Bladder - Cytology - Format of diagnostic report

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Bladder

Cytology

Format of diagnostic report

Reviewer: Dr. Rugvedita Parakh, Cedars-Sinai Medical Center

Revised: 1 July 2011, last major update May 2010

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

Radiation

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

Adenocarcinoma

Other malignant neoplasms (specify type)

IV. Other

An optional comment section should be used to list additional findings or further clarification of findings

References: Diagn Cytopathol 2004;30:24

End of Bladder > Cytology > Format of diagnostic report

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