Gonzalez Maria F, Akhtar Israh, Manucha Varsha
Department of Pathology, University of Mississippi Medical Center, Jackson, MS, USA.
Acta Cytol. 2017;61(2):91-95. doi: 10.1159/000460236. Epub 2017 Mar 22.
To explore the current and anticipated changes in the practice of cytopathology.
The present review is based on a review of recent literature and an evaluation of the authors' personal experiences.
In recent years the practice of cytopathology, nationwide and in our institute, has witnessed a major change affecting gynecologic and nongynecologic cytology. There has been a decline in the number of Papanicolaou tests which has affected the utilization of cytotechnologists and provoked a reorganization of their work flow. The "need to do more with less" in the era of targeted therapy/personalized medicine has resulted in an increasing preference for needle core biopsy when performing a rapid on-site evaluation. We feel that this change is unavoidable. It is pertinent that cytopathologists as a group recognize this change and prepare themselves and the trainees not only to become adapt but also to use this as an opportunity to discover the yet unexplored world of cytology.
探讨细胞病理学实践的当前及预期变化。
本综述基于对近期文献的回顾以及作者个人经验的评估。
近年来，全国范围内以及我们研究所的细胞病理学实践经历了重大变革，影响了妇科和非妇科细胞学。巴氏涂片检查数量有所下降，这影响了细胞技术人员的使用，并促使其工作流程进行重新组织。在靶向治疗/个性化医疗时代，“用更少资源做更多事情”的需求导致在进行快速现场评估时，越来越倾向于采用针芯活检。我们认为这种变化是不可避免的。至关重要的是，作为一个群体的细胞病理学家认识到这一变化，并使自己和受训人员不仅要适应，而且要利用这一机会去探索细胞学尚未被探索的领域。
