Original release date: October 30, 2021
Access to this course expires on: September 29, 2024 at 11:59 PM Pacific Time
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
Practicing academic and community pathologists, and pathologists-in-training
Upon completion of this educational activity, learners will be able to:
- Recognize the most common benign mimickers of prostate cancer, identify therapy-related changes in the prostate and be aware of traps and pitfalls
- Identify secondary tumors involving the prostate, tumors arising from the prostatic urethra, and histologic variants of prostate cancer
- Update pathologists on newly-described entities in renal neoplasia, including guidelines for using immunohistochemistry in the work-up of renal tumors
- Develop a systematic approach to the diagnosis of bladder lesions, primary and secondary bladder tumors, benign mimickers of malignancy and staging criteria
- Introduce the new concepts and entities presented in the WHO 2016 Classification of Testicular Tumors including differential diagnoses, morphologic mimics and prognostic significance
Continuing Medical Education
The United States and Canadian Academy of Pathology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The United States and Canadian Academy of Pathology designates this enduring material for a maximum of 12 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The faculty, committee members, and staff who are in position to control the content of this activity are required to disclose to USCAP and to learners any financial relationship(s) that have occurred within the last 24 months with any commercial interest(s) whose products or services are related to the CME content. USCAP has reviewed all disclosures and mitigated all identified conflicts of interest, as applicable.
The following faculty reported no relevant financial relationships: Adeboye O. Osunkoya, MD, L. Priya Kunju, MD, Steven Shen, MD, PhD, Kiril Trpkov, MD, FRCPC
The following IM Coordinator who planned and reviewed content for this activity reported no relevant financial relationships: Ming Zhou, MD, PhD
USCAP staff associated with the development of content for this activity reported no relevant financial relationships.
To earn CME credit, all learners must complete the evaluation. View and print your certificate by clicking here.
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