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Cytopathologist-performed and ultrasound-guided fine needle aspiration cytology enhances diagnostic accuracy and avoids pitfalls: An overview of 20 years of personal experience with a selection of didactic cases

机译:细胞病理学家进行的和超声引导下的细针穿刺细胞学检查可提高诊断准确性并避免陷阱:总结了20年的个人经验并选择了一些教学案例

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摘要

Over the last few decades, fine needle aspiration cytology (FNA) has emerged as a SAFE (Simple, Accurate, Fast, Economical) diagnostic tool based on the morphologic evaluation of cells. The first and most important step in obtaining accurate results from FNA is to procure sufficient and representative material from the lesion and to appropriately transfer this material to the laboratory. Unfortunately, the most important aspect of this task occurs beyond the control of the cytopathologist, a key reason for obtaining unsatisfactory results with FNA. There is growing interest in the field of cytology in “cytopathologist-performed ultrasound (US)-guided FNA,” which has been reported to yield accurate results. The first author has been applying FNA in his own private cytopathology practice with a radiologist and under the guidance of US for more than 20 years. This study retrospectively reviews the utility of this practice. We present a selection of didactic examples under different headings that highlight the application of FNA by a cytopathologist, accompanied by US, under the guidance of a radiologist, in the form of an “outpatient FNA clinic.” The use of this technique enhances diagnostic accuracy and prevents pitfalls. The highlights of each case are also outlined as “take-home messages.”
机译:在过去的几十年中,基于细胞的形态学评估,细针穿刺细胞学(FNA)已经成为一种SAFE(简单,准确,快速,经济)的诊断工具。从FNA获得准确结果的第一步也是最重要的一步是从病变中获取足够的代表性材料,并将这种材料适当地转移到实验室。不幸的是,这项任务最重要的方面超出了细胞病理学家的控制范围,这是获得FNA结果不令人满意的关键原因。细胞学领域对“细胞病理学家进行的超声(US)引导的FNA”的兴趣日益浓厚,据报道该方法可产生准确的结果。第一作者一直在放射学专家的指导下,在美国的指导下将FNA应用于他自己的私人细胞病理学实践中20多年。这项研究回顾性地回顾了这种做法的效用。我们在不同的标题下提供了一些教学示例,重点介绍了细胞病理学家在放射科医生的指导下,以“门诊FNA诊所”的形式在美国的陪同下由细胞病理学家对FNA的应用。使用此技术可提高诊断准确性并防止陷阱。每种情况的要点也被概述为“带回家的消息”。

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