Cytology: Diagnostic Principles and Clinical Correlates by Edmund S. Cibas MD, Barbara S. Ducatman MD

By Edmund S. Cibas MD, Barbara S. Ducatman MD

Fully up to date, the 4th version of Cytology is helping you apply the most modern diagnostic recommendations for the translation of a complete variety of cytological specimens. This clinical reference e-book will give you quick entry to the newest equipment and adjunct tests, all in a short, hugely readable layout that makes quickly paintings of reviewing the foremost details on hand on this robust but minimally invasive approach. it is a completely sensible bench handbook for trainees and training pathologists alike!

  • Take good thing about finished but concise insurance of approximately all types of cytology, together with gynecologic, non-gynecologic, and FNA.
  • Understand the scientific implications of your diagnoses and better equip your self to make powerful interpretations with medical correlations emphasised all through.
  • Make the main knowledgeable reporting decisions via an in-depth research of universal diagnostic pitfalls.
  • Quickly locate the solutions you need with succinct, bulleted textual content, worthy medical pearls, and important summaries of key points.
  • Gain real-life perspective on an entire diversity of cytologic findings with over seven hundred crystal-clear, full-color illustrations.
  • Search the whole contents each time, anywhere with online access to Expert Consult.

  • Access professional wisdom and key insights into HPV trying out; new billing and coding instructions; sufferer administration discussions; and masses extra, because of finished updates throughout.
  • See the way to practice high-quality needle biopsy aspiration with a brand new 30-minute video on-line at Expert Consult. Narrated via pathologist Dr. Amy Ly, the video features a patient interview, precautions, and demonstrations of techniques.

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Additional info for Cytology: Diagnostic Principles and Clinical Correlates

Example text

This book would not exist without their love and strength. Edmund S. Cibas Barbara S. Ducatman chapter 1 Cervical and Vaginal Cytology Edmund S. Cibas History of the Papanicolaou Test and Its Current Practice Sampling and Preparation Methods Conventional Smears Liquid-Based Cytology ThinPrep Papanicolaou Test SurePath Papanicolaou Test Automated Screening Historical Overview ThinPrep Imaging System BD FocalPoint–Guided Screening Imaging System Accuracy and Reproducibility Diagnostic Terminology and Reporting Systems The Bethesda System Specimen Adequacy General Categorization Interpretation and Results The Normal Pap Squamous Cells Endocervical Cells Exfoliated Endometrial Cells Abraded Endometrial Cells and Lower Uterine Segment Trophoblastic Cells and Decidual Cells Inflammatory Cells Lactobacilli Artifacts and Contaminants Organisms and Infections Shift in Flora Suggestive of Bacterial Vaginosis Trichomonas Vaginalis Candida Actinomyces Herpes Simplex Virus Cytomegalovirus Chlamydia Trachomatis Rare Infections Benign and Reactive Changes Benign Squamous Changes Benign Endocervical Changes Repair Radiation Changes Cellular Changes Associated with Intrauterine Devices Glandular Cells Status Post Hysterectomy Other Benign Changes Vaginal Specimens in “DES Daughters” Squamous Abnormalities Squamous Intraepithelial Lesions Grading Squamous Intraepithelial Lesions Low-Grade Squamous Intraepithelial Lesion High-Grade Squamous Intraepithelial Lesion Problems in the Diagnosis of Squamous Intraepithelial Lesions Squamous Cell Carcinoma Atypical Squamous Cells Atypical Squamous Cells of Undetermined Significance Atypical Squamous Cells, Cannot Exclude HSIL Glandular Abnormalities Endocervical Adenocarcinoma in Situ Adenocarcinoma Endocervical Adenocarcinoma Endometrial Adenocarcinoma Differential Diagnosis of Adenocarcinoma Atypical Glandular Cells Atypical Endocervical Cells Atypical Endometrial Cells Other Malignant Neoplasms Small Cell Carcinoma Malignant Melanoma Malignant Lymphoma Malignant Mixed Mesodermal Tumors Metastatic Tumors Endometrial Cells in Women Older than 40 Years of Age The 20th century witnessed a remarkable decline in the mortality from cervical cancer in many developed countries.

A minimum of 10 fields are counted along a diameter that includes the center of the slide (Fig. 3A). If the cell circle has blank spots, these should be represented in the fields counted (Fig. 3B). 1 for a ThinPrep slide. 3 Method for estimating the adequacy of the squamous component of liquid-based preparations. A, At ×40, 10 fields are counted starting at the edge (horizontal or vertical) and including the center of the preparation. B, An attempt is made to include “holes” in proportion to their size, making sure that the fields counted cover both cellular and sparsely cellular areas in proportion to their size.

S. 1). S. 22 The guidelines address women with an average risk for cervical cancer. Women at higher risk—those with a history of cervical cancer, in utero diethylstilbestrol (DES) exposure, and/or immunocompromise (due to organ transplantation, chemotherapy, chronic corticosteroid treatment, or infection with the human immunodeficiency virus [HIV])—may benefit from more frequent screening. 23 Adherence to screening guidelines is critical for cervical cancer prevention. 1 CERVICAL CANCER SCREENING GUIDELINES IN THE UNITED STATES (FOR WOMEN AT AVERAGE RISK) Circumstance Recommendation Age to begin screening Age 21.

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