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Walid E. Khalbuss Qing Kay Li Editors

Diagnostic Cytopathology Board Review and Self-Assessment

123

Diagnostic Cytopathology Board Review and Self-Assessment

Walid E. Khalbuss • Qing Kay Li Editors

Diagnostic Cytopathology Board Review and Self-Assessment

Editors Walid E. Khalbuss Professor of Pathology GE Clarient Diagnostic Services Aliso Viejo, CA, USA

Qing Kay Li Associate Professor of Pathology The Johns Hopkins University School of Medicine Baltimore, MD, USA

ISBN 978-1-4939-1476-0 ISBN 978-1-4939-1477-7 (eBook) DOI 10.1007/978-1-4939-1477-7 Springer New York Heidelberg Dordrecht London Library of Congress Control Number: 2014948199 © Springer Science+Business Media New York 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

I dedicate this book to my beloved family, my teachers, mentors, and trainees Walid E. Khalbuss I dedicate this book to my parents, my husband, my son Ray, as well as Liz and Nathaniel Qing Kay Li

Preface

This book provides a comprehensive review of nongynecological cytology including cytomorphology, pitfalls, and ancillary testing. The material is presented in a high-yield review and board-type questions with detailed discussions. It is an excellent review and self-assessment tool for practicing pathologists, cytologists, as well as cytology trainees (e.g. pathology residents, cytopathology fellows, and cytotechnology students). The book includes 13 chapters covering nongynecological cytology including one chapter dedicated to ancillary testing as related to diagnostic cytology. Most chapters contain introductory high-yield reviews on the subject in a series of tables with key points emphasizing useful criteria and concepts needed to make diagnoses in common and uncommon cases. The book contains a wealth of full high-quality color photomicrographs with over 886 images, 54 tables, and over 963 MCQs that focus on practical diagnostic knowledge that will be useful to cytology trainees seeking basic information and also those with more experience who would like to fine-tune their skills. The book is written by nine academic cytopathologists who are involved in practicing cytology and teaching cytopathology to residents, fellows, cytotechnologists, and cytotechnology students. Aliso Viejo, CA, USA Baltimore, MD, USA

Walid E. Khalbuss Qing Kay Li

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Acknowledgment

We are indebted to Drs. Cynthia Benedict (Pathology, LLC; Indianapolis, IN) and Ehab A. ElGabry (University of Pittsburgh Medical Center, Dept. of Pathology, Pittsburgh, PA) for their meticulous review of this entire book and for sharing their pearls of wisdom with us.

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Contents

1

Lung Cytopathology (Bronchial and Aspiration Cytology) ................................. Qing Kay Li and Walid E. Khalbuss

2

Serous Fluid Cytopathology .................................................................................... 121 Qing Kay Li and Walid E. Khalbuss

3

Cerebrospinal Fluid (CSF) Cytology...................................................................... 199 Marilyn M. Bui, Ehab A. ElGabry, and Walid E. Khalbuss

4

Thyroid Fine-Needle Aspiration ............................................................................. 241 Reda S. Saad, Jan F. Silverman, and Walid E. Khalbuss

5

Lymph Node Cytopathology ................................................................................... 305 Matthew A. Smith and Walid E. Khalbuss

6

Salivary Gland Fine-Needle Aspiration ................................................................. 353 Abdelmonem Elhosseiny and Walid E. Khalbuss

7

Liver Fine-Needle Aspiration.................................................................................. 409 Qing Kay Li and Walid E. Khalbuss

8

Pancreatic Fine-Needle Aspiration ......................................................................... 469 Abdelmonem Elhosseiny and Walid E. Khalbuss

9

Gastrointestinal and Bile Duct Brushing Cytology............................................... 521 Qing Kay Li and Walid E. Khalbuss

10

Renal and Adrenal Fine-Needle Aspiration .......................................................... 573 Qing Kay Li and Walid E. Khalbuss

11

Urine Cytopathology................................................................................................ 617 Ehab A. ElGabry and Walid E. Khalbuss

12

Soft Tissue and Bone Fine-Needle Aspiration ....................................................... 669 Ehab A. ElGabry and Walid E. Khalbuss

13

Application of Molecular Diagnostics to Cytopathology ...................................... 717 Momin T. Siddiqui

Erratum to ........................................................................................................................

1

E1

Index .................................................................................................................................. 735

xi

Contributors

Marilyn M. Bui, MD, PhD Department of Anatomic Pathology (MCC), Moffitt Cancer Center, Tampa, FL, USA Ehab A. ElGabry, MD University of Pittsburgh Medical Center (UPMC)-Shadyside, Department of Pathology, Pittsburgh, PA, USA Abdelmonem Elhosseiny, MD Fletcher Allen Health Care, University of Vermont, Department of Pathology, Burlington, VT, USA Walid E. Khalbuss, MD, PhD, FIAC GE Clarient Diagnostic Services, Pathology Department, Aliso Viejo, California, USA Qing Kay Li, MD, PhD The Johns Hopkins University School of Medicine, The Johns Hopkins Bayview Medical Center, Baltimore, MD, USA Reda S. Saad, MD, PhD, FRCPC Department of Pathology, Organization Hotel Dieu Grace Hospital, Windsor, ON, Canada Momin T. Siddiqui, MD Department of Pathology and Laboratory Medicine, Emory University Hospital, Atlanta, GA, USA Jan F. Silverman, MD Department of Pathology, Allegheny General Hospital, Pittsburgh, PA, USA Matthew A. Smith, MD Department of Pathology, University of Pittsburgh Medical CenterShadyside, Pittsburgh, PA, USA

xiii

1

Lung Cytopathology (Bronchial and Aspiration Cytology) Qing Kay Li and Walid E. Khalbuss

Contents 1.1 Image-Based Questions 1–82 ............................................

4

1.2 Text-Based Questions 83–142 ............................................

86

1.3 Answers and Discussion of Image-Based Questions 1–82 ....................................................................

92

1.4 Answers and Discussion of Text-Based Questions 83–151 ................................................................

108

Reading List.................................................................................

119

Q.K. Li, MD, PhD (*) Department of Pathology, The Johns Hopkins University School of Medicine, The Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, AA Building, Room 154B, Baltimore, MD 21224-2780, USA e-mail: [email protected] W.E. Khalbuss, MD, PhD, FIAC Department of Pathology, GE Clarient Diagnostic Services, 31 Columbia, Aliso Viejo, California, 92656, USA e-mail: [email protected] W.E. Khalbuss, Q.K. Li (eds.), Diagnostic Cytopathology Board Review and Self-Assessment, DOI 10.1007/978-1-4939-1477-7_1, © Springer Science+Business Media New York 2015

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