title: Post-brushing 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 post-procedure management. All documents are based on the expertise of the authors, a review of the literature and 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: Address: Department of Pathology, University of Wisconsin, Sydney, Australia.
authors.forename: Daniel F I
authors.initials: DF
authors.lastname: Kurtycz
authors.affiliation: Department of Pathology, Saint Vincent's Hospital, Sydney, Australia.
authors.forename: Andrew
authors.initials: A
authors.lastname: Field
authors.affiliation: Department of Surgery, UCSF, Philadelphia, PA.
authors.forename: Laura
authors.initials: L
authors.lastname: Tabatabai
authors.affiliation: Department of Surgery, Case Western Reserve University, Philadelphia, PA.
authors.forename: Claire
authors.initials: C
authors.lastname: Michaels
authors.affiliation: Department of Surgery, Albert Einstein College of Medicine, Philadelphia, PA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Young
authors.affiliation: Department of Surgery, Indiana University, USA.
authors.forename: C Max
authors.initials: CM
authors.lastname: Schmidt
authors.affiliation: Department of Surgery, UCLA, USA.
authors.forename: James
authors.initials: J
authors.lastname: Farrell
authors.affiliation: Department of Surgery, Division of Gastroenterology, University of Wisconsin, USA.
authors.forename: Deepak
authors.initials: D
authors.lastname: Gopal
authors.affiliation: Department of Surgery, University of Michigan, USA.
authors.forename: Diane
authors.initials: D
authors.lastname: Simeone
authors.affiliation: Department of Medicine, Division of Surgical Oncology, Vanderbilt University, USA.
authors.forename: Nipun B
authors.initials: NB
authors.lastname: Merchant
authors.affiliation: Massachusetts General Hospital, Harvard Medical School, USA.
authors.forename: Martha Bishop
authors.initials: MB
authors.lastname: Pitman
keywords: Cytology; Papanicolaou Society of Cytopathology; guidelines; management; pancreas; treatment