SYED ALI Handout for Residents
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Transcript of SYED ALI Handout for Residents
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8/19/2019 SYED ALI Handout for Residents
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Challenging CasesFrom
Johns Hopkins
Syed Z. Ali, MD, FRCPath, FIACProfessor of Pathology and Radiology
The Johns Hopkins HospitalBaltimore, Maryland
USA
Case One
A 23 year-old Hispanic woman with epigastric abdominal painthat started during her 2nd month of gestation and steadilyworsened. Radiologic scans showed a 12.0 cm mass off theinferior aspect of her stomach. The mass was aspirated viatransabdominal U/S guidance one week after she delivered.
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Open Discussion
Case Two
A 48 year-old man with an incidental 6 cm distal esophagealmass. Past history was significant for a hiatal hernia as wellas esophageal varices found on endoscopy three years ago(for repeated hematemesis). EUS-guided FNA of esophagus.
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Case Three
A 58 year-old man with bilateral lung transplant three yearsago for severe COPD presents with pleural effusion and
pleural-based lung nodules. A whole body pan scan (including brain) showed no masses or other lesions. An FNA of a lungmass was worked up with a battery of immunostains andshowed GFAP reactivity.
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Case Four
An otherwise healthy 76 year-old man with h/o prostate cancerand renal cell carcinoma (s/p TURP and nephrectomy) wasseen as part of his routine follow-up. Catheterized urine.
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Case Five
A 65 year-old man presented with worsening headaches,dizziness and gait disturbance. Past medical history wassignificant for implanted defribrillator (for ventriculartachycardia) and a lower extremity surgery two years ago.Cerebrospinal fluid was obtained by lumbar puncture.
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Open Discussion