Standardized terminology and nomenclature for pancreatobiliary cytology: The Papanicolaou Society of Cytopathology Guidelines

Martha B. Pitman, Barbara A. Centeno, Syed Z. Ali, Muriel Genevay, Ed Stelow, Mari Mino-Kenudson, Carlos Fernandez-del Castillo, C. Max Schmidt, William R. Brugge, Lester J. LayfieldCytoJournal 2014 11(2):15-27The Papanicolaou Society of Cytopathology has developed a set of guidelines for pancreatobiliary cytology including indications for endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) biopsy, techniques of EUS-FNA, terminology and nomenclature of pancreatobiliary disease, ancillary testing and post-biopsy treatment and management. All documents are based on the expertise of the authors, a review of the literature, discussion of the draft document at several national and international meetings over an 18 month period and synthesis of online comments of the draft document on the Papanicolaou Society of Cytopathology web site [www.papsociety.org]. This document selectively presents the results of these discussions and focuses on a proposed standardized terminology scheme for pancreatobiliary specimens that correlate cytological diagnosis with biological behavior and increasingly conservative patient management of surveillance only. The proposed terminology scheme recommends a six-tiered system: Non-diagnostic, negative, atypical, neoplastic [benign or other], suspicious and positive. Unique to this scheme is the "neoplastic" category separated into "benign" (serous cystadenoma) or "other" (premalignant mucinous cysts, neuroendocrin...

Source: CytoJournal - June 2, 2014 Category: Pathology Authors: Martha B. PitmanBarbara A. CentenoSyed Z. AliMuriel GenevayEd StelowMari Mino-KenudsonCarlos Fernandez-del CastilloC. Max SchmidtWilliam R. BruggeLester J. Layfield Source Type: research