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Needle biopsy is a simple, reliable, inexpensive, well-tolerated, and minimally invasive procedure for the diagnosis of tumors, both in superficial and in deep sites. Today, following the shift to a more conservative approach to tumor treatment, and in this era of "tailored" or "targeted" oncological therapies, the use of needle biopsy in the diagnosis of neoplasia, at all phases of the disease, is expected to increase dramatically. The efficacy of this technique is, however, strongly influenced by the experience of the physician performing the technique and by the pathologist’s ability to interpret the results derived from the minimal cellular harvest. The aim of this volume is to provide all of the information and insight needed to obtain a correct diagnosis based on needle biopsy evaluation. In a problem-oriented approach, the author describes the optimal interventional maneuver and biopsy-sample triage for all types of lesions. The reader is then guided through the interpretation of all possible cytological findings based on a pattern-analysis methodology. The integration of this information with clinical and preanalytical data is the best approach to obtain a correct diagnosis.
This atlas is the offspring of the “The National Cancer Institute (NCI) Thyroid Fine Needle Aspiration (FNA) State of the Science Conference,” hosted by the NCI and organized by Dr. Andrea Abati. Preparations for the conference began 18 months earlier with the designation of a steering committee and the establishment of a dedicated, p- manent web site. The meeting took place on October 22 and 23, 2007 in Bethesda, Maryland and was co-moderated by Susan J. Mandel and Edmund S. Cibas. The discussions and conclusions regarding terminology and morphologic criteria 1, 2 from the meeting were summarized in publications by Baloch et al. and form the framework for this atlas. The atlas is organized by the general categories of “Nondiagnostic,” “Benign,” “Follicular Neoplasm/Suspicious for a Follicular Neoplasm”, “Suspicious for Malignancy,” and “Malignant,” and it includes the defi- tions and morphologic criteria of these categories as set forth by Baloch et al. The majority of the conference participants also agreed on a category of “undetermined significance,” which is incorporated in this atlas (Chap. 4). It is critical that the cytopathologist communicate thyroid FNA interpretations to the referring physician in terms that are succinct, unambiguous, and helpful clinically. We recognize that the terminology used here is a flexible framework that can be modified by individual laboratories to meet the needs of their providers and the patients they serve.
This book introduces basic ROSE techniques and resources required to set up ROSE service. It reviews the cytomorphologic features that are recognizable during ROSE, including those important for sample adequacy, specimen triage, preliminary interpretation, and potential diagnostic pitfalls. Economic and regulatory aspects are discussed as well as the pros and cons of telecytology. The book is formatted for clinical settings, simulating the ROSE process that occurs in the ultrasound room, CT room, bronchoscopy suite, and endoscopy suite. Each chapter focuses on the cytomorphologic clues and pitfalls of the entities specific to that clinical setting. Rapid On-Site Evaluation: A Practical Guide will be a valuable resource for pathologists, cytotechnologists, physicians who perform biopsies and/or ROSE evaluation, and trainees for utilizing ROSE and improving diagnostic performance of biopsies.
Orell & Sterrett's Fine Needle Aspiration Cytology 5e provides you with a logical and systematic approach to the acquisition, interpretation and diagnosis of FNA biopsy samples. It is an ideal resource for all those requiring an authoritative and systematic review of the cytological findings in those malignant and benign lesions likely to be the target of FNA. The book is lavishly illustrated with high quality colour images that demonstrate the cytological features as well as their relevant immunohistochemical and molecular findings. Organized into anatomical regions, each chapter is consistently organized into two parts: the first deals with clinical and technical aspects followed by a systematic presentation of cytological findings. This is your perfect practical bench resource for daily reference in the laboratory. Provides practical tips and advice on how to avoid pitfalls and ensure accurate diagnoses. Over 1,200 colour illustrations capture each entity's cellular, morphological and immunohistochemical appearance. Chapters have been up-dated and revised and a brand new one on cytological findings in infectious diseases added. Both MGG and Pap smears illustrated in parallel as well as the corresponding histology to help provide side-by-side analysis. Access the full text online and download images via Expert Consult.
This book covers all of the diagnostic areas where FNAC is used today. This includes palpable lesions and lesions sampled using various radiological methods, and correlations with ancillary examinations detailed on an entity-by-entity basis. As well as being a complete atlas of the facts and findings important to FNAC, this atlas is a guide to diagnostic methods that optimize health care. The interaction of the cytologist or cytopathologist with other specialists (radiologists, oncologists and surgeons) involved in the diagnosis and treatment of patients with suspicious mass lesions is emphasized and illustrated throughout. With contributions from experts in the field internationally and abundant colour images Atlas of Fine Needle Aspiration Cytology provides a comprehensive and up-to-date guide to FNAC for pathologists, cytopathologists, radiologists, oncologists, surgeons and others involved in the diagnosis and treatment of patients with suspicious mass lesions.
An intuitive, ingenious and powerful technique, sentinel lymph node biopsy has entered clinical practice with astonishing rapidity and now represents a new standard of care for melanoma and breast cancer patients, while showing great promise for the treatment of urologic, colorectal, gynecologic, and head and neck cancers. This text, written by international experts in the technique, provides a clear and comprehensive guide, presenting a detailed overview and discussing the various mapping techniques available and how these are applied in a number of leading institutions. This essential resource for surgical onocologists, pathologists, and specialists in nuclear medicine will also provide key information for those planning to start a sentinel lymph node program.
This book is the premier guide to ultrasound-guided interventions of the breast. Written by Bruno D Fornage, a world-renowned leader in the fields of breast ultrasound and ultrasound-guided interventions, it covers in detail techniques of freehand ultrasound-guided breast biopsy, placement of post-biopsy markers, localization of nonpalpable lesions, and percutaneous ablation of breast masses. A large part of the book describes the highly effective combined use of fine-needle aspiration and core-needle biopsy during the staging of breast cancer; this combination has been used successfully by the author at MD Anderson Cancer Center for 3 decades. Throughout the book, the author shares numerous tips and tricks, many of which have not been published before. With over 1300 figures and and 200 videoclips depicting ultrasound-guided procedures, Interventional Ultrasound of the Breast is the authoritative resource for breast imagers, interventional radiologists, surgical breast oncologists, pathologists, and anyone who embarks on ultrasound-guided breast biopsies and other breast procedures. In addition, the techniques described in this book are applicable to many other areas of the body, including the thyroid and soft tissues.
This color atlas covers etiology, incidence, clinical features, diagnostic features, immunochemistry, molecular biology and important differential diagnosis of various lesions of the body. It includes large number of microphotographs, around 1500 of all the common and uncommon lesions of the body that can be diagnosed by aspiration cytology. It also includes images of immunocytochemistry and other important ancillary tests of the lesions. Additionally, it includes a review chapter on interesting cases of fine needle aspiration cytology (FNAC) along with multiple choice questions. This book provides necessary information to the readers for the diagnosis and differential diagnosis of the body lesions with the help of FNAC.
This updated edition remains the essential text for pathologists seeking to make accurate diagnoses from the vast number of differentials.
Mohs Micrographic Surgery, an advanced treatment procedure for skin cancer, offers the highest potential for recovery--even if the skin cancer has been previously treated. This procedure is a state-of-the-art treatment in which the physician serves as surgeon, pathologist, and reconstructive surgeon. It relies on the accuracy of a microscope to trace and ensure removal of skin cancer down to its roots. This procedure allows dermatologists trained in Mohs Surgery to see beyond the visible disease and to precisely identify and remove the entire tumor, leaving healthy tissue unharmed. This procedure is most often used in treating two of the most common forms of skin cancer: basal cell carcinoma and squamous cell carcinoma. The cure rate for Mohs Micrographic Surgery is the highest of all treatments for skin cancer--up to 99 percent even if other forms of treatment have failed. This procedure, the most exact and precise method of tumor removal, minimizes the chance of regrowth and lessens the potential for scarring or disfigurement