title: Techniques for cytologic sampling of pancreatic and bile duct lesions.
abstract: 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 the 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 ancillary testing 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.
authors.affiliation: Division of Gastroenterology, Mass. General Hospital, 55 Fruit St., Boston, MA, USA.
authors.forename: William
authors.initials: W
authors.lastname: Brugge
authors.forename: John
authors.initials: J
authors.lastname: Dewitt
authors.forename: Jason B
authors.initials: JB
authors.lastname: Klapman
authors.forename: Raheela
authors.initials: R
authors.lastname: Ashfaq
authors.forename: Vinod
authors.initials: V
authors.lastname: Shidham
authors.forename: David
authors.initials: D
authors.lastname: Chhieng
authors.forename: Richard
authors.initials: R
authors.lastname: Kwon
authors.forename: Zubair
authors.initials: Z
authors.lastname: Baloch
authors.forename: Matthew
authors.initials: M
authors.lastname: Zarka
authors.forename: Gregg
authors.initials: G
authors.lastname: Staerkel
mesh_terms: D001652:Bile Ducts / Q000000981:diagnostic imaging / Q000473:pathology*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003581:Cytodiagnosis / Q000379:methods*; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D006801:Humans; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology*
keywords: FNA; bile duct; cytology; pancreas; techniques