16th International Congress of Cytology, Vancouver, Canada - May 2007
Workshop: "Löwhagen's Legacy: A Multinational Sampler of Fine Needle Aspiration Cytology"

Directors

Dr. Gilda da Cunha Santos
Dr. William Geddie

Case 1 - FNA of breast

Contributed by Dr Britt-Marie Lung, California, USA

43 year-old woman with 1.5cm palpable mass in the right breast. No skin or nipple changes were noted and there were no palpable axillary lymph nodes. Imaging showed a mass lesion with ill-defined borders but not spiculation. Size by imaging was 16 mm. The sample was collected with a 23-gauge needle, guided by palpation.

FNA of breast (40x)

Case 2 - FNA of lymph node

Contributed by Dr. Edneia Tani, Stockholm, Sweden

33 year-old man with persistent cough, gynecomastia, and an enlarged node in the right side of the neck.

FNA of lymph node (40x)

Case 3 - FNA of femur

Contributed by Dr Lambert Skoog, Stockholm, Sweden

30 year-old man with pain in the right thigh. On the lateral side a distinct extremely tender swelling was found. X-ray showed several superficial destructive convexities of the femur. The radiologic diagnosis was haemangioendothelioma.

FNA of femur (40x)

See surgical pathology for this case.

Case 4 - FNA of thyroid

Contributed by Dr Fernando Schmitt, Porto, Portugal

21 year-old woman, with nodule in the right lobe of the thyroid, and cervical adenopathy.

FNA of thyroid (40x)

Case 5 - FNA of lymph node

Contributed by Dr. Canan Ersöz, Balcali, Turkey

FNA of mass in left supraclavicular fossa in a 22 year-old woman. History of right 10 cm breast tumour one year before.

FNA of lymph node (40x)

Case 6 - FNA of breast

Contributed by Dr. Andrew Field, Sydney, Australia and Dr. Victoria Nekesa, Kampala, Uganda

FNA of large mass in right breast of a 42 year-old woman. A mass had been present for many years.

FNA of breast (40x)

Case 7 - FNA of subcutaneous nodule, face

Contributed by Dr. William Geddie, Toronto, Canada and Dr. Mubarek Al Shraim, Saudi Arabia

62 year-old woman with recently discovered papillary carcinoma of thyroid and more remote history of carcinoma of the breast referred for aspiration of lymph node overlying mandible.

FNA of subcutaneous nodule, face (40x)

Case 8 - FNAs of breast and lung

Contributed by Dr. William Geddie, Toronto, Canada

60 year-old woman with a 40 pack/year smoking history. Initial presentation with breast nodule. Subsequent CXR showed right upper lobe lesion.

FNA of breast (MGG stain, 100x)
FNA of lung (PAP stain, 100x)
FNA of lung (MGG stain, 100x)

Case 9 - FNAs of lymph node

Contributed by Dr. William Geddie, Toronto, Canada

67 year-old woman with indolent lymphoma. FNA of cervical lymph node persisting after treatment with CVP.

FNA of lymph node (MGG stain, 100x)
FNA of lymph node (PAP stain, 100x)

Case 10 - FNAs of lymph node

Contributed by Dr. William Geddie, Toronto, Canada

67 year-old woman immediately post-induction chemotherapy for AML. Massive bilateral cervical lymphadenopathy. FNA of right jugulodigastric node.

FNA of lymph node (MGG stain, 100x)
FNA of lymph node (GMS stain, 100x)

Supplemental cases

Supplement 1

45 year-old male with abnormal blood film and right inguinal lymphadenopathy (MGG stain, 100x)
FNA inguinal node.

Supplement 2

77 year-old woman with 15 year history of follicular lymphoma (MGG stain, 100x)
FNA of right axillary lymph node which had suddenly enlarged prompting clinical concern that tranformation to large B-cell lymphoma had occurred.

Supplement 3

83 year-old woman treated with partial mastectomy and radiation for carcinoma of breast 11 years previously (MGG stain, 100x)
A tender mass at the lateral aspect of the scar was present on waking, and had definitely not been present the evening before.
83 year-old woman treated with partial mastectomy and radiation for carcinoma of breast 11 years previously (PAP stain, 100x)
A tender mass at the lateral aspect of the scar was present on waking, and had definitely not been present the evening before.

Supplement 4

35 year-old woman. FNA of painless scalp nodule (MGG stain, 100x)
35 year-old woman. FNA of painless scalp nodule (MGG stain, 100x)

Supplement 5

19 year-old woman with unilateral cervical lymphadenopathy (MGG stain, 100x)
FNA of left level 4 lymph node.