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Techniques for cytologic sampling of pancreatic and bile duct lesions
Authors:William Brugge M.D.  John DeWitt M.D.  Jason B. Klapman M.D.  Raheela Ashfaq M.D.  Vinod Shidham M.D.  David Chhieng M.D.  Richard Kwon M.D.  Zubair Baloch M.D.  Matthew Zarka M.D.  Gregg Staerkel M.D.
Affiliation:1. Division of Gastroenterology, Mass. General Hospital, Boston, MA, USA;2. Division of GastroenterologyIndiana University;3. Section of Endoscopic Oncology, Moffitt Cancer Center, Tampa, Florida;4. Division of CytopathologyCaris Life Sciences;5. Division of CytopathologyWayne State University;6. Division of CytopathologyYale University;7. Division of GastroenterologyUniversity of Michigan;8. Section of Cytopathology, Penn Medicine, Pennsylvania;9. Division of Cytopathology, Mayo Clinic, Arizona;10. Section of CytopathologyMD Anderson Center
Abstract:The Papanicolaou Society of Cytopathology has developed a set of guidelines for pancreatobiliary cytology including indications for endoscopic ultrasound guided fine‐needle aspiration biopsy, techniques of the endoscopic retrograde cholangiopancreatography, terminology and nomenclature of pancreatobiliary disease, ancillary testing, and postbiopsy management. All documents are based on the expertise of the authors, a review of the literature, discussions 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 website [ www.papsociety.org ]. This document presents the results of these discussions regarding the use of ancillary testing in the cytological diagnosis of biliary and pancreatic lesions. This document summarizes the current state of the art for techniques in acquiring cytology specimens from the biliary tree as well as solid and cystic lesions of the pancreas. Diagn. Cytopathol. 2014;42:333–337. © 2014 Wiley Periodicals, Inc.
Keywords:pancreas  bile duct  techniques  cytology  FNA
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