title: Clinical evaluation, imaging studies, indications for cytologic study and preprocedural requirements for duct brushing studies and pancreatic fine-needle aspiration: The Papanicolaou Society of Cytopathology Guidelines.
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 postbiopsy 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: Address: Division of Gastroenterology, Department of Internal Medicine at the University of Utah School of Medicine, Indianapolis, Indiana.
authors.forename: Douglas
authors.initials: D
authors.lastname: Adler
authors.affiliation: Department of Surgery and Biochemistry/Molecular Biology, Indiana University, School of Medicine, Indianapolis, Indiana.
authors.forename: C Max
authors.initials: CM
authors.lastname: Schmidt
authors.affiliation: Department of Medicine, Division of Gastroenterology, Indiana University, Indianapolis, Indiana.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Al-Haddad
authors.affiliation: Florida Digestive Health Specialists, Bradenton, Florida.
authors.forename: James S
authors.initials: JS
authors.lastname: Barthel
authors.affiliation: Department of Pathology and Laboratory Medicine, University of California, San Francisco, California.
authors.forename: Britt-Marie
authors.initials: BM
authors.lastname: Ljung
authors.affiliation: Department of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
authors.forename: Nipun B
authors.initials: NB
authors.lastname: Merchant
authors.affiliation: Department of Medicine, Division of Gastroenterology, Medical University of South Carolina, Charleston, South Carolina.
authors.forename: Joseph
authors.initials: J
authors.lastname: Romagnuolo
authors.affiliation: Department of Radiology, University of Utah, School of Medicine, Salt Lake City, Utah.
authors.forename: Akram M
authors.initials: AM
authors.lastname: Shaaban
authors.affiliation: Department of Surgery, University of Michigan, Ann Arbor, Michigan.
authors.forename: Diane
authors.initials: D
authors.lastname: Simeone
authors.affiliation: Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts.
authors.forename: Martha Bishop
authors.initials: MB
authors.lastname: Pitman
authors.affiliation: Department of Pathology and Anatomical Sciences, University of Missouri, Columbia, Missouri.
authors.forename: Lester J
authors.initials: LJ
authors.lastname: Layfield
keywords: Bile duct; cytology; fine-needle aspiration; guidelines; indications; pancreas; primary sclerosing cholangitis