Asan surgical pathology update

Dr. Dina R. Mody

HPV test

  • DNA HPV test will fail.
  • BD (Oncolarity) is for a screening test.
  • genotype 66 high risk.
  • False-negative 10%. DNA copy number is the cause.
  • False positive cross reactivity 0.35%, 0.71% Aptima and Cobas. (one quarter)

Dr. Sneige

Immunostain in breast

  • Reduced and diminished myoepithelial cells, phenotypic alteration, SMA remain but others lost.
  • Any positivity for MEC favors in situ than invasive.
  • Metaplastic carcinoma and fibromatosis like
  • TTF-1 2% positive in breast cancer.

Dr. Prieto

Cutaneous lymphoma

  • Mycosis fungoides cell are atypical 7 fold folding nuclear membrane
  • CD4 predominant than CD8
  • Mycosis fungoides with large cell transformation
  • CD8 mycosis fungoides
  • Granulomatous MF
  • Immunohistochemistry marker related to TX
    • CD25, CD30

Again Dr. Mody

  • Super D specimen preparation
  • Guideline will be released.

Dr. Medeiros, Hodgkin lymphomas

  • Popcorn, not poped
  • Hodgkin lymphoma cells were renamed.
  • LP cells, Lacunar cells, RS + mononuclear variants/anaplastic variants

Dr. El-Naggar H&N cancer

  • HPV nasopharyngeal carcinoma
  • Young caucasian male
  • H&N is different from anogenital area

Dr. Moran

  • Neuroendocrine carcinoma in lung
  • Do not follow the WHO without own justification
  • Mitoses count is not rigorous measurement. eyepiece diameters, hotspot vs random
  • Arrigoni criteria 1974 was 5-10 mitosis per 10 HPF

Dr. Jihun Kim colitis

  • Yersinia

    • Suppurative granulomas
    • Heaped up mass-like mucosal thickening
    • Superficial ileocecal lesion
    • Lymphoid follicles
  • NSAID-induced enteropathy

    • Radiating fibrosis around the ulcer
    • Diaphragm-like stricture
  • Nivolumab-induced colitis

Dr. Moran Salivary-gland type tumors of the lung

  • Central intrabronchial mass
  • Frozen diagnosis important sleeve or total pneumonectomy
  • Adenosquamous is different with mucoepidermoid
  • Mucoepidermoid m/c and children
  • MAML2 translocation
  • Acinic cell carcinoma gold standard is EM

Dr. Sneige Breast cancer biomarkers

Dr. Prieto Cutaneous mesenchymal tumors

  • Dermatofibroma vs Dermatofibrosarcoma protuberance
  • Epithelioid fibrous histiocytoma
    • Resembling melanoma
  • Angiomatoid fibrous histiocytoma
    • Translocation EWSR1, FUS, CREB1, ATF1
  • Atypical fibroxanthoma
    • Solitary lesion on sun-exposed skin
    • Elderly adult
  • Neurothekeoma

Dr. Medeiros Marginal zone lymphomas

  • There category vs two cathegory (feat Dr. In-sun Kim)
  • Colonization in follicles
  • Cause of disease infection
    • H. pylori
    • HCV
    • Campylobacter jejuni
  • Boring immunophenotype, important translocations
    • API2 and MALT1
    • IGH and MALT1
    • FOXP1 and MALT1
    • BCL10 and IGH
  • Large cell transformaion
  • Splenic marginal zone lymphoma
    • Systemic involvement, bone marrow, peripheral blood

Dr. El-Naggar

  • Salivary gland tumor
    • Ductal carcinoma
    • Homology with breast, prostate
    • Testosterone, Androgen, and Steroid
    • Androgen receptor, Glucocorticoid receptor
    • Androgen receptor splicing variant: constitutive activation

Dr. Kyu-Rae Kim

  • Progestin treatment failure
    • Myometrial invasion, basal layer involvement
  • No guideline for residual tumor
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Jun Kang
Clinical Assistant Professor of Hospital Pathology

My research interests include pathology, oncology and statistics.