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Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 83-89

“Clinical” cytology for endoscopists: A practical guide

1 Medical Department, Helios Klinikum Meiningen, Meiningen, Germany
2 Cytologisches Institut Hannover, Hannover, Germany
3 Department of Gastroenterology, John Radcliffe Hospital, Headley Way, Oxford, UK
4 Medical Department, Caritas Krankenhaus Bad Mergentheim, Germany

Correspondence Address:
Christoph F Dietrich
Department of Internal Medicine II, Caritas Krankenhaus, Uhlandstrase 7, D 97980 Bad Mergentheim
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/eus.eus_21_17

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Clinical cytology was originally used by clinicians to provide rapid diagnosis. However, with advancing medical subspecialization, few clinicians interpret cytology themselves these days, for example, gynecologists, hematologists, urologists, and occasional gastroenterologist (mainly in Asian countries). Cytological assessment enjoyed a renaissance with the development of endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA). Subsequently, pathologists, most of them more experienced in histology, had to take over. Recently, it has been shown that in-room cytology can be easily performed by the endoscopist themselves for initial evaluation of the quality of the EUS-FNA specimen and an initial diagnosis distinguishing benign or malignant cells. Bringing cytology back to the clinician has some advantages but does not substitute the professional cytopathologist. This report has written to lower the threshold for the clinician to find his way back to the microscope, which may improve both their diagnostic yield and assessment of EUS-FNA sample quality.

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