Respiratory Interactive Session. Elaine Borg

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1 Respiratory Interactive Session Elaine Borg

2 Case 1 Respiratory Cytology 55 year old gentleman Anterior mediastinal mass EBUS FNA

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10 Case 1 Respiratory Cytology 55 year old gentleman with anterior mediastinal mass EBUS FNA Differential Diagnosis A. High Grade Lymphoma B. Small Round Blue Cell Tumour C. Small Cell Carcinoma D. Plasma Cell Neoplasm

11 DIAGNOSIS

12 Case 2 Respiratory Cytology 60 year old gentleman Enlarged mediastinal lymph nodes and multiple lung nodules EBUS TBNA

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18 Case 2 Respiratory Cytology 60 year old gentleman with enlarged mediastinal lymph nodes and multiple lung nodules EBUS TBNA Differential Diagnosis A. High Grade Lymphoma B. Small Round Blue Cell Tumour C. Adenocarcinoma D. Small Cell Carcinoma

19 DIAGNOSIS

20 Case 3 Respiratory Cytology 22 year old female Mediastinal lymphadenopathy and multiple lung and bone lesions EBUS TBNA

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26 Case 3 Respiratory Cytology 22 year old female with mediastinal lymphadenopathy and multiple bone lesions EBUS TBNA Differential Diagnosis A. High Grade Lymphoma B. Adenocarcinoma C. Small Cell Carcinoma D. Nasopharyngeal carcinoma

27 DIAGNOSIS

28 Case 4 Respiratory Cytology 65 year old male Loss of sense of smell Cervical and mediastinal lymphadenopathy

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38 Case 4 Respiratory Cytology 65 year old male, loss of sense of smell, cervical and mediastinal lymphadenopathy. EBUS TBNA Differential diagnosis A. High Grade Lymphoma B. Metastatic Olfactory neuroblastoma C. Metastatic Nasopharyngeal carcinoma D. Metastatic Small Cell Carcinoma

39 DIAGNOSIS

40 Case 5 Respiratory Cytology 56 year old gentleman Large hilar mass Superior Vena Cava Obstruction Mediastinal lymphadenopathy EBUS TBNA

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48 Case 5 Respiratory Cytology 56 year old gentleman, Large hilar mass, SVCO, Mediastinal lymphadenopathy EBUS TBNA Differential diagnosis A. High Grade Lymphoma B. Metastatic Poorly differentiated Non Small Cell Carcinoma C. Metastatic Malignant Melanoma D. Metastatic Small Cell Carcinoma

49 DIAGNOSIS

50 Case 6 Respiratory Cytology 60 year old female 3cm mass and mediastinal lymphadenopathy EBUS FNA

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56 Case 6 Respiratory Cytology 60 year old female with a 3cm mass and mediastinal lymphadenopathy EBUS FNA Differential Diagnosis A. Spindle Cell Squamous Cell Carcinoma B. Granulomatous Inflammation C. Benign Nerve Sheath Tumour D. Malignant Melanoma

57 DIAGNOSIS

58 Case 7 Respiratory Cytology 28 year old male Immunocompromised Respiratory distress and diffuse pulmonary infiltrated on CT scan Bronchoalveolar lavage

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62 Case 7 Respiratory Cytology 28 year old male, Immunocompromised, Respiratory distress and diffuse pulmonary infiltrated on CT scan Broncho-alveolar lavage Differential Diagnosis A. Alveolar proteinosis B. Normal C. Pneumocystis jirovecii D. CMV pneumonitis

63 DIAGNOSIS

64 Case 8 Respiratory Cytology 65 year old female Known case of breast cancer Right pleural effusion Pleural effusion cytology

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71 Case 8 Respiratory Cytology 65 year old female, Known case of breast cancer, Right pleural effusion. Pleural effusion cytology Differential Diagnosis A. Reactive Effusion B. Malignant Mesothelioma C. Metastatic Breast Carcinoma D. High Grade Lymphoma

72 DIAGNOSIS

73 Case 9 Respiratory Cytology 55 year old male Hilar mass and left sided pleural effusion Pleural effusion cytology

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77 Case 9 Respiratory Cytology 55 year old male, Hilar mass and left sided pleural effusion Pleural effusion cytology Differential Diagnosis A. Metastatic Non Small Cell Carcinoma B. Metastatic Small Cell Carcinoma C. Reactive Effusion D. High Grade Lymphoma

78 DIAGNOSIS

79 Case 10 Respiratory Cytology 32 year old gentleman Multiple pulmonary nodules, large mediastinal mass and bilateral pleural effusions Pleural effusion cytology

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86 Case 10 Respiratory Cytology 32 year old gentleman, Multiple pulmonary nodules, large mediastinal mass and bilateral pleural effusions Pleural effusion cytology Differential Diagnosis A. Metastatic Non Small Cell Carcinoma B. Metastatic Small Cell Carcinoma C. Malignant Mesothelioma D. High Grade Lymphoma

87 DIAGNOSIS

88 THANKS

The Various Methods to Biopsy the Lung PROF SHITRIT DAVID HEAD, PULMONARY DEPARTMENT MEIR MEDICAL CENTER, ISRAEL

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