Lung Cytology & FISH

Below you find the thirty cases of the lung cytology quiz.
The online quiz has been answered by 137 specialists around the world in May 2004.
The evaluation of the results will be published.

You may directly jump to the solutions.


Case 1

Bronchoalveolar lavage. Suspect of aspergilloma, 83 f.
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What is your diagnosis for case 1
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 2

Bronchoalveolar lavage. Right lower lobe infiltrate, 24 f.

What is your diagnosis for case 2
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 3

Bronchial secretion. Suspect of lung cancer, 65 f.

What is your diagnosis for case 3
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 4

FNA. Suspect of lung cancer, 77 w.

What is your diagnosis for case 4
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 5

Bronchoalveolar lavage. Metastasizing adenocarcinoma of the lung, 65 m.

What is your diagnosis for case 5
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 6

FNA. Suspect of lung cancer, 68 f.

What is your diagnosis for case 6
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 7

FNA. Solitary pulmonary nodule. Absence of change in size. 58 m.

What is your diagnosis for case 7
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 8

Sputum. 79 w.

What is your diagnosis for case 8
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 9

Sputum. Hemoptysis, 68 m.

What is your diagnosis for case 9
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 10

Bronchial secretion. Multiple pulmonary nodules, 64w.

What is your diagnosis for case 10
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 11

Bronchoalveolar lavage. Non small cell lung cancer after neoadjuvant chemotherapy, 40 m.

What is your diagnosis for case 11
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 12

Bronchial brushing cytology. Suspect of lung cancer, 75 w.

What is your diagnosis for case 12
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 13

FNA. Suspect of lung cancer, 40 m.

What is your diagnosis for case 13
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 14

FNA lymph node. Suspect of lung cancer, 50 w.

What is your diagnosis for case 14
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 15

Bronchial secretion. Pulmonary infiltrate, 88 m.

What is your diagnosis for case 15
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 16

Bronchial secretion. solitary pulmonary nodule, 60 m.

What is your diagnosis for case 16
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 17

Bronchial secretion. Tumor of the left lower lobe, 71 m.

What is your diagnosis for case 17
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 18

Bronchial secretion. Solitary pulmonary nodule right upper lobe, 62m.

What is your diagnosis for case 18
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 19

Bronchial secretion. Suspect of lung cancer, 69 w.

What is your diagnosis for case 19
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 20

Bronchial secretion. Lung tumor, 73 m.

What is your diagnosis for case 20
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 21

Bronchial secretion. Suspect of recurrent lung cancer, 61 m.

What is your diagnosis for case 21
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 22

Bronchial secretion. Suspect of lung cancer, 76 m.

What is your diagnosis for case 22
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 23

Bronchial brushing cytology. Suspect of lung cancer, 83 m.

What is your diagnosis for case 23
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 24

Bronchoalveolar lavage. Hemoptysis. Malignant cells? 40 m.

What is your diagnosis for case 24
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 25

Bronchial secretion. Lung abscess or tumor, 68 m.

What is your diagnosis for case 25
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 26

FNA. Suspect of lung cancer, 62 w.

What is your diagnosis for case 26
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 27

Bronchial secretion. Pleural effusion, 72 m.

What is your diagnosis for case 27
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 28

Bronchial brushing cytology. Tumor of the right lung, 73 w.

What is your diagnosis for case 28
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 29

Bronchial secretion. Tumor of the right lower lobe, 75 w.

What is your diagnosis for case 29
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Case 30

Bronchial brushing cytology. Reticulonodular infiltrate, 65 m.

What is your diagnosis for case 30
 1 benign
 2 atypical, unspecified
 3 atypical, favor benign
 4 atypical, favor malignant
 5 carcinoma small cell
 6 carcinoma non small cell

Thank you very much for participating!



Pathorama© Institut für Pathologie Basel / Dr. med. Katharina Glatz-Krieger
    Universitätsrechenzentrum / Dr. Dieter Glatz