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CytoJournal 2014,  11, Suppl S1:2

Techniques for cytologic sampling of pancreatic and bile duct lesions: The Papanicolaou Society of Cytopathology Guidelines

1 Departments of Medicine, Gastroenterology Unit, Massachusetts General Hospital, Boston, USA
2 Department of Medicine, Indiana University Medical Center, Indianapolis, IN, USA
3 Gastrointestinal Oncology Department, Moffitt Cancer Center, Tampa, FL, USA
4 Caris Diagnostics, Dallas, TX, USA
5 Departments of Pathology, Wayne State University, Detroit, MI, USA
6 Departments of Pathology, Yale University Medical Center, New Haven, CT, USA
7 Department of Internal Medicine, University of Michigan Medical Center, MI, USA
8 Departments of Pathology, University of Pennsylvania, Philadelphia, PA, USA
9 Departments of Pathology, Mayo Clinic, Scottsdale, AZ, USA
10 MD Anderson Cancer Center, Houston, USA

Correspondence Address:
William R. Brugge
Departments of Medicine, Gastroenterology Unit, Massachusetts General Hospital, Boston
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1742-6413.133311

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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 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 sampling techniques 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.


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