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Cytopathology and Small Biopsy Updates - February 17, 2024
Program Overview
Physicians and cytologists need the most up-to-date knowledge and strategies in pathology and cytopathology to provide the most appropriate ancillary testing for guiding patient management. With the current update, attendees will learn about the various new evidence-based reporting terminologies or updates to previously existing ones. This will enable them to assess the patient’s risk of malignancy, specifically regarding findings in thyroid, salivary, pancreas, biliary tract, and respiratory tract. By understanding these new site-specific reporting systems, attendees will know the risk of malignancy associated with each reporting category and appropriate ancillary testing and, therefore, better guide management of patients. The World Health Organization, under the guidance of the International Academy of Cytology, and other organizations is currently in the process of publishing cytology reporting terminologies across a broad spectrum of sites. Update and status reports on these will be provided. Additionally, digital cytology and whole slide imaging is the next big thing. A lecture, as to how they apply specifically to cytologic and small specimens will be presented. The status of whole slide imaging in the United States and around the world will be presented. Patient safety issues, updates to HPV testing, head and neck cancers, respiratory tract EBVs and molecular testing, cellblocks, and Rapid On-site Evaluation will be presented. Other new developments in the field that will impact patient care in the future will also be discussed.
In-Person and Virtual attendance options are available.
FEES
| IN-PERSON | FEE | |
| Physician (Private physician located inside the Greater Houston Area)* | $290 | |
| Physician (Private physician located outside the Greater Houston Area) | $150 | |
| Physicians (Houston Methodist) (HM PCG, SPG, MPAQ and ACO PCPs) | $25 | |
| Allied Health Care Professionals (Houston Methodist) | Complimentary | |
| Allied Health Care Professionals (Non-Houston Methodist) | $75 | |
| Residents / Fellows / Students (Houston Methodist) | Complimentary | |
| Residents / Fellows / Students (Non-Houston Methodist) | $50 | |
| VIRTUAL | FEE | |
| Physician (Private physician located inside the Greater Houston Area)* | $290 | |
| Physician (Private physician located outside the Greater Houston Area) | $150 | |
| Physicians (Houston Methodist) (HM PCG, SPG, MPAQ and ACO PCPs) | Complementary | |
| Allied Health Care Professionals (Houston Methodist) | Complimentary | |
| Allied Health Care Professionals (Non-Houston Methodist) | $50 | |
| Residents / Fellows / Students (Houston Methodist) | Complimentary | |
| Residents / Fellows / Students (Non-Houston Methodist) | $25 | |
*In compliance with HM’s policy on Physician Non-Monetary Compensation regarding “Stark Law,” private physicians who reside and/or practice medicine within the Greater Houston Area are required to pay the full Fair Market Value registration fee.
Target Audience
Pathologists; residents and fellows; cytologists, subspecialty physicians e.g. endocrinologists, endocrine surgeons, head and neck surgeons and their residents; and cytotechnology students
Learning Objectives
- Describe the diagnosis, molecular testing and management of thyroid, salivary, pancreas and biliary tract lesions (to include spy glass biopsies)
- Discuss the updates to the Cytopathology reporting systems (Thyroid Bethesda, Salivary Milan and Pancreaticobiliary WHO).
- Describe other reporting systems in development and the risk of malignancy associated with the various reporting categories, as well as new ancillary testing options.
- Explain how the risk of malignancy in reporting terminology is calculated and affected by the updates
- Discuss updates to respiratory tract testing guidelines
- Explain the various whole slide imaging systems as they apply to the practice of pathology and cytopathology
- Apply appropriate molecular testing to small specimens for optimal patient management
- Explain the role of HPV testing in head and neck cancer.
- Discuss patient safety issues.
- Describe various cell block methodologies
- Explain how Rapid Onset Evaluation using telecytology is performed at Houston Methodist Hospital
| Time | Topic | Speaker |
| 7:15 AM | Breakfast | |
| 8:00 AM | Introduction | Dina R. Mody, MD Director of Cytology Laboratory Houston Methodist Hospital Professor of Pathology and Laboratory Medicine Weill Medical College of Cornell University |
| 8:05 AM | Thyroid Bethesda 3, Molecular and More | Zubair W. Baloch, MD, PhD Professor of Pathology and Laboratory Medicine at the Hospital of the University of Pennsylvania Perelman School of Medicine at the University of Pennsylvania |
| 9:05 AM | The New WHO Classification System for Diagnosing Solid and Cystic Pancreatic Lesions: Cytomorphologic Assessment with Histologic Correlation | Michelle Reid, MD Vice Chair of Cytopathology, Department of Pathology and Laboratory Medicine Professor, Department of Pathology and Laboratory Medicine Director of Cytopathology, Department of Pathology and Laboratory Services Director of Cytopathology Fellowship Program, Department of Pathology and Laboratory Services, Emory University Hospital |
| 10:00 AM | Break and Posters | |
| 10:30 AM | Small Biopsies versus Bile Duct Brushings: Which is Better at Evaluating Bile Duct Pathology? | Michelle Reid, MD Vice Chair of Cytopathology, Department of Pathology and Laboratory Medicine Professor, Department of Pathology and Laboratory Medicine Director of Cytopathology, Department of Pathology and Laboratory Services Director of Cytopathology Fellowship Program, Department of Pathology and Laboratory Services, Emory University Hospital |
| 11:15 AM | Salivary Gland Cytology and Small Biopsies, An Update | Zubair W. Baloch, MD, PhD Professor of Pathology and Laboratory Medicine at the Hospital of the University of Pennsylvania Perelman School of Medicine at the University of Pennsylvania |
| Noon | Lunch with Dr. Ayala : My journey | Alberto G Ayala, MD Emeritus Professor of Pathology and Genomic Medicine, Academic Institute Department of Pathology & Genomic Medicine Houston Methodist |
| 1:15 PM | Respiratory Tract, EBUS, Molecular | Sinchita Roy Chowdhuri, MD, PhD Professor Department of Pathology Division of Pathology/Lab Medicine The University of Texas MD Anderson Cancer Center |
| 2:15 PM | Whole Slide Imaging, Current Status and Future Directions | Michael Thrall, MD Professor of Pathology and Genomic Medicine, Academic Institute Full Clinical Member, Research Institute Program Director, Cytopathology Fellowship, Department of Pathology & Genomic Medicine Houston Methodist Weill Cornell Medical College |
| 3:00 PM | Updates on HPV Testing in Head and Neck Cancer | Mary R. Schwartz, MD Medical Director, Anatomic Pathology Director Houston Methodist Pathology and Genomic Medicine Houston Methodist |
| 3:30 PM | Break, Posters and Book Draw | |
| 4:00 PM | Remember that case you signed out?” A case based approach with focus on patient safety and quality | Vijayalakshmi (Viju) Padmanabhan, MBBS, MD, MPH Department of Pathology and Genomic Medicine Houston Methodist |
| 4:30 PM | Update on Other Cytology Reporting Terminologies (Body Fluids, WHO on Musculoskeletal, Lymph Nodes) | Elizabeth Jacobi, MD Assistant Professor of Clinical Pathology and Genomic Medicine, Academic Institute Assistant Clinical Member, Research Institute Houston Methodist Weill Cornell Medical College |
| 5:00 PM | Art and Science of Cell Blocks | Catherine Bammert CT, PhD Program Director, Cytotechnology Program Assistant Professor, School of Health Professions UT MD Anderson Cancer Center |
| 5:30 PM | How we do ROSE at Houston Methodist: Demonstration | Blythe Gorman MD Associate Professor of Clinical Pathology and Genomic Medicine, Academic Institute Associate Clinical Member, Research Institute Houston Methodist Weill Cornell Medical College |
| 5:55 PM | Q & A | |
| 6:15 | Adjourn |
In-person attendance will be held in the Houston Methodist Research Institute, 6670 Bertner Avenue, Houston, Texas 77030).
Virtual information will be provided to registered learners.
Available Credit
- 9.00 AMA PRA Category 1 Credit™
Houston Methodist is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Houston Methodist designates this Live activity for a maximum of 9.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 0.50 Medical Ethics and/or Professional Responsibility
- 9.00 Attendance
- 9.00 CytotechnologistsThis course has been approved for up to 9.00 hours by the American Society for Cytopathology for Continuing Medical Laboratory Education (CMLE) for cytotechnologists.
Price
REGISTRATION INSTRUCTIONS
FEES
| IN-PERSON | FEE | |
| Physician (Private physician located inside the Greater Houston Area)* | $290 | |
| Physician (Private physician located outside the Greater Houston Area) | $150 | |
| Physicians (Houston Methodist) (HM PCG, SPG, MPAQ and ACO PCPs) | $25 | |
| Allied Health Care Professionals (Houston Methodist) | Complimentary | |
| Allied Health Care Professionals (Non-Houston Methodist) | $75 | |
| Residents / Fellows / Students (Houston Methodist) | Complimentary | |
| Residents / Fellows / Students (Non-Houston Methodist) | $50 | |
| VIRTUAL | FEE | |
| Physician (Private physician located inside the Greater Houston Area)* | $290 | |
| Physician (Private physician located outside the Greater Houston Area) | $150 | |
| Physicians (Houston Methodist) (HM PCG, SPG, MPAQ and ACO PCPs) | Complementary | |
| Allied Health Care Professionals (Houston Methodist) | Complimentary | |
| Allied Health Care Professionals (Non-Houston Methodist) | $50 | |
| Residents / Fellows / Students (Houston Methodist) | Complimentary | |
| Residents / Fellows / Students (Non-Houston Methodist) | $25 | |