Standardized terminology and nomenclature for respiratory cytology: The Papanicolaou Society of Cytopathology guidelines Journal Article


Authors: Layfield, L. J.; Baloch, Z.; Elsheikh, T.; Litzky, L.; Rektman, N.; Travis, W. D.; Zakowski, M.; Zarka, M.; Geisinger, K.
Article Title: Standardized terminology and nomenclature for respiratory cytology: The Papanicolaou Society of Cytopathology guidelines
Abstract: BackgroundThe Papanicolaou Society of Cytopathology has developed a set of guidelines for respiratory cytology including indications for cytologic testing, techniques for cytologic sampling, terminology and nomenclature for respiratory diseases, ancillary testing, and recommendations for postcytologic diagnosis follow-up and management. MethodsAll documents are based on the expertise of the authors, an extensive literature review and discussions of the draft documents at national and international meetings over a 12-month period. This document selectively presents the results of these discussions and reports a proposed standardized terminology scheme for respiratory cytology that correlates cytologic diagnosis with biologic behavior and patient management. ResultsThe classification and terminology scheme recommends a six-tiered system composed of: nondiagnostic, negative, atypical, neoplastic (benign and neoplasms of low malignant potential), suspicious, and positive for malignancy. ConclusionThe scheme recommends statements on specimen adequacy followed by the major classification category and then a subclassification and/or comments section. Each of the six main diagnostic categories is associated with an estimated risk of malignancy. Subsequent documents will propose ancillary testing recommendations, techniques for cytologic sampling, indications for cytologic study and postcytologic diagnosis management and follow-up recommendations. Diagn. Cytopathol. 2016;44:399-409. (c) 2016 Wiley Periodicals, Inc.
Keywords: adenocarcinoma; cytology; classification; diagnosis; lung; nomenclature; lung-cancer; criteria; fiberoptic bronchoscopy; atypical; fine-needle-aspiration; pulmonary-lesions; respiratory; sputum; small biopsies; suspicious
Journal Title: Diagnostic Cytopathology
Volume: 44
Issue: 5
ISSN: 8755-1039
Publisher: Wiley Liss  
Date Published: 2016-05-01
Start Page: 399
End Page: 409
Language: English
ACCESSION: WOS:000374343300007
DOI: 10.1002/dc.23457
PROVIDER: wos
PUBMED: 26990836
Notes: Article -- Source: Wos
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  1. Natasha Rekhtman
    425 Rekhtman
  2. William D Travis
    743 Travis
  3. Maureen F Zakowski
    289 Zakowski