Pathology Residency

 

The department currently accessions close to 60,000 surgical specimens, 31,000 pap tests, 3,000 non-gyn and more than 3,000 fine-needle aspirations per year.

Our main rotations include surgical pathology, cytology and autopsy.

Upon gaining proficiency, residents are expected to:

• Examine the specimens first and take appropriate tissue for fixed and/or (when indicated) frozen sections
• Perform the gross dissection, present the findings to the staff and take appropriate tissue for fixed sections.
• Formulate appropriate clinical and pathologic correlations
• Examine both fresh and fixed-tissue specimens.
• Preview cases and dictate the final report
• Perform, as well as interpret, FNA procedures of superficial masses. Aspiration procedures of the deep masses (lung, liver, pancreas, etc.) are performed by other specialists, and the resident learns how to interpret smears from these procedures.

Additional rotations are required in areas of:

Clinical pathology rotations include many high-volume services, with approximately 180,000 tests combined per month. Clinical pathology has completed about 800 bone marrow biopsies and 1,800 flow cytometry cases in 2018.

Through structured didactic education and patient-centered service work, residents are expected to achieve competency in many areas of the clinical pathology laboratory, with rotations in:

Residents rotate through all services and acquire an understanding of basic methodologies, test menus and service complexities. Residents learn the basic principles of quality control, quality assurance and the fundamental concepts required to act as a consultant.

Upon completion of the required rotations, residents are able to function effectively in the clinical pathology environment.  Following the graduated responsibility concept, our laboratory management training includes direct training with management personnel and allows residents to better understand the elements of finance and strategy that impact laboratory operations in our current practice climate.

Residents also have the opportunity for elective time in any area of the laboratory, as well as the opportunity to successfully complete research projects, including quality improvement initiatives.

Pathology Residents Research/Publications0

PGY-1: Dr. Rasha Abddelgader

• Abddelgader, Hall, King. “Bone Marrow of Blastic Plasmacytoid Dendritic Cell Neoplasm Mimicking Acute leukemia”. Submitted to CAP.

PGY-1: Dr. Sarvenaz Karamooz

• Karamooz & Castro. "Pediatric type follicular lymphoma: a persistent diagnostic challenge- A case study". Submitted to CAP in March 2021.

PGY-1: Dr. Nada Mohamed

• Mohamed, Rampisela & Lopez. “Expression of Estrogen and Progesterone Receptors in a Tailgut Cyst with Carcinoid Tumor” Submitted to CAP, 2021
• Mohamed & Asirvatham. “Adenomyomas of the Endocervical Type: A Rare Incidental Finding in the Cervix”, Submitted to CAP, 2021
• Nguyen et al. “25-Hydroxy Vitamin D3 assessment by LC-MS is a predictor of severity and mortality for COVID-19 hospitalized patients” Submitted to J Clin Path, 2021
• Saleh et al. “Chemical pancreatectomy treats chronic pancreatitis while preserving endocrine function in preclinical models” J Clin Invest. 2021 Feb
• So et al. “Biliary-Atresia-Associated Mannosidase-1-Alpha-2 Gene Regulates Biliary and Ciliary Morphogenesis and Laterality” Front. Physiol., 30 October 2020.

PGY-2: Yinan Hua

• Hua, Larson, Zreik, Leng & Rampisela. “A case of SMARCB1/INI1-deficient pancreatic undifferentiated rhabdoid carcinoma mimicking solid pseudopapillary neoplasm”. World J Gastroenterol. 2020;26(36):5520-5526
• Hua, Leng, Youens & Liu. “An underappreciated cytomorphological features of secretory carcinoma of salivary gland on fine needle aspiration biopsy: case report with literature review”
• Mutnal, Mohammad, Arroliga, Hua, Wang, Koss & Rao. “Role of anti-SARS-CoV-2 antibodies in different cohorts: can they provide clues for appropriate patient triaging”? bioRxiv 2020 June 29
• Nguyen, Mutnal, Gomez. Pham, Nguyen, Koss, Rao, Arroliga, Wang, Wang, Hua, Powell, Chen, McCormack, Linz & Mohammad. “Correlation of ELISA method with three other automated serological tests for the detection of anti-SARS-CoV-2 antibodies”. PLoS One. 2020;15(10):e0240076.

PGY-2: Dr. Dapeng Wang

• Peng E, Chia V, Bottomley S, Guardiola MT, Soyalp K, Wang D, Tirado CA. An Idic(7)(q11.2) Resulting in Two Copies of 7p and Deletion 7q: A Rare Cytogenetic Event in a Case of Acute Myeloid Leukemia. J Assoc Genet Technol. 2021;47(1):24-29. PMID: 33684909.
• Wang D, Castro E, Guardiola T, Eastwood K, Okabe A, Zhao D, Tirado CA. A t(8;14)(q24.1;q32) in Plasma Cell Myeloma: A Case Report and Literature Review. J Assoc Genet Technol. 2020;46(4):221-229. PMID: 33293493
• Wang D, Castro E, Rao A, McPhaul CM. Sclerosing Extramedullary Hematopoietic Tumor: A Case Report. J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620956463. doi: 10.1177/2324709620956463. PMID: 32911987; PMCID: PMC7488878
• Nguyen NN, Mutnal MB, Gomez RR, Pham HN, Nguyen LT, Koss W, Rao A, Arroliga AC, Wang L, Wang D, Hua Y, Powell PR, Chen L, McCormack CC, Linz WJ, Mohammad AA. Correlation of ELISA method with three other automated serological tests for the detection of anti-SARS-CoV-2 antibodies. PLoS One. 2020 Oct 6;15(10):e0240076. doi: 10.1371/journal.pone.0240076. PMID: 33022019; PMCID: PMC7537879.
• Nguyen Nguyen, Muppala N P Raju , Dapeng Wang , Nada Mohamed , Manohar Mutnal, Ari Rao, Monica Bennett, Matthew Gokingco , Huy Pham, and Amin A. Mohammad. 25-Hydroxy Vitamin D3 assessment by LC-MS is a predictor of severity and mortality for COVID-19 hospitalized patients. Submitted to Journal of clinical pathology

PGY-2: Dr. Liping Wang

• Wang L, Leng & Liu. Angiomyolipoma of the Nasal Cavity: A Distinct Entity. A Case Report and Literature Review. Head and Neck Pathology. 2020 Sep. DOI: 10.1007/s12105-020-01224-1.
• Mutnal M, Mohammad A, Arroliga A, Hua Y, Wang L, Koss W, and Rao A. (2020) Role of Anti-SARS-CoV-2 antibodies in different cohorts: Can they provide clues for appropriate patient triaging? BioRxiv.
• Nguyen N, Mutnal M, Gomez R, Pham H, Nguyen L, Koss W, Rao A, Arroliga A, Wang L, Wang D, Hua Y, Powell P, Chen L, McCormack C, Linz W, and Mohammad A. (2020) Correlation of ELISA method with three other automated serologic tests for the detection of anti SARS-CoV-2 antibodies. PLOS One 15(10).

PGY-4: Dr. Li Chen

• Li Chen MD, PhD, Lina Liu MD, Parsa Hodjat MD* & Bing Leng MD, PhD, “Impact of noninvasive follicular thyroid neoplasm with papillary-like nuclear features on fine-needle aspiration diagnoses of thyroid nodules” Baylor University Medical Center Proceedings: June 2021.

Posters

• Abddelgader, Youens, Rampisela. “Hilus Cell Heterotopia: An Institutional Review with Clinicopathologic Correlation”. Virtual poster presentation at TSP’s 100th Annual Meeting in January 2021
• Karamooz & Leng. "Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia" Virtual poster presentation at TSP’s 100th Annual Meeting in January 2021
• Hua and Leng. “Cytohistologic correlation of basaloid salivary gland neoplasms: pitfalls and pearls of the cryptologic features on fine needle aspiration”. Presented at TSP, January 2021.
• Wang L, Asirvatham, Johnson & Liu. Five-year retrospective review of renal oncocytic neoplasms on core biopsies in a single institution: What we can learn and improve? Platform presentation at TSP 100th annual meeting in January 2021
• Powell, “Approach to a Reflex-Based Meningitis Testing Pathway”. Presented at United States and Canadian Academy of Pathology Annual Conference in March 2021.