Cutaneous Penile Horn.

A 70-year-old man presented with a slowly enlarging glans penis lesion measuring approximately 3 × 2 × 2 cm. On examination, the lesion was indurated with no induration of the glans penis deep to the lesion. He had no palpable lymphadenopathy.

Significant increase of benign endometrial cells on Papanicolaou smears in women using hormone replacement therapy.

Objective: To determine the prevalence of benign endometrial cells on Papanicolaou smears from postmenopausal women and to compare the prevalence and histologic diagnosis in women who use hormone replacement therapy (HRT) with those who do not.

Methods: Papanicolaou smear diagnoses from postmenopausal women and women over age 50 between April 1995 and December 1998 were retrieved and linked with follow-up smears and biopsies. Hormone status of women with benign endometrial cells smears was obtained from requisition forms or phone conversation with primary care providers.

Diagnostic accuracy of fine-needle aspiration biopsy is determined by physician training in sampling technique.

Background: Fine-needle aspiration biopsy (FNAB) has been used with variable success as a diagnostic test for benign and malignant breast lesions. The goal of this study was to examine the effects of training physicians in the fine-needle aspiration sampling-technique on the diagnostic accuracy of FNAB of palpable breast masses. The settings for this study were private physicians' offices and university clinics of primary care physicians, surgeons, and cytopathologists.

Primary sclerosing cholangitis and Hodgkin's disease.

Three patients with primary sclerosing cholangitis and Hodgkin's disease, a previously unrecognized association, are reported. All three patients were men, and one patient had Crohn's disease of the colon. Primary sclerosing cholangitis was diagnosed 2, 11 and 17 yr before diagnosis of Hodgkin's disease in the three patients, and all three had advanced biliary cirrhosis prompting referral for liver transplantation.