THE PAPANICOLAOU SOCIETY OF CYTOPATHOLOGY SYSTEM FOR REPORTING PANCREATICOBILIARY CYTOLOGY

Description

This text and theterminology developed by the Papanicolaou Society of Cytopathology (P.S.C.)represents an important advance in the field of pancreaticobiliarycytopathology. This textbook/atlas is designed to present a comprehensive andstate of the art approach to the cytologic diagnosis and reporting ofpancreaticobiliary lesions. Chapters address each of the diagnostic categoriesdefined by the P.S.C. The definition of each category along with the clinicalpathologic entities contained within the category are discussed along withspecific cytologic criteria for inclusion of a cytologic specimen within thecategory. Each chapter is lavishly illustrated demonstrating diagnosticcriteria and examples of lesions contained within the category. Additionally,appropriate ancillary testing is discussed and where appropriate illustrated. Eachchapter concludes with a discussion of appropriate management as well asestimates of malignancy risk for the category.

The PapanicolaouSociety of Cytopathology System for Reporting Pancreaticobiliary Cytology:Definitions, Criteria, Ancillary Testing and Management will provide the readerwith a unified approach to diagnosing and reporting interpretations ofcytologic specimens obtained from the pancreaticobiliary tract. This text/atlaswill serve as a reference guide for pathologists, surgeons, endoscopists andradiologists.

Contents

1. Overview ofDiagnostic Terminology and Reporting

2. Category I.Non-Diagnostic

3. Category II.Negative (for Malignancy)

· AcutePancreatitis
· Chronic Pancreatitis
· Autoimmune Pancreatitis
· Pseudocyst
· Lymphoepithelial Cyst
· Splenule/Accessory Spleen

4. Category III. Atypical

5. Category IV: Neoplastic: Benign

· Serous Cystadenoma
· Neuroendocrine Microadenoma
· Lymphangioma

6. Category IV: Neoplastic: Other

· Pancreatic Neuroendocrine Tumor
· Solid-Pseudopapillary Neoplasm
· Neoplastic Mucinous Cysts (Intraductal papillary mucinous neoplasm (IPMN) andMucinous cystic neoplasm (MCN)

7. Category V. Suspicious (for Malignancy)

8. Category VI. Positive or Malignant

· Ductal adenocarcinoma and variants
· Acinar Cell Carcinoma
· High-grade neuroendocrine carcinoma
· Pancreatoblastoma
· Lymphoma
· Metastases

Appendix A: Template for Cyst Diagnosis
Appendix B: Mucinous Etiology
Appendix C: Useful Ancillary Tests

Authors

Martha Bishop Pitman, MD
Department of Pathology
Massachusetts General Hospital
Boston, MA
USA

Lester J. Layfield, MD
Department of Pathology and Anatomical Sciences
University of Missouri Medical Center
Columbia, MO
USA