1. March 13, 2009

2. 28 y/o female. FNA of thyroid. 1 Hashimoto’s thyroiditis Lymphocytes mixed with follicular cells.

3. 2 38 year old male, BAL. Goblet cell hyperplasia. Associated with asthma, chronic bronchitis, bronchiectasis, and allergies.

4. 3 68 year old male, bile duct brushing. Adenocarcinoma. Disordered arrangement of slightly enlarged and pleomorphic cells. Normal ductal cells are arranged in a honeycomb pattern.

5. 65 y/o male. FNA of liver 4 HCC. Large, pleomorphic liver cells with prominent nucleoli. HCC also has intranuclear pseudoinclusion.

6. 5 Pancreas FNA. Mucinous papillary ca

7. 6 FNA of kidney. Renal cell ca. The clear cytoplasm is characteristic.

8. 7 FNA of spleen. Extramedullary hematopoiesis. The large cell is a megakaryocyte.

9. Subcarinal LN FNA. 8 Small cell ca. The typical findings are cells with high N:C ratios, molding, mitotic activity, and necrosis. Differentiate from lymphocytes by cohesion.

10. Thyroid FNA 9 Hürthle cell neoplasm. Abundant cytoplasm and prominent nucleoli. Cannot tell the difference between Hürthle call adenoma or carcinoma on cytology.

11. Thyroid FNA. 10 Papillary ca. Cells with large nuclei, fine chromatin, nuclear cleaves, small peripheral nucleoli, and nuclear pseudoinclusions.