Difference between revisions of "Cytologically Yours: CoW: 20140113"

From Pathology Education Instructional Resource
Jump to: navigation, search
(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...")
 
(Cytology)
 
Line 30: Line 30:
 
===Cytology===
 
===Cytology===
 
<gallery heights="250px" widths="250px">
 
<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>
 
</gallery>
  

Latest revision as of 21:41, 26 June 2014

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


Resident Questions



Click here to toggle the diagnosis and discussion.

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.