Introduction to Pancreatic Pathology and Fine-Needle Aspiration Cytology.

Q3 Medicine

Monographs in clinical cytology Pub Date : 2020-01-01 Epub Date: 2020-09-28 DOI:10.1159/000455729

Jasreman Dhillon

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引用次数: 0

Abstract

This introductory chapter discusses the demographics of pancreatic tumors and the risk factors associated with pancreatic neoplasms. The WHO 2019 classification of pancreatic epithelial tumors and WHO 2017 classification of pancreatic neuroendocrine neoplasms is provided. The current role of fine-needle aspiration (FNA) in the pancreatic lesions, different radiographic modalities and their evolution in the FNA of pancreatic lesions, and utility of rapid on-site evaluation of pancreatic cytology is also discussed. Guidelines on pancreatic pathology provided by the Papanicolaou Society of Cytopathology (PSC) in 2014 are summarized. These guidelines, which are provided by experts in the field, establish recommendations for clinical follow-up, indications, and preprocedural studies for pancreatic FNA, different techniques of pancreatic FNA, postprocedural follow-up, treatment options for different pancreatobiliary lesions, and utilization of ancillary studies for cytological diagnosis of pancreatic lesions. Standardization of the terminology and nomenclature and the diagnostic categories provided by the PSC are also discussed. Lastly, an algorithmic approach to cytological evaluation of pancreatic masses is provided.

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胰腺病理学和细针穿刺细胞学导论。

本导论章讨论胰腺肿瘤的人口统计学和与胰腺肿瘤相关的危险因素。提供WHO 2019胰腺上皮肿瘤分类和WHO 2017胰腺神经内分泌肿瘤分类。本文还讨论了目前细针穿刺(FNA)在胰腺病变中的作用，不同的放射成像方式及其在胰腺病变FNA中的演变，以及胰腺细胞学快速现场评估的应用。本文总结了Papanicolaou细胞病理学会(PSC) 2014年提供的胰腺病理指南。这些指南由该领域的专家提供，建立了临床随访、适应症、胰腺FNA的术前研究、胰腺FNA的不同技术、术后随访、不同胰胆管病变的治疗选择以及胰腺病变细胞学诊断辅助研究的建议。还讨论了术语和命名法的标准化以及PSC提供的诊断类别。最后，提供了一种胰腺肿块细胞学评估的算法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Monographs in clinical cytology Medicine-Pathology and Forensic Medicine

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Monographs in this series have given the field of cytology an outstanding set of reference works. Volumes perform the important function of correlating extensive basic and clinical findings and applying these to discuss how innovations in cytology can improve patient diagnosis and management. Readers will find descriptions of techniques offering greater simplicity, speed, patient comfort and cost effectiveness as well as improved diagnostic precision. The immense utility of these texts has resulted in the release of updated second editions of earlier volumes, which continue to meet the popular demand for access to this material.