Evaluated by: Laura W. Lamps, M.D., UAMS Health, July 8, 2016
Original release date: July 8, 2016
Access to this course expires on: March 8, 2019
Consultations in cytopathology are sought from experts in the handling of diagnostically challenging or indeterminate cases. Discrepancies in diagnosis may also be discovered when second opinions are obtained through inter-institutional transfer of patients care or in the setting of intradepartmental quality assurance (QA) and Peer-Review. Clinicians & patients themselves are increasingly seeking second opinion to confirm the initial diagnosis, especially if there are discordant clinical findings. Second opinion consultation in cytology is cost-effective, and is considered an important tool in ensuring quality management. Rendering accurate diagnosis in these settings ensures appropriate clinical management, and could prevent unnecessary invasive procedures and potential complications. This practical course is conducted by faculty from two major academic institutions, who have extensive experience in dealing with consultation cases. The course uses a case-based approach in a broad range of FNA cases. The cases include a spectrum of FNA sites that are more amenable to errors including lung, thyroid, lymph nodes, pancreas and salivary gland. The Course Directors share their approach to 8 cases selected from their consult, second opinion and QA files. Cases with discrepant diagnoses will be presented, with emphasis on differential diagnosis and detailed cytologic criteria. Review of pertinent clinical and radiologic information and comparison of corresponding histology are performed. Pertinent ancillary studies, such as immunocytochemistry, flow cytometry and molecular analyses are also discussed when applicable.
Practicing academic and community pathologists, and pathologists-in-training
Upon completion of this educational activity, learners will be able to:
- Learn about the common challenges and diagnostic discrepancies encountered in second-opinion/consult practice
- Recognize the causes of such pitfalls, and how to best avoid them
- Adopt a practical approach to workup and diagnosis of challenging cases.
To earn CME and SAM credit, all learners must take a content-based exam and achieve a minimum score of 80%. If learners do not achieve a passing score of 80%, they have the option to retake the exam. After you pass the test and complete the evaluation, your certificate of completion will be available to view and print by clicking here.