title: Clinical evaluation, imaging studies, indications for cytologic study, and preprocedural requirements for duct brushing studies and pancreatic FNA: the Papanicolaou Society of Cytopathology recommendations for pancreatic and biliary cytology.
abstract: The Papanicolaou Society of Cytopathology has developed a set of guidelines for pancreaticobiliary cytology including indications for endoscopic ultrasound (EUS) and fine-needle aspiration (FNA) biopsy, techniques for EUS-FNA, terminology and nomenclature to be used for pancreaticobiliary disease, ancillary testing, and post-biopsy management. All documents are based on expertise of the authors, literature review, discussions of the draft document at national and international meetings, and synthesis of online comments of the draft document. This document selectively presents the results of these discussions. This document summarizes recommendations for the clinical and imaging work-up of pancreatic and biliary tract lesions along with indications for cytologic study of these lesions. Prebrushing and FNA requirements are also discussed.
authors.affiliation: Department of Medicine, Division of Gastroenterology, University of Utah School of Medicine, Salt Lake City, Utah.
authors.forename: Douglas
authors.initials: D
authors.lastname: Adler
authors.forename: C
authors.initials: C
authors.lastname: Max Schmidt
authors.forename: Mohammad
authors.initials: M
authors.lastname: Al-Haddad
authors.forename: James S
authors.initials: JS
authors.lastname: Barthel
authors.forename: Britt-Marie
authors.initials: BM
authors.lastname: Ljung
authors.forename: Nipun B
authors.initials: NB
authors.lastname: Merchant
authors.forename: Joseph
authors.initials: J
authors.lastname: Romagnuolo
authors.forename: Akram M
authors.initials: AM
authors.lastname: Shaaban
authors.forename: Diane
authors.initials: D
authors.lastname: Simeone
authors.forename: Martha
authors.initials: M
authors.lastname: Bishop Pitman
authors.forename: Andrew
authors.initials: A
authors.lastname: Field
authors.forename: Lester J
authors.initials: LJ
authors.lastname: Layfield
mesh_terms: D001659:Biliary Tract / Q000000981:diagnostic imaging / Q000473:pathology*; D044963:Biopsy, Fine-Needle; D003585:Cell Biology; D003952:Diagnostic Imaging; D006801:Humans; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology*; D012955:Societies, Medical; D014463:Ultrasonography
keywords: PSC; bile duct; cytology; fine-needle aspiration; guidelines; indications; pancreas