title: Postbrushing and fine-needle aspiration biopsy follow-up and treatment options for patients with pancreatobiliary lesions: the Papanicolaou Society of Cytopathology guidelines.
abstract: The papanicolaou society of cytopathology (PSC) has developed a set of guidelines for pancreatobiliary cytology including indications for endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) biopsy, techniques of EUS-FNA, terminology and nomenclature for pancreatobiliary cytology, ancillary testing, and postprocedure 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 PSC web site [www.papsociety.org]. This document selectively presents the results of these discussions and focuses on the follow-up and treatment options for patients after procedures performed for obtaining cytology samples for the evaluation of biliary strictures and solid and cystic masses in the pancreas. These recommendations follow the six-tiered terminology and nomenclature scheme proposed by Committee III.
authors.affiliation: Department of Pathology, University of Wisconsin, Wisconsin State Laboratory of Hygiene, Madison, Wisconsin.
authors.forename: Daniel
authors.initials: D
authors.lastname: Kurtycz
authors.forename: Z Laura
authors.initials: ZL
authors.lastname: Tabatabai
authors.forename: Claire
authors.initials: C
authors.lastname: Michaels
authors.forename: Nancy
authors.initials: N
authors.lastname: Young
authors.forename: C Max
authors.initials: CM
authors.lastname: Schmidt
authors.forename: James
authors.initials: J
authors.lastname: Farrell
authors.forename: Deepak
authors.initials: D
authors.lastname: Gopal
authors.forename: Diane
authors.initials: D
authors.lastname: Simeone
authors.forename: Nipun B
authors.initials: NB
authors.lastname: Merchant
authors.forename: Andrew
authors.initials: A
authors.lastname: Field
authors.forename: Martha Bishop
authors.initials: MB
authors.lastname: Pitman
mesh_terms: D001650:Bile Duct Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D001652:Bile Ducts / Q000473:pathology*; D044963:Biopsy, Fine-Needle / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D010179:Pancreas / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000628:therapy*; D012955:Societies, Medical; D009626:Terminology as Topic
keywords: PSC; cytology; guidelines; management; pancreas; treatment