoW20140113Cytology2.jpg|40x magnification showing cohesive groups of atypical cells adjacent to bronchial cells. (DQ)
-CytologicallyYoursCoW20140113Cytology3.JPG|40x magnification showing a large group of cohesive cells that are molding upon one another. (DQ)
+CytologicallyYoursCoW20140113Cytology3.jpg|40x magnification showing a large group of cohesive cells that are molding upon one another. (DQ)
-CytologicallyYoursCoW20140113Cytology4.JPG|40x magnification showing cells that are molding and forming a row of cells.(DQ)
+CytologicallyYoursCoW20140113Cytology4.jpg|40x magnification showing cells that are molding and forming a row of cells.(DQ)
-CytologicallyYoursCoW20140113Cytology5.JPG|20x magnification of cells with chromatin that looks punctate.(pap)
+CytologicallyYoursCoW20140113Cytology5.jpg|20x magnification of cells with chromatin that looks punctate.(pap)
-CytologicallyYoursCoW20140113Cytology6.JPG|60x magnification of cells with punctate chromatin and molding.(pap)
+CytologicallyYoursCoW20140113Cytology6.jpg|60x magnification of cells with punctate chromatin and molding.(pap)
 </gallery>

Cytologically Yours: CoW: 20140113 - Revision history

Jessica Levesque: /* Cytology */

Jessica Levesque: Created page with "== Clinical Summary == The patient is a 69 year old female with a new mass in the right pulmonary hilum. === Past Medical History === * Hyperlipidemia * Osteoporosis * Chron..."