Samer N. Khader, MD
Montefiore Medical Center
Department of Pathology
The Leopold G. Koss, MD Division of Cytology
Hofheimer Pavilion, 4th Fl.
111 East 210th Street
Bronx, NY 10467
An ACGME accredited one-year fellowship is offered at Montefiore Medical Center, which allows fellows to develop expertise in the field of cytopathology. Since Montefiore Medical Center sees numerous oncology and immunocompromised patients and has an extensive community-based referral network, the cytology division receives high quality material representative of the entire spectrum of cytopathology. In 2015, the service received approximately 60,000 specimens, including fine needle aspirations (FNA).
The fine needle aspiration biopsy service, which is run by fellows, allows hands-on experience at the bedside and in clinical settings. Fellows interact closely with radiologists during “deep” CT or ultrasound-guided aspirates, immediately assessing specimen adequacy in a “frozen-section”-type rapid evaluation. On all reviewed cases, fellows are expected to formulate a diagnosis and make relevant comments where appropriate, prior to final sign-out by the attending. The cytology division interacts closely with surgical pathology, allowing tissue correlation as needed. Consultation slides are reviewed by fellows prior to final diagnosis, and then later discussed over a multi-headed microscope. A daily slide conference discussing interesting cases encourages input and discussion between fellows and faculty.
Fellows also participate in weekly tumor board conferences, which enhance interaction with clinicians regarding implications of diagnosis and therapy. In addition, the fellows collaborate on research projects under the guidance of faculty mentors. Research projects include clinical and applied diagnostic techniques, basic or applied molecular biology, and evolving diagnostic and investigative techniques. The department provides access to extensive archival materials and specialty labs.
One of the many strengths of the program is the accessibility of full-time cytology faculty, providing continuous mentorship, in addition to enhancing the educational experience and professional growth as a colleague and team member.
INTERESTING CASES - Can you solve them?
Every month, we will present a challenging case from the Department of Pathology, division of Cytology. We invite you to review the case and make a diagnosis based on the evidence presented. The correct answer followed by a case summary and discussion can be found by clicking on the link following the question. For questions, comments or to submit an interesting case, please contact editor Dr. Samer Khader at email@example.com.