Format of diagnostic report

Topic Completed: 1 February 2013

Revised: 14 December 2018

Copyright: (c) 2003-2018,, Inc.

PubMed Search: Bladder features to report

Rugvedita Parakh, M.D.
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Cite this page: Format of diagnostic report. website. Accessed May 26th, 2020.
Definition / general
Recommendations for Diagnostic Format and Categories for Urinary Cytology Specimens Papanicolaou Society of Cytopathology Practice Guidelines Task Force

I. Adequacy Statement (Optional)
  • Satisfactory for evaluation
  • List any quality factors affecting specimen
  • Unsatisfactory for evaluation (give reason)

II. General Categorization
  • Negative for epithelial cell abnormality (see Descriptive Diagnoses)
  • Epithelial cell abnormality present (see Descriptive diagnosis)

III. Descriptive Diagnosis
  • Negative for epithelial cell abnormality
  • Infectious agents
  • Bacterial organisms
  • Fungal organisms
  • Viral changes (CMV, herpes, adenovirus, polyomavirus)
  • Nonspecific inflammatory changes
  • Acute inflammation
  • Chronic inflammation
  • Changes consistent with xanthogranulomatous pyelonephritis
  • Cellular changes associated with:
    Chemotherapeutic agents
  • Epithelial Cell Abnormalities
    Atypical urothelial cells (*see comment)
    Low-grade urothelial carcinoma
    High-grade urothelial carcinoma (invasive carcinoma vs. carcinoma in situ)
    Squamous cell carcinoma
    Other malignant neoplasms (specify type)

IV. Other
  • An optional comment section should be used to list additional findings or further clarification of findings
Additional references
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