Aiming for the "Thornless R.O.S.E.": Histomorphology Correlation for the Cytotechnologist
Cora Uram-Tusculescu, MD
Hunter Holmes McGuire
Cytotechnologists are increasingly involved in rapid on-site evaluation (ROSE) of lung and liver needle core biopsies as well as in the selection of material for ancillary testing. Knowledge of histomorphology is essential in being prepared for these new roles. The main goals of this session directed towards cytotechnologists are: 1) to reinforce ROSE confidence and ability while avoiding common diagnostic pitfalls; 2) by translating cytomorphology skills into histomorphology to more precisely gauge adequacy at ROSE and to ensure a better triage of cases for further studies. Histopathologic features of common entities in correlation with cytomorphologic characteristics will be discussed as a case-based glass slide presentation. H&E stained needle core biopsy slides and concurrent touch preparation smears will be used to discuss diagnostic limitations and pitfalls. A step-wise approach on how to triage needle core biopsy specimens for additional studies (immunohistochemistry, cytogenetic and molecular) will be presented. Emphasis will be placed on common challenges in daily practice based on input from our own cytotechnologist team.
This educational activity is designed for pathologists, cytopathologists, cytotechnologists, students and other members of the cytopathology community.
- Correctly identify histomorphologic features of common entities (benign and malignant) on H&E needle core biopsy specimens and compare findings with cytomorphological features on concurrent touch preparation smears
- Compare and contrast histomorphologic features of common benign and malignant entities with emphasis on diagnostic pitfalls and limitations
- Understand the implications of new testing methods (immunohistochemistry, cytogenetics and molecular) for the clinical management and patient outcome in the context of a personalized medicine approach
- Based on histomorphology adequately triage needle core biopsy specimens for immunohistochemistry and suitability for molecular studies
Director of Anatomic Pathology
Current ACCME guidelines state that participants in CME activities should be made aware of any affiliation or financial interest that may affect the speaker’s presentation(s). Therefore, it is the policy of the ASC to insure balance, independence, objectivity, and scientific rigor in all its educational programs. All planning individuals participating in any ASC Educational Activity are expected to disclose to the program audience any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the continuing education program. Click here for a complete list.
The presenter has no conflicts of interest or financial relationships to disclose.
ACCREDITATION AND DESIGNATION STATEMENTS
Continuing Medical Education (CME) Statement
The American Society of Cytopathology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American Society of Cytopathology designates this enduring educational activity for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
American Board of Pathology Maintenance of Certification (MOC)
This product can help fulfill the CME requirements and Self-Assessment Modules (SAMs) mandated by the American Board of Pathology Maintenance of Certification (MOC) process. Earn up to 2.0 SAM Credit Hours.
Continuing Medical Laboratory Education (CMLE)
The ASC designates this activity for a maximum of 2.0 Continuing Medical Laboratory Education (CMLE) credit hours for non-physicians. The CMLE credit hours meet the continuing education requirements for the ASCP Board of Registry Certification Maintenance Program. Participants should claim only the credit commensurate with the extent of their participation in the activity.
Cytotechnologists with Licenses in Florida and California
This program is approved for 2 continuing education credits in the State of Florida and 1 in the State of California. The credit on each link is good for three years from the live presentation date.
- 2.00 AMA PRA Category 1 Credit™
- 1.00 California Credits
- 2.00 CMLE
- 2.00 Florida Credits
- 2.00 MOC II
- 2.00 Participant