title: Techniques for cytologic sampling of pancreatic and bile duct lesions: The Papanicolaou Society of Cytopathology Guidelines.
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 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 sampling techniques 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: Address: Department of Medicine, Gastroenterology Unit, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: William R
authors.initials: WR
authors.lastname: Brugge
authors.affiliation: Department of Medicine, Indiana University Medical Center, Indianapolis, IN, USA.
authors.forename: John
authors.initials: J
authors.lastname: De Witt
authors.affiliation: Gastrointestinal Oncology Department, Moffitt Cancer Center, Tampa, FL, USA.
authors.forename: Jason B
authors.initials: JB
authors.lastname: Klapman
authors.affiliation: Caris Diagnostics, Dallas, TX, USA.
authors.forename: Raheela
authors.initials: R
authors.lastname: Ashfaq
authors.affiliation: Department of Pathology, Wayne State University, Detroit, MI, USA.
authors.forename: Vinod
authors.initials: V
authors.lastname: Shidham
authors.affiliation: Department of Pathology, Yale University Medical Center, New Haven, CT, USA.
authors.forename: David
authors.initials: D
authors.lastname: Chhieng
authors.affiliation: Department of Internal Medicine, University of Michigan Medical Center, MI, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Kwon
authors.affiliation: Department of Pathology, University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Zubair
authors.initials: Z
authors.lastname: Baloch
authors.affiliation: Department of Pathology, Mayo Clinic, Scottsdale, AZ, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Zarka
authors.affiliation: MD Anderson Cancer Center, Houston, USA.
authors.forename: Gregg
authors.initials: G
authors.lastname: Staerkel
keywords: Bile duct; cytology; fine-needle aspiration; pancreas; techniques