Hocke Michael, Topalidis Theodoros, Braden Barbara, Dietrich Christoph F
Medical Department, Helios Klinikum Meiningen, Meiningen, Germany.
Cytologisches Institut Hannover, Hannover, Germany.
Endosc Ultrasound. 2017 Mar-Apr;6(2):83-89. doi: 10.4103/eus.eus_21_17.
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.
临床细胞学最初被临床医生用于提供快速诊断。然而，随着医学亚专业的发展，如今很少有临床医生自己解读细胞学结果，例如妇科医生、血液科医生、泌尿科医生，偶尔还有胃肠病学家（主要在亚洲国家）。随着内镜超声（EUS）引导下细针穿刺抽吸术（FNA）的发展，细胞学评估迎来了复兴。随后，病理学家不得不接手，他们中的大多数在组织学方面更有经验。最近有研究表明，内镜医生自己就可以轻松地进行床旁细胞学检查，用于初步评估EUS-FNA标本的质量以及对良性或恶性细胞进行初步诊断。将细胞学检查回归临床医生有一些优点，但并不能替代专业的细胞病理学家。本报告旨在降低临床医生重新拿起显微镜的门槛，这可能会提高他们的诊断率以及对EUS-FNA样本质量的评估。
