Case of the Month May by Cisel Aydin

COMBINED SMALL CELL CARCINOMA AND ADENOCARCINOMA
DIAGNOSED ON EBUS-TBNA MATERIAL

Author: Cisel Aydin Mericoz MD, Pinar Firat MD,​
Institution: Koç University Hospital, Department of Pathology, İstanbul, Türkiye

CLINICAL PRESENTATION:

A 64-year-old male patient presented with a 2.5-month history of numbness and severe pain in the arms and legs. He was initially treated with physical therapy, without clinical improvement. A thoracic CT scan revealed a 2 cm, well-circumscribed lesion in the left upper lobe and extensive mediastinal lymphadenopathy, including the left hilar region. EBUS-guided transbronchial needle aspiration (EBUS-TBNA) was performed for diagnostic purposes.

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Residents and Early Careerists Survey on Education and Training – Chance to win a registration to the 2026 ECC!

Dear Friends and Colleagues,

We would like to kindly ask you to dedicate your time to fill out this questionnaire on your experiences during cytopathology training and with molecular and digital pathology.
The survey should take between 10–17 minutes to complete.

This group project by the Young EFCS aims to create an international overview of cytopathology education. Our objective is:

  • to explore the similarities and differences in training across various countries
  • to highlight best practices
  • identify areas for improvement
  • and ultimately to compile our findings into a publication.

All joined for the greater cause makes everything possible!

And that’s not all! — if you are a resident, or you have less than 5 years of experience as a specialist and you provide an email address below, you’ll be entered into our raffle to win a free registration for the 2026 European Cytology Congress in Antwerp!

We hope you enjoy the survey and thank you for contributing to this important project.

Please share it with your resident and early-career specialist friends! Thank you for your cooperation and support!

Take the Survey

Warm regards,
YEFCS Committee
Residents and Early-Career Specialists Committee,
European Federation of Cytology Societies

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Case of the month april – by LONGO, Justina; GERSZTEIN, Andrea.

TITLE: BILATERAL INTRAMAMMARY LYMPH NODE METASTASIS FROM A SMALL CELL LUNG NEUROENDOCRINE CARCINOMA.

AUTHORS: LONGO, Justina; GERSZTEIN, Andrea.
Cytology Section – Pathology Division. “Carlos G. Durand” General Acute Hospital. Autonomous City of Buenos Aires, Argentina.

CLINICAL PRESENTATION:
A 68-year-old female patient with a history of endometrioid adenocarcinoma, who consulted for a right breast nodule detected during self-examination. On physical examination, nodules were palpated in both breasts. Ultrasound revealed a nodule in the right breast measuring 18x16mm and a nodule in the left breast measuring 10x9mm. Given the oncological history, a CT scan of the head and neck, chest, abdomen, and pelvis was performed, revealing a spiculated nodule measuring 21x17mm in the left apical lung lobe. Ultrasound-guided fine needle aspiration (FNA) was performed on both breast nodules. Six cytological smears were obtained from each site, fixed in 96° alcohol, and stained using the Papanicolaou technique. Slides were selected for automated immunocytochemical staining.

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