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WHO reporting system for lung cytopathology (pending)
Videos

Prof. Dr. Fernando Schmitt:
The WHO System for Reporting Lung Cytopathology


Automation
Diagrams / tables

Contributed by Reid Wilkins, M.D.
Overview of automation workflow

Overview of automation workflow



Images hosted on other servers:

ThinPrep imaging system

BD FocalPoint GS imaging system


Benign
Diagrams / tables
N/A
Radiology images
N/A
Cytology images

Contributed by Xiaobing Jin, M.D., Ph.D. and Heather I-Hsuan Chen-Yost, M.D.
Bronchial cells Bronchial cells

Bronchial cells

Bronchial cells cross section

Bronchial cells cross section

Macrophages (ThinPrep)

Macrophages (ThinPrep)


Anthracosis

Anthracosis

Hamartoma (Diff-Quik)

Hamartoma
(Diff-Quik)

Meningioma (Diff-Quik)

Meningioma (Diff-Quik)



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Herpes inclusions

Herpes inclusions

Cytomegalovirus (CMV)

Cytomegalovirus (CMV)

Creola body

Creola body

Molecular / cytogenetics images
N/A

FNA procedure
Clinical images

Contributed by Joseph D. Jakowski, M.D. and Susan Meanor, R.T., R.D.M.S.
Missing Image

Turkey phantom


IHC panels
Diagrams / tables

Contributed by Lawrence Hsu Lin, M.D., Ph.D. and Tamar C. Brandler, M.D., M.S.

Serous fluid immunostain work up

Cytology images

Contributed by Lawrence Hsu Lin, M.D., Ph.D. and Tamar C. Brandler, M.D., M.S.

BerEP4 in pleural fluid

MOC31 in pleural fluid

GATA3 in pleural fluid

PAX8 in pleural fluid

NKX3.1 in ascites


TTF1 in pleural fluid

Napsin A in pleural fluid

p40 in ascites

CDX2 in ascites

Calretinin in ascites


D2-40 in ascites

WT1 in ascites

ER in pleural fluid

HER2 in pleural fluid



Images hosted on other servers:

BAP1 in mesothelioma

Molecular / cytogenetics images

Images hosted on other servers:

p16 / CDKN2A deletion (FISH) in malignant mesothelioma

Absence of p16 / CDKN2A deletion by FISH


International system for reporting serous fluid cytopathology
Diagrams / tables

Contributed by Lawrence Hsu Lin, M.D., Ph.D. and Tamar C. Brandler, M.D., M.S.

Serous fluid cytology flow diagram

Cytology images

Contributed by Lawrence Hsu Lin, M.D., Ph.D. and Tamar C. Brandler, M.D., M.S.
Bloody specimen (ND)

Bloody specimen (ND)

Scant cellularity (ND)

Scant cellularity (ND)

Poor preservation (ND)

Poor preservation (ND)

Reactive mesothelial cells (NFM)

Reactive mesothelial cells (NFM)

Reactive mesothelial cells and histiocytes (NFM)

Reactive mesothelial cells and histiocytes (NFM)


Collagen ball and mesothelial cells (NFM)

Collagen ball and mesothelial cells (NFM)

Endosalpingiosis (NFM)

Endosalpingiosis (NFM)

Scant cell cluster with mild / moderate atypia (AUS)

Scant cell cluster with mild / moderate atypia (AUS)

Lymphocytic effusion (AUS)

Lymphocytic effusion (AUS)

Serous borderline tumor (AUS)

Serous borderline tumor (AUS)


Few suspicious cells (SFM)

Few suspicious cells (SFM)

Highly atypical cell clusters with inflammation (SFM)

Highly atypical cell clusters with inflammation (SFM)

Highly atypical single cells (SFM)

Highly atypical single cells (SFM)

Cell clusters with scalloped borders (MAL-P)

Cell clusters with scalloped borders (MAL-P)

Highly atypical cluster of cells (MAL-P)

Highly atypical cluster of cells (MAL-P)


Cell cluster with smooth borders (MAL-S)

Cell cluster with smooth borders (MAL-S)

Highly atypical cell cluster (MAL-S)

Highly atypical cell cluster (MAL-S)

Intracellular mucin (MAL-S)

Intracellular mucin (MAL-S)

Large atypical cells (MAL-S)

Large atypical cells (MAL-S)


Interventional cytopathology
Diagrams / tables

Contributed by Karen Villar Zarra, M.D.
Decision making in interventional pathology one stop clinic

Decision making in interventional pathology one stop clinic

Clinical images

Contributed by Karen Villar Zarra, M.D.
Automatic and manual trigger biopsy devices

Automatic and manual trigger biopsy devices

Minimal percutaneous point of entry for core biopsies

Minimal percutaneous point of entry for core biopsies

Sample obtained with core biopsy devices

Sample obtained with core biopsy devices

Ultrasound guided core biopsy - parallel approach

Ultrasound guided core biopsy - parallel approach

Different gauges of core biopsies from home made phantom

Different gauges of core biopsies from home made phantom

Videos
To be provided

Liquid based cytology
Cytology images

Contributed by Sadia Sayeed, M.D.
LSIL ThinPrep

LSIL ThinPrep

HGSIL ThinPrep

HGSIL ThinPrep

HGSIL SurePath

HGSIL SurePath

Benign endocervical cells ThinPrep

Benign endocervical cells ThinPrep

Adenocarcinoma ThinPrep Adenocarcinoma ThinPrep

Adenocarcinoma ThinPrep


Reactive mesothelial cells ThinPrep

Reactive mesothelial cells ThinPrep

Benign, BAL

Benign, BAL

HGUC, urine

HGUC, urine

Suspicious thyroid aspirate

Suspicious thyroid aspirate

Benign thyroid aspirate

Benign thyroid aspirate


Malignant
Diagrams / tables
None
Radiology images

Images hosted on other servers:
Left lower lobe mass

Left lower lobe mass

Cytology images

Contributed by Reima El Naili, M.D.
Squamous cell carcinoma Squamous cell carcinoma

Squamous cell carcinoma

Prominent necrosis in small cell carcinoma

Prominent necrosis in small cell carcinoma

Cell block

Cell block, adenocarcinoma

Adenocarcinoma

Adenocarcinoma

TTF1 in adenocarcinoma

TTF1 in adenocarcinoma


p40 in adenocarcinoma

p40 in adenocarcinoma

Squamous cell carcinoma Squamous cell carcinoma

Squamous cell carcinoma

p40 in SCC

p40 in SCC

CK5/6 in SCC

CK5/6 in SCC

Squamous cell carcinoma

TTF1 in SCC


Small cell carcinoma

Small cell carcinoma

Synaptophysin

Synaptophysin in small cell carcinoma

CD56 in small cell carcinoma

CD56 in small cell carcinoma

TTF1 in small cell carcinoma

TTF1 in small cell carcinoma

CD45 in small cell carcinoma

CD45 in small cell carcinoma

Ki67 in small cell carcinoma

Ki67 in small cell carcinoma

Molecular / cytogenetics images

Images hosted on other servers:
FISH showing ALK rearrangement

FISH showing ALK rearrangement


Nondiagnostic
Cytology images

Contributed by Mir Yousufuddin Ali Khan, M.D.
Obscuring blood

Obscuring blood

Alveolar macrophages

Alveolar macrophages

Fibrin thrombi

Fibrin thrombi

Bronchial cells

Bronchial cells

Crush artifact

Crush artifact


Poor preservation and poor staining

Poor preservation and poor staining

Bronchial cells

Bronchial cells

Bronchial contamination

Bronchial contamination

Pneumocytes

Pneumocytes

Videos

WHO reporting system for lung cytopathology

Adequacy criteria in EBUS FNA

Overview of lung cytopathology


Rapid on site evaluation (ROSE)
Diagrams / tables

Contributed by Austin B. Wiles, M.D.
ROSE flow chart

ROSE flow chart

ROSE portable microscopy cart

ROSE portable microscopy cart

Blank FNA procedure form

Blank FNA procedure form



Images hosted on other servers:

Strategies for handling lymph node cytology specimens

Molecular / cytogenetics images

Images hosted on other servers:

NGS analysis on smears

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Recent Cytopathology Pathology books

Ali: 2023

Bibbo: 2014

Bishop Pitman: 2015

Chandra: 2020

Cibas: 2020

DeMay: 2012

Faquin: 2023

Field: 2016

Field: 2020

IAC-IARC-WHO: 2023

IAC-IARC-WHO: 2023

Jiang: 2023

Layfield: 2018

Mody: 2022

Nayar: 2015

Ramzy: 2017

Shidham: 2021

VandenBussche: 2019

VandenBussche: 2022

Wojcik: 2022



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