Difference between revisions of "Pulmonary cytopathology"

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**Ciliated cells may be from the nasopharynx - not proof of lung parenchymal tissue.
**Ciliated cells may be from the nasopharynx - not proof of lung parenchymal tissue.


There is no generally accepted standard for pulmonary specimens.  An in-house standard is:<ref>UHN PCY50001.08 P.11.</ref>
There is a proposed standard for EBUS specimens:<ref name=pmid22246929>{{Cite journal  | last1 = Nayak | first1 = A. | last2 = Sugrue | first2 = C. | last3 = Koenig | first3 = S. | last4 = Wasserman | first4 = PG. | last5 = Hoda | first5 = S. | last6 = Morgenstern | first6 = NJ. | title = Endobronchial ultrasound-guided transbronchial needle aspirate (EBUS-TBNA): a proposal for on-site adequacy criteria. | journal = Diagn Cytopathol | volume = 40 | issue = 2 | pages = 128-37 | month = Feb | year = 2012 | doi = 10.1002/dc.21517 | PMID = 22246929 }}</ref>
*> 5 low power fields (×10 objective) with >= 100 lymphocytes and < 2 groups of bronchial cells.
 
There is no generally accepted standard for bronchial brushings, washes and lavages.  An in-house standard is:<ref>UHN PCY50001.08 P.11.</ref>
*Sputum: >= 10 pulmonary macrophages.
*Sputum: >= 10 pulmonary macrophages.