Conferences and Webinars for Pathologists and Laboratory personnel

Revised: 24 May 2019

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USCAP Presents:
Common and Challenging Diagnostic Dilemmas on Frozen Section Service

Frozen section diagnosis can be challenging, particularly when the pathologist is handling the case alone. This difficulty may be compounded by dramatic and irreversible surgical implications. Frozen section interpretation is totally based on the histologic features since ancillary testing, including immunohistochemistry and molecular studies are not available. Time is crucial to make a confident diagnosis because the patient is on the operating table under general anesthesia, and the surgeon needs to know a specific answer to make a decision on the subsequent procedure. This is one of the times that a pathologist guides the hands of a surgeon.

The intra-operative consultation service is a critical component of a hospital-based pathology practice; it involves every sub-specialty surgery and almost every organ/system. A solid general pathology foundation is essential; keeping updated on new entities is extremely valuable.

Although books and chapters on frozen section diagnosis are available, organized lectures are rarely focused on frozen section diagnostic skills and pitfalls, particularly in the molecular era. Intimate mentoring around the microscope mimicking real time frozen section analysis has not been previously used.

This course addresses diagnosis under pressure and provides practicing pathologists and pathologists-in-training with guidance on how to handle diagnostic dilemmas on the frozen section service, avoid equivocation and effectively communicate with surgeons.

Course Location: Palm Springs, CA
Course Director: Qihui (Jim) Zhai, MD

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Save the Date
October 5 - 8, 2020
Fairmont Orchid, Kohala Coast
Big Island of Hawaii


Dermatopathology Course



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October 6-8, 2019, Pathology Visions, Hyatt Regency, Orlando, Florida (USA) [#8025]





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USCAP Presents:
An Oasis of Gastrointestinal Pathology

Diagnostic gastrointestinal pathology is experiencing dynamic, fluid changes that require the attention of surgical pathologists who specialize in this area or who sign-out biopsies from the GI tract and liver. There are updates in the AJCC staging of mucinous neoplasms of the appendix and conceptual changes in interpreting appendectomy samples containing luminal and extra-appendiceal mucin; there is confusion about the diagnosis and outcome of so-called goblet cell carcinoid, and a new classification scheme is available; Barrett’s esophagus is often over-diagnosed but a new method informs separation of reactive changes from low-grade and indefinite dysplasia; spindle cell tumors can be separated morphologically and by their molecular features; overlapping patterns of injury are encountered in disease and iatrogenic conditions, but can be separated; liver pathology has become more challenging in the context of treatment for Hepatitis C; certain infections may be mistaken for inflammatory disease, requiring criteria for identification and diagnosis. This faculty derived from the Rodger C. Haggitt Gastrointestinal Pathology Society (GIPS) is poised to provide the latest information in these challenging areas in a unique mentoring environment.

Course Location: Palm Springs, CA
Course Director: Elizabeth A. Montgomery, MD.

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USCAP Presents:
Interactive Microscopy with Authors of the Fascicles

Diagnostic surgical pathology is a rapidly evolving field, informed by discoveries in molecular genetics and improvements in tumor classification. Uterine, hepatic, bone, lymphoma, gastroesophageal and soft tissue tumor pathology are examples of subspecialty areas that have made dramatic changes in recent years. Surgical pathologists must become familiar with recent changes in tumor classification, recently developed diagnostic markers, recently discovered molecular genetic alterations and evolving diagnostic criteria for neoplastic and non-neoplastic disorders in surgical pathology. They must also be intuitively conversant with relevant differential diagnoses, ordering appropriate panels of markers and molecular tests, and applying diagnostic criteria to arrive at specific diagnoses.

As a companion interactive microscopy course to the "Fascicles", and with a superbly experienced and creative, visually motivated faculty, this USCAP-ARP experience promises unparalleled mentoring in an aesthetic ambiance, driven by the art of microscopic images.

CLICK HERE TO REGISTER TODAY

Course Location: Palm Springs, CA
Course Directors: Jason L. Hornick, M.D., Ph.D. and Elizabeth A. Montgomery, M.D.

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USCAP Presents:
Modern Surgical Pathology Through the Expert Eyes of APSS-USCAP

This second-edition, co-branded interactive microscopy course presents the synergistic union of expert surgical pathologists from the prestigious Arthur Purdy Stout Society and from USCAP, collaborating (through the education of pathologists) to eliminate a variety of practice gaps in diagnostic surgical pathology. For example, there is a misdiagnosis rate of about 10% in breast biopsies, but for some notoriously problematic lesions, the rate is even higher.

This faculty's review of the literature and clinical experience as consultant surgical pathologists have clearly documented areas in diagnostic surgical pathology that remain problematic even for experienced pathologists. Examples include the categorization of proliferative breast lesions, bladder biopsies, small glandular proliferations in the prostate and inflammatory skin lesions.

This course attempts to eliminate diagnostic error by highlighting pitfalls and approaches to resolve them using routine microscopic examination of H&E-stained sections and immuno-stains. The role of newer adjunctive molecular tests will also be discussed where appropriate. The intent is to address medical knowledge and competence with the goal of improving clinical practice.

Course Location: Palm Springs, CA
Course Director: Marisa Nucci, MD

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USCAP Presents:
Interactive Uterine Pathology- New Entities, Tools & Reporting Recommendations

Gynecologic pathology is a large sub-specialty area covering numerous sites, diseases and cancers. Due to the breadth of this field, many nuanced details regarding classification of disease, intra-operative consultation, newly described tests and staging of gynecologic cancer remain unknown to many surgical pathologists. Most practicing surgical pathologists see ample amounts of gynecologic surgical pathology on a routine basis including biopsy material, specimens for intra-operative consultation and cancer resections which require laboratory work-up and assessment of important staging pathologic variables. Such complexity makes it essential that some of the intricacies of this field be discussed. The aim of this course will be to discuss some of the more difficult specimens encountered within this discipline, as well as new clinical tests that have become available. In addition, portions of the course will address chronically difficult staging issues that are commonly encountered. The interactive format facilitates learning in an intimate mentoring environment.

Course Location: Palm Springs, CA
Course Director: Charles Matthew Quick, MD

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USCAP Presents:
Updates From The New Who Classification Of Soft Tissue And Bone Tumors

The diagnosis of soft tissue and bone tumors can be a significant challenge, even to the experienced surgical pathologist, due to the rarity of such tumors, the broad morphological spectrum of mesenchymal neoplasms, and overlap with other soft tissue and bone tumors and non-mesenchymal neoplasms. The classification of soft tissue and bone tumors continues to evolve, following the description of "new" tumor types, the discovery of novel molecular genetic alterations, and the development of increasingly specific diagnostic immunohistochemical markers; these changes are included in the new World Health Organization (WHO) Classification of Tumours of Soft Tissue and Bone. Surgical pathologists are not familiar with the current classification of soft tissue and bone tumors and recently developed diagnostic markers and struggle with accurate diagnosis. This course, presented by experts, will help to alleviate that struggle and provide pragmatic information for immediate practice improvement.

Course Location: Palm Springs, CA
Course Director: Jason L. Hornick, MD, PhD

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USCAP Presents:
Pediatric Pathology: Selected Topics for General Surgical Pathologists

The practice of pediatric pathology differs significantly from that of adult surgical pathology: certain tumor types and medical conditions are much more common in the pediatric population (e.g., celiac disease, soft tissue sarcomas); the microscopic appearances of certain diseases common to pediatric and adult populations often differ (e.g., non-necrotizing granulomas are much more common in pediatric patients with Crohn's disease compared with adults); and molecular techniques are more commonly employed in the workup of pediatric neoplasia.

This course is intended to familiarize general surgical pathologists with pediatric specimens that occur less commonly in their practices. Highly skilled pediatric pathologists will share their expertise in an intimate mentoring experience at the USCAP Interactive Center where learning is an inevitability.

Course Location: Palm Springs, CA
Course Directors: Theonia K. Boyd, M.D. and Jeffrey D. Goldsmith, M.D.

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USCAP Presents:
Pancreaticobiliary Pathology for Those in the Trenches: What Really Matters (and What Doesn’t)

Every general surgical pathology practice routinely receives gallbladder specimens, yet many pathologists lack sufficient expertise in gallbladder pathology to feel comfortable when confronted with unusual patterns of inflammation such as vasculitis, parasitic infestation and immune-mediated conditions. Gallbladder neoplasms are uncommon and often discovered at the time of histologic examination, provoking angst among surgeons and pathologists who infrequently encounter such cases and may not be aware of updated terminology and staging issues. Widespread use of cross-sectional imaging in the evaluation of patients with abdominal symptoms has led to increased numbers of incidentally discovered pancreaticobiliary lesions. Many of these are initially evaluated with fine needle aspiration biopsy (FNAB) or limited tissue biopsy samples. As a result, pathologists are often faced with cytology, biopsy and resection specimens that feature disorders relatively uncommon to their practices. They may be required to deal with such specimens under pressure, such as in the frozen section laboratory where immunohistochemical stains and other ancillary tools are not available. This course is intended to provide learners with practical information and diagnostic pearls that may aid them in their day-to-day practices. Intimate mentoring with experts at 18-head teaching microscopes reinforces learning and practice improvements.

Course Location: Palm Springs, CA
Course Director: Rhonda K. Yantiss, MD

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USCAP Presents:
How Senior Citizens from Cold Climates Deal with GI Biopsies in the Desert

Gastrointestinal pathology emerged as a subspecialty in the early 1980s, roughly coincident with development of endoscopy and mucosal biopsy for diagnosis and management of patients with gastrointestinal disorders. At that time, a number of pathologists dedicated their efforts to recognizing and classifying patterns of disease based on careful morphologic assessment, unassisted by immunohistochemical and molecular techniques. Many of their observations and conclusions have held true for several decades underscoring their validity. These individuals have tremendous knowledge to share with learners at all stages in their careers, many of whom have come to rely heavily on ancillary tests to establish diagnoses rather than morphologic assessment. Pathologists must be able to hone-in on key features in order to narrow the differential diagnosis and facilitate patient management. This special Emeritus course concentrates on the pioneers in gastrointestinal pathology and their prophetic perspectives.

Course Location: Palm Springs, CA
Course Director: Jason L. Hornick, MD, PhD

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Save the Date
February 24-28, 2020
Hyatt Regency Maui Resort & Spa at Kaanapali
Maui, Hawaii


Surgical Pathology Course



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Save the Date
March 2-5, 2020
Hyatt Regency Maui Resort & Spa at Kaanapali
Maui, Hawaii


Surgical Pathology Course



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April 21-22, 2020, Tucson Symposium 2020, El Conquistador, Tucson, Arizona (USA) [#8264]





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Save the Date
June 2020
Courses and Locations TBD


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Save the Date
July 13-16, 2020
Hyatt Regency Maui Resort & Spa at Kaanapali
Maui, Hawaii


Surgical Pathology Course



Website

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USCAP Presents:
Practical Issues in Urologic Pathology - 40 New Cases!

Specimens represented by prostate needle core biopsies, transurethral resection of prostate (TURP), radical prostatectomy, kidney biopsies, nephrectomy (radical or partial), bladder biopsies, cystectomy (radical or partial), cystoprostatectomy, testicular biopsies or orchiectomy are frequently handled by pathology residents/fellows, general surgical pathologists and/or urologic pathologists in academic institutions and private practices. These specimens are associated with potential diagnostic challenges and risks in day-to-day practice. This experienced faculty has selected exemplary cases from their expert consultation files (and routine in-house cases) that illustrate recurrent professional practice gaps in urologic pathology. Through intimate mentoring, you will learn how to approach them, make accurate diagnoses, and avoid traps and pitfalls that could cause diagnostic error. The course is pragmatic, clinically-oriented and stimulating. It will focus on these issues:

• Benign tumor-like lesions of the prostate are often over-diagnosed as prostate cancer or atypical small acinar proliferations

• Secondary tumors involving the prostate are frequently misdiagnosed as prostate cancer

• Histological variants of prostate cancer with important clinical significance are under-recognized

• Therapy-related changes in benign glands and prostate cancer are frequently missed

• Extra-prostatic extension in prostate needle core biopsies is frequently missed • Recently described renal carcinomas are not well-appreciated

• Secondary tumors involving the kidney are occasionally misinterpreted as primary tumors

• Some variants of urothelial carcinoma are under-recognized

• Benign entities that mimic urothelial carcinoma are frequently misdiagnosed

• Testicular tumors still continue to pose diagnostic challenges

Course Location: Palm Springs, CA
Course Director: Adeboye O. Osunkoya

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Save the Date
October 12-15, 2020
Fairmont Orchid, Kohala Coast
Big Island of Hawaii


Surgical Pathology Course



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