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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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''Salivary gland cytopathology'' and ''salivary gland cytology'' redirect to here. | ''Salivary gland cytopathology'' and ''salivary gland cytology'' redirect to here. | ||
=Proposed Milan system for reporting salivary gland cytopathology= | |||
:''Milan system'' and ''Milan classification'' redirect here. | |||
{| class="wikitable" | |||
|- | |||
! Category | |||
! Typical management | |||
! Comments | |||
|- | |||
| Nondiagnostic | |||
| repeat FNA | |||
| | |||
|- | |||
| Nonneoplastic | |||
| follow-up/discharge | |||
| | |||
|- | |||
| Atypia of undetermined significance (AUS) | |||
| repeat FNA | |||
| use should be minimized <br>- like [[FLUS]] and [[ASCUS]] | |||
|- | |||
| Neoplasm | |||
| excision | |||
| subdivided into: (a) benign (b) salivary gland neoplasm of uncertain malignant potential (SUMP) | |||
|- | |||
| Suspicious for malignancy | |||
| wide excision +/-lymph nodes (?) | |||
| | |||
|- | |||
| Malignant | |||
| wide excision & lymph nodes (?) | |||
| | |||
|} | |||
Notes: | |||
*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 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= | ||