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Difference between revisions of "Head and neck cytopathology"
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→Proposed Milan system for reporting salivary gland cytopathology
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=Proposed Milan system for reporting salivary gland cytopathology= | =Proposed Milan system for reporting salivary gland cytopathology= | ||
:''Milan system'' and ''Milan classification'' redirect here. | |||
{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
! Category | ! Category | ||
! | ! Typical management | ||
! Comments | ! Comments | ||
|- | |- | ||
| | | Nondiagnostic | ||
| repeat FNA | | repeat FNA | ||
| | | | ||
|- | |- | ||
| | | Nonneoplastic | ||
| follow-up/discharge | | follow-up/discharge | ||
| | | | ||
|- | |- | ||
| | | Atypia of undetermined significance (AUS) | ||
| repeat FNA | | repeat FNA | ||
| use should be minimized <br>- like [[FLUS]] and [[ASCUS]] | | use should be minimized <br>- like [[FLUS]] and [[ASCUS]] | ||
| Line 26: | Line 27: | ||
| Neoplasm | | Neoplasm | ||
| excision | | excision | ||
| subdivided into: (a) benign (b) | | subdivided into: (a) benign (b) salivary gland neoplasm of uncertain malignant potential (SUMP) | ||
|- | |- | ||
| Suspicious for malignancy | | Suspicious for malignancy | ||
| wide excision | | wide excision +/-lymph nodes (?) | ||
| | | | ||
|- | |- | ||
| Malignant | | Malignant | ||
| wide excision | | wide excision & lymph nodes (?) | ||
| | | | ||
|} | |} | ||
Notes: | Notes: | ||
*This | *This classification is still evolving.<ref>URL: [http://www.cytopathology.org/the-milan-system-for-reporting-salivary-gland-cytopathology/ http://www.cytopathology.org/the-milan-system-for-reporting-salivary-gland-cytopathology/]. Accessed on: 31 March 2016.</ref> The preliminary version (above) was presented by Dr. William Faquin at [[USCAP]] 2016 in Seattle.<ref>URL: [http://www.uscap.org/meetings/detail/2016-annual-meeting/sessions/2334 http://www.uscap.org/meetings/detail/2016-annual-meeting/sessions/2334]. Accessed on: 13 March 2016.</ref> | ||
*The goal is to | *The goal is to complete the reporting system by the summer of 2017. | ||
=Normal= | =Normal= | ||
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Sticky lymphoid tissue: | Sticky lymphoid tissue: | ||
*Irregular globs of tissue with small cells. | *Irregular globs of tissue with small cells. | ||
[[Skeletal muscle]]: | |||
*Round red staining globs +/-apparent striations. | |||
*Nuclei more at edges (peripheral). | |||
===Images=== | |||
<gallery> | |||
Image: Skeletal muscle - FNA 1 - intermed mag.jpg | SM - intermed. mag. | |||
Image: Skeletal muscle - FNA 1a- high mag.jpg | SM - high mag. | |||
Image: Skeletal muscle - FNA 1a- very high mag.jpg | SM - very high mag. | |||
Image: Skeletal muscle - FNA 1b- very high mag.jpg | SM - very high mag. | |||
Image: Skeletal muscle - FNA 2a- high mag.jpg | SM - high mag. | |||
Image: Skeletal muscle - FNA 2b- high mag.jpg | SM - high mag. | |||
Image: Skeletal muscle - FNA 2a- very high mag.jpg | SM - very high mag. | |||
Image: Skeletal muscle - FNA 2b- very high mag.jpg | SM - very high mag. | |||
</gallery> | |||
=Salivary gland tumours - summary= | =Salivary gland tumours - summary= | ||