Comprehensive Cytopathology

Author: Bibbo> Marluce  

Publisher: Elsevier Health Sciences‎

Publication year: 2008

E-ISBN: 9781437719628

P-ISBN(Paperback): 9781416042082

Subject: R446.8 Histological examination of the

Keyword: 基础医学

Language: ENG

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Description

This best-selling book provides you with a comprehensive guide to the diagnostic applications of exfoliative and aspiration cytology. The book takes a systemic approach and covers the recognized normal and abnormal cytological findings encountered in a particular organ. Appropriate histopathological correlations and a consideration of the possible differential diagnosis accompany the cytological findings. The book is lavishly illustrated, making it the perfect practical resource for daily reference in the laboratory.Provides an accessible guide to diagnostic investigation and screening.Includes a summary of major diagnostic criteria and discusses the pitfalls and limitations of cytology.Utilizes a consistent chapter structure to make finding the answers you need quick and easy.Provides updates to crucial chapters to keep you on top of the latest diagnosis and techniques.Access the full text online and download images from Expert Consult for use in electronic presentations.Incorporates differential diagnosis tables for easy comparison/contrast of diagnoses.Offers more than 1800 full-color images depicting a full range of normal and abnormal findings.Discusses new concepts on molecular basis of neoplasia.Explores the role of cytogenetics in cancer development.

Chapter

Nucleus

Cytoplasm and Plasmalemma

Endoplasmic Reticulum

Golgi Apparatus

Mitochondria

Lysosomes

Cytoskeleton, Centrosome

Cell Membrane, Receptors, and Signal Transduction

Cell Junctions

Cell Growth and Division

PART II: THE MOLECULAR BASIS OF NEOPLASIA

Overview

Principles of Malignant Transformation

Cancer-related Genes

The Major Pathways of Carcinogenesis

Carcinogenesis Induced by Papillomavirus Infections

Concluding Remarks

References

CHAPTER 2. Basic Cytogenetics and the Role of Genetics in Cancer Development

Introduction

Historical Background

Basic Knowledge of Cytogenetics

Methodology

Acquired Chromosomal Aberrations in Cancer

Clinical Applications of Conventional Cytogenetics and FISH in Cytology

Concluding Remarks

References

CHAPTER 3. Cytologic Screening Programs

Principles of Screening

Cervical Cancer and Screening

Early Detection of Cancer in Other Sites

New Developments in Cytological Screening

Concluding Remarks

References

CHAPTER 4. Diagnostic Quality Assurance in Cytopathology

Introduction

Quality Assurance Measures

Internal Quality Assurance Mechanisms

Computer-Assisted Quality Assurance Mechanisms

External Quality Assurance Mechanisms

Continuing Education Practices

Concluding Remarks

References

CHAPTER 5. Evaluation of the Sample in Smears and Liquid-Based Preparations

Introduction

Cervicovaginal Cytology

Nongynecologic Cytology

Concluding Remarks

References

Part 2: Diagnostic Cytology

Section A: Female Genital Tract

CHAPTER 6. The Bethesda System for Reporting Cervical Cytology

The Bethesda System: Historical Perspective

Report Format

Specimen Adequacy

General Categorization

Interpretation/Result

Educational Notes/Suggestions

Ancillary Testing

Automated Review

Interobserver Reproducibility in Cervical Cytology

The Bethesda System and Reporting Anal-Rectal Cytology

Concluding Remarks

References

CHAPTER 7. Microbiology, Inflammation, and Viral Infections

Introduction

Vaginal Microbiology

General Features

Infections of the Female Genital Tract

Concluding Remarks

References

CHAPTER 8. Benign Proliferative Reactions, Intraepithelial Neoplasia, and Invasive Cancer of the Uterine Cervix

Introduction

The Normal Uterine Cervix

Benign Proliferative Reactions

Squamous Intraepithelial Neoplasia

Invasive Cancer of the Uterine Cervix

Efficacy of Cervical Cytology in the Detection of Cervical Abnormalities

Concluding Remarks

References

CHAPTER 9. Glandular Lesions of the Uterine Cervix

Introduction

Endocervical Canal Normal Histology and Cytology

Human Papillomavirus (HPV), Other Cofactors, and Their Role in Endocervical Carcinogenesis

Endocervical Adenocarcinoma in Situ

Endocervical Adenocarcinoma

Atypical Glandular Cells

Benign and Non-Glandular Neoplastic Processes that Mimic Endocervical and Endometrial Neoplasia

Diagnostic Accuracy of Cervical Cytology Regarding Glandular Lesions

Management of Glandular Neoplastic Lesions and Atypical Glandular Cells

Concluding Remarks

References

CHAPTER 10. Endometrial Lesions, Unusual Tumors, and Extrauterine Cancer

Introduction

Overview of Endometrial Carcinoma

Sensitivity and Specificity of Sampling Techniques for Endometrial Disease

Normal-Appearing Endometrial Cells and Gestational Changes

The Detection of Endometrial Abnormalities

Unusual Uterine Tumors

Extrauterine Cancer

Concluding Remarks

References

CHAPTER 11. Vulva, Vagina, and Anus

Introduction

Vulva

Vagina

Anus

Concluding Remarks

References

CHAPTER 12. Peritoneal Washings and Ovary

Peritoneal Washings

Ovary

Concluding Remarks

References

Section B: Cytology of Other Body Sites

CHAPTER 13. Respiratory Tract

Introduction

Sampling and Cytopreparatory Techniques

Anatomy and Histology

Cytology of Normal and Benign Components

Cytology of Respiratory Infections

Inconclusive Cytologic Specimen

Pathology of Lung Cancer

Cytology of Lung Cancer

Diagnostic Accuracy

Concluding Remarks

References

CHAPTER 14. Alimentary Tract (Esophagus, Stomach, Small Intestine, Colon, Rectum, Anus, Biliary Tract)

Introduction

Specimen Collection and Preparation

Overview of Gastrointestinal Epithelial Reparative Atypia

Esophagus

Stomach

Duodenum

Large Intestine

Anus

Biliary Tract

Concluding Remarks

References

CHAPTER 15. Urinary Tract

Introduction

Screening for Bladder Cancer

Sampling Techniques

Urothelium and Specialized Lining

Non-Neoplastic Abnormalities

Tumors of the Urinary Tract

Iatrogenic Changes

Special Techniques

Diagnostic Accuracy

Concluding Remarks

References

CHAPTER 16. Central Nervous System

Introduction

Preparatory Methods

Normal Cerebrospinal Fluid and Histology

Ventricular Fluid

Infectious Conditions

Demyelinating Diseases

Vascular Disorders

Trauma

Reactions to Intraventricular Shunts

Neoplasia

Needle Aspirates of Intracranial Lesions

Diagnostic Accuracy of Needle Aspiration

Concluding Remarks

References

CHAPTER 17. Eye

Introduction

Sampling and Cytopreparatory Techniques

Special Techniques

Anatomy and Histology

Diagnostic Accuracy

Concluding Remarks

References

CHAPTER 18. Cytology of Soft Tissue, Bone, and Skin

SOFT TISSUE TUMORS

Introduction

Morphologic Approach to Soft Tissue Lesions

Grade

Adipocytic Tumors

Fibroblastic/Myofibroblastic Lesions

Fibrohistiocytic Tumors

Tumors of Muscle Origin

Vascular Tumors

Other

BONE LESIONS

Cartilage Tumors

Benign Bone Lesions

Osteogenic Tumors

Fibrohistiocytic Tumors

Hematopoietic Tumors

Epithelial Tumors

SKIN

Techniques

Non-neoplastic

Neoplastic

Metastases

Concluding Remarks

Appendix: Molecular Studies in Cytologic Specimens of Soft Tissue Sarcomas

References

CHAPTER 19. Pleural, Peritoneal, and Pericardial Effusions

Introduction

Sampling Technique

Cytopreparatory Technique

The Serous Cavities

Types of Effusions

Normal Cells

Non-neoplastic Effusions

Neoplastic Effusions

Reporting of Results and Statistics

Concluding Remarks

References

Section C: Fine Needle Aspiration of Various Organs and Body Sites

CHAPTER 20. Fine-Needle Aspiration Biopsy Techniques

History of Aspiration Biopsy

Clinical Skills Required

The Thin-needle Aspiration Method

Aspiration Technique

Fixatives and Stains

Ancillary Techniques and Applications

Organization of the Aspiration Biopsy Service

Complications of Fine Needle Aspiration Biopsy

Concluding Remarks

AppendIx

Equipment

Staining techniques

Other Techniques

References

CHAPTER 21. Imaging Techniques

Introduction

Imaging Methods

Complications of Image-guided FNAB

Image-guided FNAB of Specific Organs

Concluding Remarks

References

CHAPTER 22. Salivary Glands and Rare Head and Neck Lesions

SALIVARY GLANDS

Introduction

Technique

Anatomy and Histology

Cytology

Non-Neoplastic Lesions

Lymphocyte Dominate Benign Lesion

Neoplasms

Diagnostic accuracy

RARE HEAD AND NECK LESIONS

Introduction

Benign Lesions

Malignant Tumors

Concluding Remark

References

CHAPTER 23. Thyroid

Introduction

The Thyroid Nodule

FNA Technique

Slide Preparation

Diagnostic Categories

Normal Thyroid

Metabolic Disorders

Thyroiditis

Hyperplasia

Follicular Neoplasm

Hyalinizing Trabecular Tumor

Hürthle Cell Neoplasm (Oncocytic Neoplasm)

Papillary Carcinoma

Variants of Papillary Carcinoma

Medullary Carcinoma

Poorly Differentiated Thyroid Carcinoma

Undifferentiated (Anaplastic) Carcinoma

Malignant Lymphoma

Thyroid Metastases

Unusual Thyroid Lesions

Complications

Ancillary Techniques

Accuracy

Management of the Thyroid Nodule

Concluding Remarks

References

CHAPTER 24. Lymph Nodes: Cytomorphology and Flow Cytometry

Introduction

Techniques

Normal Lymph Node: Structure and Immunophenotypes

Non-neoplastic Lymphadenopathy

The Classification of the Lymphoid Neoplasms

Challenges and Diagnostic Pitfalls

Concluding Remarks

References

CHAPTER 25. Breast

Introduction

Indications and Advantages

Technique

Anatomy and Histology of the Breast

Benign Breast Lesions

Malignant Breast Lesions

Metastatic Malignancies to the Breast

Cytologic Prognostication

Nipple Discharge Cytology

Ductal Lavage Cytology

Concluding Remarks

References

CHAPTER 26. Mediastinum

Introduction

Non-neoplastic Lesions

Neoplastic Lesions

Diagnostic Pitfalls and Algorithms

Concluding Remarks

References

CHAPTER 27. Kidneys, Adrenals, and Retroperitoneum

Kidneys

Inflammatory Disorders of the Kidney

Tumors of the Kidney

Benign Renal Tumors

Benign Epithelial Tumors

Malignant Epithelial Tumors

Genetics and Molecular Biology

Rare Renal Cortical Tumors

TUMORS OF THE RENAL PELVIS

Metastases to the Kidney

ADRENALS

Tumors of the Medulla

RETROPERITONEUM

Diagnostic Accuracy of FNA in Kidneys, Adrenals, and Retroperitoneum

CONCLUDING REMARKS

References

CHAPTER 28. Liver and Pancreas

LIVER

Imaging Techniques

Normal Liver

Non-neoplastic Mass Lesions

Benign Mesenchymal Tumors

Physical Features of Liver Aspirates

Benign Hepatocellular Lesions

Tumors of Intrahepatic Bile Duct

Primary Sarcomas

Tumors Metastatic to the Liver

Diagnostic Accuracy

PANCREAS

Imaging Techniques

Normal Pancreas

Pancreatitis

Tumors of the Pancreas

Carcinomas

Concluding Remarks

References

CHAPTER 29. Pediatric Tumors

Introduction

Techniques in Pediatric Cytopathology

FNA Cytology: Indications, Advantages, Contraindications, and Complications

Head and Neck

Tumors of the Eyes

Thyroid Gland Tumors

Lung Tumors

Tumors of the Mediastinum

Gastrointestinal Tract Tumors

Tumors of the Liver

Tumors of the Pancreas

Tumors of Lymph Nodes

Langerhans Cell Tumors

Breast Tumors

Genital Tract Tumors

Tumors of the Skin

Soft Tissue Tumors

Bone Tumors

Urinary Tract Tumors

Adrenal Gland Tumors

Medullary Tumors

Tumors of the Retroperitoneum

Differential Diagnosis

Diagnostic Accuracy of FNA Cytology

Concluding Remarks

References

Section D: Effects of Therapy on All Body Sites

CHAPTER 30. Effects of Therapy on Cytologic Specimens

Introduction

Radiation Biology

Antineoplastic Chemotherapy

Antineoplastic Biologic Response Modifiers

Transplant Immunosuppressive Therapy

Thyroid-suppressive Therapy

Thermal Injury

Foreign Body: Intrauterine Devices

Transurethral Resection and Core Needle Biopsy of the Prostate

Hormonal Therapy

Drug Resistance

Assessment of Cell Death

Concluding Remarks

References

Part 3: Special Techniques in Cytology

CHAPTER 31. Cytopreparatory Techniques

Introduction

Fixation

Concluding Remarks

References

CHAPTER 32. Light Optical Microscopy

Introduction

Image Formation

Koehler Illumination

Concluding Remarks

References

CHAPTER 33. Virtual Microscopy

Virtual Microscopy

Virtual Slide Acquisition

Applications

Concluding Remarks

References

CHAPTER 34. Automation in Cervical Cytology

Introduction

Historical Attempts at Automation

The Rationale for Automation

Cytology Automation: Accuracy and Productivity

Currently Available Automation Platforms

Laboratory Process Issues Associated with the Use of Automated Devices

Cost-effectiveness of Liquid-based Preparation and Automated Screening Devices

Concluding Remarks

References

CHAPTER 35. Immunocytochemistry

Introduction

Immunocytology Techniques

Interpretation and Limitations of ICC

Effusion Cytology

Mesothelial Markers

Non Mesothelial (Adenocarcinoma) Markers

Site-specific Markers

Breast Cytology

Immunocytochemistry for Targeted Therapies

Gynecologic Cytology

Ovarian Cytology

Carcinoma of Unknown Primary

Nonepithelial Malignancies Presenting as Tumors of Unknown Origin

Concluding Remarks

References

CHAPTER 36. Molecular Techniques

Introduction

Molecular Techniques in Cytopathology

Applications in Cytology

Molecular Analysis of Therapeutic Targets

Human Papillomaviruses

Concluding Remarks

References

Index

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