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Johns Hopkins University School of Medicine:
20th Annual Current Topics in Gastrointestinal and Liver Pathology (LIVE STREAM)
August 29-30, 2020
This activity has been approved for AMA PRA Category 1 Credits TM
Approved for Self-Assessment Module (SAM) for Maintenance of Certification
Gastrointestinal and Liver Pathology Course (Live Stream)
Website
USCAP Presents:
Gynecologic Pathology
Navigating Histologic Mimics and Other Diagnostic Pitfalls
Specimens from gynecologic organs constitute a significant component of most surgical pathology practices, which necessitates that practicing pathologists remain updated on advances in this dynamic, constantly evolving field. The diagnosis of gynecologic tract diseases can be challenging, and fraught with potential pitfalls that may have clinically significant consequences. Classical diagnostic issues in gynecologic pathology have revolved around the potential for non-neoplastic diseases, benign neoplasms, and malignancies to mimic each other, and for different histotypes of malignancies to display morphologic and/or immunophenotypic overlap. Within this context, pathologists must remain updated on newer approaches to disease classification, disease staging, and tumor grading. In this interactive microscopy course, the faculty will present cases wherein one lesion may potentially be mistaken for another due to varying degrees of morphologic and/or immunophenotypic overlap between them, or in which a cancer may be misclassified regarding grade, stage or primary site for a variety of reasons. The diverse case-mix will include those derived from both routine and consultation practices, reflecting the broad spectrum of gynecologic pathology. The presentation of cases will be clinically oriented, with an emphasis on day-to-day practical issues, and on accurately classifying each case within the context of a lesion-specific differential diagnosis
Course Location: Palm Springs, CA
Course Director: Oluwole Fadare, MD
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
USCAP Presents:
Journey to the Center of the Chest
An expert’s perspective on mediastinal pathology
Mediastinal pathology has a fascinating specificity in surgical pathology, because it is focused primarily on a single gland (the thymus) that involutes as we age, is more prominent in children than in adults, and requires a unique approach to diagnosis and clinical course. The infrequency of mediastinal tumors influences evolution of expertise by individual pathologists and their institutions. The recent introduction of new classification and staging schemas poses a novel challenge for those confronted with assessing mediastinal lesions. It is essential for practicing pathologists to become familiar with new modalities that impact treatment options and clinical outcomes. It is even more important to become familiar with the diversity of tumors that can occur in the mediastinal compartment. This course provides a unique opportunity for a tutorial in mediastinal pathology by a single internationally recognized expert from MD Anderson Cancer Center. It is limited to 17 attendees, so register now!
Course Location: Palm Springs, CA
Course Director: Cesar A. Moran, MD
USCAP Presents:
A Contemporary Approach and Update on the Classification, Grading, Staging and Reporting of GU Tumors
Classification, grading, staging and reporting of GU tumors continue to evolve with the discovery of pathogenic mechanisms and the advent of novel diagnostic tools and therapies. It is imperative for practicing pathologists to keep pace with the important changes in GU tumor pathology in order to produce pathology diagnoses and reports that meet contemporary patient management needs. Examples requiring educational focus are the significant error rate and inter-observer variability in the diagnosis of cribriform carcinoma and intraductal carcinoma of prostate; under-recognition and under-reporting of bladder cancer variants; misclassification of testicular germ cell tumors correlated with drastic revision of WHO 2016 classification; modifications in prostate grading correlative with newly described morphologic changes, new outcome data and adjustment to the modified Gleason grading system; changes in GU tumor staging following publication of the 8th edition of the AJCC Staging guidelines; requisite refinements in cancer reporting to eliminate significant variation, error, and missing relevant elements. This course is a pragmatic exercise in mentoring for advanced learning taught by international experts who reflect USCAP’s gold standard.
Course Location: Palm Springs, CA
Course Director:
Ming Zhou, MD, PhD
USCAP Presents:
Crash Course in Gastrointestinal, Liver
and Pancreaticobiliary Pathology:
An Emphasis on Current Guidelines and WHO Updates
Based on cumulative experience from subspecialty-based GI practices, this faculty ensemble has identified pathologic entities and concepts in GI, liver and pancreatic pathology that continue to pose diagnostic challenges on a daily basis. Such challenges relate directly to interpreting limited biopsy samples, generating succinct differential diagnoses (particularly for inflammatory conditions, medical liver injury, non-adenocarcinoma neoplasia of pancreas, and non-GIST mesenchymal tumors), the impact of genetics on diagnosis and classification, constantly changing disease classifications and the fluidity of practice guidelines in the context of emerging evidence-based data. This course is designed to provide systematic algorithms for assessing malabsorption disorders, gastritis, colitides, neoplasms, pancreatic inflammatory and neoplastic diseases, and medical liver biopsies that can be implemented in daily practice.
Case discussions will facilitate understanding of basic and recent concepts in terminology, prognostic features, and basic pathobiology for practicing pathologists, enhanced by current management guidelines relevant to Barrett esophagus, IBD-related dysplasia, appendiceal mucinous lesions, pancreatic inflammatory diseases and neoplasms, hepatic inflammatory diseases and neoplasms, and mesenchymal tumors.
You can expect a highly engaging mentoring experience that will improve your performance and practice while learning in a unique destination location orchestrated by USCAP to achieve optimal satisfaction.
Course Location: Palm Springs, CA
Course Director:
Deepa T. Patil, MBBS, MD
USCAP Presents:
Dermatopathology in the Desert: Dodging Bullets in the Dermatopathology Wilderness
Differentiating neoplastic from non-neoplastic disorders is one of the most difficult diagnostic challenges in pathology. Accurate diagnosis is paramount to initiate the appropriate treatment. It requires specific skills which often include at least some degree of clinical knowledge, awareness of the broad morphologic range and familiarity with ancillary tests. Errors in the interpretation of skin biopsies, especially in relation to melanocytic tumours, are among the most frequent causes for litigation in surgical biopsy and can lead to unfavorable patient outcomes. There are numerous pitfalls that diagnostic pathologists need to be aware of, including lack of relevant clinical information, sampling error and the wide morphologic spectrum of both inflammatory and neoplastic disorders, often showing overlapping findings and only subtle differentiating features. This special course will elevate your knowledge and polish your diagnostic skills as you interact with experts in a uniquely intimate mentoring environment.
Course Location: Palm Springs, CA
Course Director: Thomas Brenn, MD, PhD, FRCPath
USCAP Presents:
Challenges in Hematopathology
Distinguishing between reactive and neoplastic proliferations in blood, bone marrow, lymph nodes, spleen and extra-nodal hematopoietic tissues, as well as accurately classifying neoplasms once they are identified, are essential for appropriate patient care. Pathologists struggle with differentiating reactive from neoplastic conditions in these organs, as well as in properly classifying hematopoietic neoplasms once they are diagnosed. This highly respected expert faculty will provide a unique mentoring experience in an intimate study environment at USCAP’s Interactive Learning Center. They intend to cover diagnostic criteria for new entities in the 2016 WHO Classification of Hematopoietic and Lymphoid Neoplasms and provide useful morphologic clues and ancillary techniques to help you distinguish neoplastic and reactive conditions..
Course Location: Palm Springs, CA
Course Director: Daniel A. Arber, MD
USCAP Presents:
Mesenchymal Tumors:
From Head to Toe (and Everything in Between)
Mesenchymal tumors are inherently diagnostically challenging, but a significant practice gap in their interpretation has developed as new entities and genetic abnormalities have emerged. Diagnostic challenges are associated with distinguishing benign spindle cell proliferations from high grade sarcoma due to histologic and immunohistochemical overlap. In addition to benign and malignant categories, contemporary classification of mesenchymal neoplasms emphasizes lesions with intermediate biologic potential, including those that are locally aggressive or rarely metastasize. There are circumstances in which pathologists can render only descriptive diagnoses without precise classification. New discoveries in molecular genetics have clarified some of these problematic lesions. Furthermore, there are newly described entities that practicing pathologists should be aware of so that tumors are appropriately diagnosed and optimally treated. This course, presented by expert mentors and educators, explores a comprehensive panorama of lesions and anatomic sites.
Course Location: Palm Springs, CA
Course Director: Andre Pinto, MD
USCAP Presents:
Head and Neck Pathology: Top to Bottom Training to Avoid the Ups and Downs
Head and neck pathology represents a significant portion of surgical pathology practice. Studies have shown this area to be particularly treacherous to community pathologists with up to 53% of diagnoses changed (including 7% with major changes) upon second review at tertiary care hospitals (Kronz and Westra, Curr Opin Otolaryngol Head Neck Surgery 2005; 13:81-4).
In recent years there have been numerous developments in head and neck pathology, further complicating this inherent difficulty. Novel entities have been described, pathognomonic molecular alterations have been uncovered, and major shifts in diagnostic classification schemes have been proposed. Many of these concepts were incorporated into the newest editions of the WHO Classifications for Head and Neck and Endocrine Tumors, both of which were published recently.
Taken together, it is difficult for pathologists to stay current and maintain proficiency in head and neck pathology without supplemental training and education. This course is a terrific opportunity to refine your diagnostic skills in a uniquely personal mentoring environment with energetic pathologists whose keen eyes, diagnostic acumen, and a modern approach will create an indelible impression.
This course is designed for general pathologists, practicing surgical pathologists, senior residents and pathologists with special interest in head and neck pathology.
Course Location: Palm Springs, CA
Course Director:
Justin Bishop, MD
Dates, Organization: Conference/Webinar Title [linked to conference website], Venue, City, State (Country) [#Invoice]
USCAP Presents:
Breast Pathology for All Ages:
Diagnostic Pearls and Pitfalls (And How to Stay Out of Trouble)
Based on multi-institutional practices handling large volumes of breast pathology cases at established cancer centers and cumulative consultation cases, this expert faculty has identified areas that pose diagnostic and interpretative challenges in recurrent problematic areas deserving attention: intraductal epithelial proliferations and microinvasive carcinoma, lobular neoplasia including LCIS variants, papillary lesions, and benign vs malignant spindle cell lesions. The interpretation of immunohistochemical stains (IHC) with focus on predictive markers can also be challenging. This interactive microscopy course is designed to illustrate distinct challenging entities and problematic issues, with practical approaches to their resolution in real time, in the context of intimate mentoring.
Course Location: Palm Springs, CA
Course Director:
Edi Brogi, MD, PhD
USCAP Presents:
Liver Pathology P’s and Q’s: The Perplexing and the Quotidian
This comprehensive approach to pathology of the liver, gallbladder and biliary tree is designed for junior and experienced pathologists who encounter these specimens in daily practice. Medical advances in management of patients with liver disease have dramatically changed the histologic patterns encountered in liver biopsies which are increasingly obtained from patients with multiple medical problems who take multiple medications. Classification of tumors of the liver, biliary tree and gallbladder has also become increasingly complex.
This course is intended to provide clarity on the common and uncommon patterns of injury seen in liver biopsies. Usual and unusual causes of acute hepatitis, chronic hepatitis and cholestatic liver disease will be discussed. Tools to solve challenging metabolic and pediatric liver disease will be provided. Guidance will be given on how to interpret liver biopsies from patients with complex systemic diseases. A substantial portion of the course will address how to approach tumors involving the liver, biliary tree and gallbladder. Correct classification requires recognition of specific morphologic features, judicious use of immunohistochemistry and selective application of molecular diagnostics.
This superb faculty will synthesize and deliver this information in the context of intimate mentoring and personalized attention to detail.
Course Location: Palm Springs, CA
Course Director: Rish K. Pai, MD, PhD
USCAP Presents:
A Colorful Cornucopia of Digestive Tract Pathology
The gastrointestinal tract remains one of the most common sources for surgical pathology specimens. As a result, the difficulties and gray areas in this subspecialty are encountered quite often by pathologists each day. The existence of interobserver variability in many gastrointestinal diagnoses compounds this issue. In contrast, the liver and pancreas give rise to a broad spectrum of uncommon disease entities, making it difficult for pathologists who don’t specialize in these organs to gain diagnostic proficiency. Finally, the WHO recently released the newest edition of their Digestive Tract Tumours blue book which contains key updates and subtle changes that may be unfamiliar to many practicing pathologists.
This course will tackle the professional practice gaps that exist in gastrointestinal pathology, focusing on uncommon findings, obfuscated differential diagnoses, new entities and changes to existing entities.
It is a perfect complement to the preceding course, Liver Pathology’s P’s and Q’s: The Perplexing and the Quotidian (January 25-27, 2021).
Course Location: Palm Springs, CA
Course Director: Rish K. Pai, MD, PhD
USCAP Presents:
THORAX DECONSTRUCTED –
Experts’ Guide to What Can Go Wrong Inside the Chest
Pathologists are generally unfamiliar with a variety of entities in lung, pleural, cardiac and mediastinal pathology, leading to diagnostic errors and creating practice gaps requiring attention. The panorama covered in this interactive microscopy course includes interstitial lung disease, lung infections, pulmonary vasculitis, mesothelial proliferations, mediastinal neoplasia, lung allograft rejection and mimics, heart transplant rejection and distinction from mimics, best practices for optimal triage of lung cancer samples for molecular testing, the cytology of pleural effusions, criteria for aortic vasculitis and other large vessel pathology, recognition of heart valvular pathology, criteria for diagnosis of giant cell arteritis, native heart biopsy interpretation and thoracic soft tissue neoplasms. This faculty ensemble has the professional experience to improve your practice with confidence. You will see cases that make an indelible impression. Breathe easy: this is USCAP, at the heart of education.
Course Location: Palm Springs, CA
Course Directors:
Henry D. Tazelaar, MD & Andrew Churg, MD
Cytopathology as a discipline has been re-imagined by the convergence of minimally invasive diagnostic and therapeutic techniques, refinements in imaging and guided biopsies, molecular testing and whole genome sequencing, the emergence of targeted therapies, and the awakening of pathologists to their critical role in patient care, safety and outcomes. A new force in medicine is emerging: pathologists are critical members of the health care team and patients are at the center of their concerns and efforts.
Immersive Cytopathology Experience (ICE) has been redesigned for presentation at a fabulous venue in San Sebastian, Spain, with change in emphasis to interventional diagnostics. There is monumental value in the intersection of case-based learning, multidisciplinary collaborative interaction of care teams, clinical correlations, the partnership with advanced imaging, and awareness of communications, empathy and patient safety.
The schedule accommodates time for you to experience San Sebastian, and nearby Bilbao to visit the Guggenheim Museum designed by Frank Gehry. The culinary scene is unparalleled, and the geography is magnificent.
USCAP is transforming not only how we learn but where we learn. Pathologists can benefit from superb teaching with invaluable exposure to cross-cultural experiences.
Classification schemes, the molecular and genetic basis of head and neck disease, procedural approaches to specimen acquisition and processing, empathetic communication, quality and patient safety, and measuring the non-clinical performance of the academic pathologist contribute texture and depth to this learning experience.
The schedule accommodates time for you to experience ICELAND, from The Blue Lagoon to the Northern Lights and locations where Game of Thrones is filmed.
USCAP is transforming how we learn and where we learn. From a 15th century convent in Florence to the Harpa Concert Hall and Conference Centre in Iceland, learners “come from away” for their unique and enduring experience.
DIAGNOSTIC PATHOLOGY UPDATE 2020
USCAP is a transformative leader in pathology education, creating better
pathologists with updates in relevant information requisite for their
performance and professional growth. The Academy is sensitive to the
personal and cultural needs of practicing pathologists by providing
conferences that welcome them with their families to exotic destination
venues at which they are enriched with new knowledge and unusual
experiences. The 2020 Diagnostic Pathology Update course combines expert
subspecialized, academic faculty with exposure to ocean and rain forests
symbolic of the dichotomy that is Costa Rica. From zip-lining to
surfing, this tropical paradise brings pathologists into contact with
the cuisine, agriculture, art and geography of a unique country that
values education as its primary core value. Costa Rica has eliminated
its standing army to use the savings from defense to improve education,
health care and a durable social safety net.
USCAP is changing not only how we learn, but where we learn by
re-imagining the learning environment and continuously elevating the
quality of content. Experience top educators. Refine cognitive skills.
Hold coffee beans in your hand. Inhale vapor from raging waterfalls.
Witness rainbows in the evanescent colors of iguana skins. Feel sunsets
scalding your memory.
Course Director: Rhonda K. Yantiss, MD & Jason L. Hornick, MD, PhD
2021 Tutorial In
Pathology of the GI Tract, Pancreas, and Liver
Gastrointestinal pathology emerged as a subspecialty in the early 1980s, coincident with development of endoscopy and mucosal biopsy for diagnosis and management of patients with gastrointestinal disorders. Since that time, changes in tissue acquisition techniques and ancillary testing have drastically transformed the discipline; current practice bears little resemblance to that of our mentors. The past two decades have seen an explosion in the number and types of biopsy samples pathologists encounter in daily practice. Virtually every part of the tubular gut is now amenable to visualization and sampling, and most liver biopsies are performed by radiologists who utilize small-caliber needles. As a result, pathologists are expected to generate comprehensive and accurate differential diagnoses for a variety of inflammatory and neoplastic disorders based on limited biopsy material. Pathologists must be able to concentrate on key features in order to narrow the differential diagnosis and facilitate patient management.
This course in a charming medieval city in Belgium, built on canals, provides an ideal venue and faculty for learning what you need to improve your practice as a general surgical pathologist, gastrointestinal diagnostic specialist or pathologist-in-training. The Sint-Janshospitaal has been partially converted to a modern conference facility, but retains the essence of its tenure as a medical facility, supported by a fascinating museum.
Course Director: Rhonda K. Yantiss, MD
USCAP Presents:
Contemporary Cytopathology: A Practical Approach
Cytopathology possesses inherent diagnostic challenges in routine daily practice, compounded in recent years by numerous developments. Novel entities have been described, molecular alterations have been discovered, and multiple major shifts in diagnostic classification schemes have been introduced. It is difficult for pathologists to stay current and maintain proficiency in cytopathology without supplemental training and education.
There is growing demand and expectation by clinicians for pathologists to provide contemporary cytology services in this era of precision medicine, emphasizing cytopathology’s critical role as adjunct to targeted therapies. Accurate diagnosis is paramount to the initiation of appropriate treatment and depends on specific skills, clinical knowledge, awareness of the broad cytomorphologic range and overlap of lesions that may be encountered, and familiarity with ancillary tests.
This course is pragmatic, clinically oriented and stimulating. The selected cases are associated with potential diagnostic challenges and risks in day-to-day practice. Four experts provide an intimate mentoring experience in a superb learning environment that reflects USCAP’s educational standards.
Course Location: Palm Springs, CA
Course Director: Zahra Maleki, MD
GIPS and USCAP Present:
The Old and The New: A Comprehensive Approach to the GI Tract
This comprehensive approach to the gastrointestinal system is designed to educate general pathologists, junior GI pathologists and pathologists-in-training on problematic areas of common and unusual lesions, the newest guidelines and how they impact the diagnostic process, and practical approaches and tips to avoid diagnostic pitfalls. The structure of this course, divided along the GI anatomic landscape, allows the faculty to emphasize key diagnostic features of inflammatory, infectious and neoplastic pathology as encountered in biopsy and resection specimens. The cases are selected to assist in developing an appropriate differential with emphasis on how to navigate to the correct diagnosis. Supplementary cases and special studies will augment the discussion to present the full morphologic spectrum and show how to incorporate ancillary studies effectively. At the conclusion of the course, participants will be able to develop and work through the differential diagnostic possibilities and render the best possible diagnosis. This is USCAP mentoring at its best!
Course Location: Palm Springs, CA
Course Directors:
Gregory Y. Lauwers, MD and Christina A. Arnold, MD
USCAP Presents:
Hematopathology Tasting Menu: A Sampling of Delightful Diagnostic Challenges
The most recent (2016) WHO classification of hematologic neoplasms delineates specific diagnostic criteria for well-defined neoplastic entities. However, pathologists who diagnose bone marrow biopsies and lymphoid proliferations often face challenges that are not directly addressed by the WHO system or represent reactive conditions that may mimic hematologic malignancies. These include atypical morphologic features, unexpected immunostaining patterns, and discordant genetic features in neoplastic entities. Pathologists often have difficulties applying the WHO criteria if they are not fully concordant with the expected patterns and/or if they are relatively new entities with which pathologists may be unfamiliar. Moreover, there is inherent subjectivity in interpreting morphologic findings and even the results of ancillary testing. The literature contains reports about the intrinsic interobserver variability in making hematopathology diagnoses and pitfalls when applying established criteria. This course aims to bridge the practice gaps between the 'ideal world' WHO classification system and the 'real world' of hematopathology diagnosis by presenting challenging case examples.
These cases will illustrate how to interpret correctly and apply morphologic criteria in diagnosing hematologic neoplasms (including newer entities), how to avoid diagnosing malignancy in benign mimics, and how appropriately to integrate the results of ancillary testing with the morphology, particularly when there are discordant or unexpected results. We will provide participants with guidelines on how practically to approach such cases and avoid misdiagnosis, thereby improving their performance in daily practice. The target audience is general pathologists who diagnose bone marrow and lymphoid lesions, practicing hematopathologists and hematopathology fellows.
Course Location: Palm Springs, CA
Course Director: Robert P. Hasserjian, MD
USCAP Presents:
Bone and Soft Tissue Pathology from Head to Toe: An Anatomical Approach
Bone and soft tissue pathology is challenging, even for experienced surgical pathologists. Mesenchymal tumors are rare, show a wide morphologic spectrum with significant histologic overlap between benign and malignant tumors and between mesenchymal and non-mesenchymal tumors. Moreover, the classification of bone and soft tissue tumors continues to evolve with rare "new" entities being described with ever-increasing frequency on the basis of distinctive molecular or histologic features. As the field grows more complex, surgical pathologists may struggle to stay up to date with new entities, changes in staging guidelines, recently developed immunohistochemical and molecular diagnostic tests, and may therefore struggle with accurate diagnosis. To help resolve these issues and update your current knowledge, USCAP is offering a unique mentoring opportunity with experienced educators who can help you focus on these updates through interactive dialogue and shared exemplary cases.
Course Location: Palm Springs, CA
Course Director: Elizabeth G. Demicco, MD, PhD
