Ebook Atlas of non-gynecologic cytology: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Atlas of non-gynecologic cytology: Part 2
Ebook Atlas of non-gynecologic cytology: Part 2
Cttec**, IpMiMPancreaticobiliary Tract CytologyJudy Pang and Andrew Sciallis6IntroductionThe major indications for cytologic evaluation of the pancre- Ebook Atlas of non-gynecologic cytology: Part 2 -aticobiliary tract are a pancreatic mass and/or a bile duct stricture. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is the primary modality for obtaining tissue diagnosis: it has largely replaced percutaneous FNA because it allows for real-time visualization of the needle, provides Ebook Atlas of non-gynecologic cytology: Part 2 better visualization of small lesions than CT guidance, and enables the sampling of regional lymph nodes and assessment of invasion of local structurEbook Atlas of non-gynecologic cytology: Part 2
es, thus providing simultaneous diagnosis and staging 11-3J. The sensitivity of EUS-FNA for solid masses has been reported to range from 54 to 95%. wiCttec**, IpMiMPancreaticobiliary Tract CytologyJudy Pang and Andrew Sciallis6IntroductionThe major indications for cytologic evaluation of the pancre- Ebook Atlas of non-gynecologic cytology: Part 2 delecting a neoplastic mucinous cyst than a solid neoplasm, ranging from 23 to 100% |5|. Furthermore, the sensitivity of detecting a malignancy in a neoplastic mucinous cyst is reported to be 29%. with 100% specificity [6. 7].Endoscopic retrograde cholangiopancreatography (ERCP) with bile duct brush Ebook Atlas of non-gynecologic cytology: Part 2 ings for cytology is an additional minimally invasive modality to obtain material fortissue diagnosis, which can be helpful in the assessment of pancrEbook Atlas of non-gynecologic cytology: Part 2
eatic neoplasms, particularly ductal adenocarcinomas. The sensitivity of brushings is reported to be lower than that of EUS-FNA, 44-72% [8-11]. but thCttec**, IpMiMPancreaticobiliary Tract CytologyJudy Pang and Andrew Sciallis6IntroductionThe major indications for cytologic evaluation of the pancre- Ebook Atlas of non-gynecologic cytology: Part 2 reati-cobiliary cytology, utilizing a six-tiered system, as shown on Table 6.1 (I2J.Sampling of pancreatic head masses is performed using a transduodenal approach, whereas a transgastric approach is used for the body and tail masses. Il is important for the pathologist to be aware of the approach so Ebook Atlas of non-gynecologic cytology: Part 2 that contaminating normal duodenal mucosa (Fig. 6.1) and gastric mucosa (Fig. 6.2) is not misinterpreted as lesional tissue.Table 6.1 Papanicolaou soEbook Atlas of non-gynecologic cytology: Part 2
ciety of cytopathology system for reporting pancreatrcobiliary cytologyI.NondfagnoslicII.Negative (for malignancy)III.AtypicalIV Neoplastic 2_•Benign_Cttec**, IpMiMPancreaticobiliary Tract CytologyJudy Pang and Andrew Sciallis6IntroductionThe major indications for cytologic evaluation of the pancre- Ebook Atlas of non-gynecologic cytology: Part 2 ers-Well-differentiated neuroendocrine tumor-Solid pscudopapillary tumorIntraductal papillary mucinous neoplasm, all grades of dysplasia-Mucinous cystic neoplasm, all grades of dysplasiaV.Suspicious (for malignancy)VI.Positive or malignant•Pancreatic ductal adenocarcinoma•Cholangiocarcinoma_________ Ebook Atlas of non-gynecologic cytology: Part 2 ______________________________•Acinar cell carcinoma•Poorly differentiated (small-cell and large-cell) neuroendocrine carcinoma•Pancrcatoblastoma•LympEbook Atlas of non-gynecologic cytology: Part 2
homa_________________________________________________•Metastatic malignancyAdapted from Pitman [121J Pang. M.D (S) • A. Scĩallis. M.D.Department of PaCttec**, IpMiMPancreaticobiliary Tract CytologyJudy Pang and Andrew Sciallis6IntroductionThe major indications for cytologic evaluation of the pancre- Ebook Atlas of non-gynecologic cytology: Part 2 rt of springer Nature 2018Cttec**, IpMiMPancreaticobiliary Tract CytologyJudy Pang and Andrew Sciallis6IntroductionThe major indications for cytologic evaluation of the pancre-Gọi ngay
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