Hello Valerie, Here is the policy we created to meet this question. Standardized criteria for specimen adequacy are applied where available. This includes the Paris System for Reporting Urinary Cytology, the Bethesda System for reporting Anal/Rectal Cytology, and the Bethesda System for reporting Thyroid Cytopathology. The additional criteria below apply to all other non-gynecological specimen types.
1. A specimen is unsatisfactory if there's an absence of abnormal cells AND any of the following criteria are met: * The complete absence of cellular material. * Insufficient cellular material present to verify the source of the specimen (i.e. mesothelial cells in a serous fluid, alveolar macrophages in a BAL, etc.). * The absence of lymphocytes in a lymph node FNA * The presence of benign cellular material on an FNA that cannot explain a clinically suspicious mass or lesion. 2. All unsatisfactory non-gynecologic specimens include a description of the specimen's limitations (i.e. low cellularity). References 1. Rosenthal D, Wojcik EM, Kurtycz DF. The Paris system for reporting urinary cytology. Switzerland: Springer International Publishing; 2016. 2. Nayar R, Wilbur DC. The Bethesda system for reporting cervical cytology - definitions, criteria, and explanatory notes. 3rd ed. Switzerland: Springer International Publishing; 2015. 3. Ali SZ, Cibas ES. The Bethesda System for Reporting Thyroid Cytopathology. New York, NY: Springer; 2010. -----Original Message----- From: Hannen, Valerie via Histonet <histonet@lists.utsouthwestern.edu> Sent: Wednesday, November 29, 2023 2:41 PM To: Histonet@lists.utsouthwestern.edu Subject: [Histonet] CAP Cytopathology checklist question WARNING: This email appears to have originated outside of the UW Health email system. DO NOT CLICK on links or attachments unless you recognize the sender and know the content is safe. Hello Everyone, I am hoping you can help me. I am very confused by one of the questions in our CAP Cytopathology question. How are you handling/ answering this question in the NON-GYNCOLOGIC CYTOPATHLOOGY Section? The question is CYP.07666, Unsatisfactory Specimens- Non-gynecologic CytoPathology: It states " The Laboratory follows defined criteria for identification and reporting of unsatisfactory non-gynecologic specimens, as applicable". It shows that I must write a policy for this question. Our reports do state the reason for being deemed a "unsatisfactory" specoimen. Thank you in advance!! Valerie Valerie A. Hannen,MLT(ASCP),HTL,SU(FL) Histology Section Chief Parrish Medical Center 951 N. Washington Avenue Titusville, Florida 32796 P: 321-268-6333 Ext. 7506 F: 321-268-6149 valerie.han...@parrishmed.com<mailto:valerie.han...@parrishmed.com> http://www.parrishmed.com/ _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
