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Perplexing Problems in Breast Pathology (and How to Solve them)



Original release date
: March 26, 2020 
Access to this course expires on:  January 16, 2023 at 11:59 PM Pacific Time
CME/SAMs 11.75

Course Description

This course is designed to eliminate a variety of practice gaps in diagnostic breast pathology. In general, there is a misdiagnosis rate of ~10% in breast biopsies. For some lesions which are notoriously problematic, the misdiagnosis rate is even higher.

Review of the literature and the faculty’s clinical experience as consultant breast pathologists have clearly documented areas in breast pathology that remain diagnostic problems even for experienced pathologists. These include the categorization of proliferative breast lesions, the classification of in situ lesions, papillary lesions, fibroepithelial lesions, spindle cell lesions, vascular lesions, the distinction between invasive and in situ lesions, and the proper classification of a variety of uncommon benign and malignant lesions. In addition, with the frequent use of core needle biopsy of non-palpable breast lesions, pathologists are often faced with the challenge of distinguishing these entities on small specimen samples.

This interactive microscopy course attempts to eliminate diagnostic error by highlighting pitfalls and the approaches to resolving them by using routine microscopic examination of H and E-stained sections and immunostains. The role of newer adjunctive molecular tests will also be discussed where appropriate.

This course will address both medical knowledge and competence with the goal of improving clinical practice.

Target Audience
Practicing academic and community pathologists, and pathologists-in-training

Learning Objectives
Upon completion of this educational activity, learners will be able to:
  • Evaluate diagnostic criteria and clinical significance of various common and uncommon benign, in situ and malignant lesions of the breast in both core needle biopsy specimens and surgical specimens
  • Describe the differential diagnostic problems encountered in breast pathology and develop strategies to resolve them in your practice environment
  • Utilize the latest information on the uses and limitations of immunohistochemistry in resolving diagnostic problems in breast pathology

Continuing Medical Education and Continuing Certification
The United States and Canadian Academy of Pathology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The United States and Canadian Academy of Pathology designates this enduring material for a maximum of 11.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

USCAP is approved by the American Board of Pathology (ABPath) to offer Self-Assessment credits (SAMs) and Lifelong Learning (Part II) credit for the purpose of meeting the ABPath requirements for Continuing Certification (CC). Registrants must take and pass the post-test in order to claim SAMs credit. Physicians can earn a maximum of 11.75 SAM/Part II credit hours.

Disclosures
The faculty, committee members, and staff who are in position to control the content of this activity are required to disclose to USCAP and to learners any relevant financial relationship(s) of the individual or spouse/partner that have occurred within the last 12 months with any commercial interest(s) whose products or services are related to the CME content. USCAP has reviewed all disclosures and resolved or managed all identified conflicts of interest, as applicable.

The following faculty reported no relevant financial relationships: Stuart J. Schnitt, MD, Edi Brogi, MD, PhD, Ashley Cimino-Matthews, MD and J. Jordi Rowe, MD

The following IM Coordinator who planned and reviewed content for this activity reported no relevant financial relationships: Laura C. Collins, MD and Steven D. Billings, MD

USCAP staff associated with the development of content for this activity reported no relevant financial relationships.


To earn CME and SAM credit, all learners must complete the evaluation. View and print your certificate by  clicking here.

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