Cytotechnologist-attended on-site evaluation of adequacy for fine-needle aspiration of bone and soft tissue neoplasms

Olson, Matthew T.; Novak, Anna; Boonyaarunnate, Thiraphon; Shahid, Hinna; Kirby, John; Ali, Syed Z.

doi:10.1016/j.jasc.2013.07.002

Cited by 7 publications

(4 citation statements)

References 33 publications

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“…Cytotechnologists do not currently participate in OSEA of liver lesions at our institution although they are an integral part of OSEA for other body sites [8,11,12,13,14]. Our data offer compelling evidence that OSEA of liver lesions by cytotechnologists may indeed be possible by showing the noninferiority of cytotechnologists to cytopathologists in this role.…”

Section: Discussionmentioning

confidence: 84%

“…The cost is justified easily on an institutional scale when the decreased rebiopsy rate and efficient use of a cytopathologist's time are considered [17], but few medical delivery systems are integrated well enough to allocate resources so holistically. As such, the practice remains the domain of large academic centers [11,12,13,14,18]. This is likely to change, given the emergence of telecytology and the growth of accountable care organizations.…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, the evolution of primary human papilloma virus-based cervical cancer detection strategies may yet reduce the conventional workload of cytotechnologists. Taken together, the proposition of involving cytotechnologists in OSEA seems quite logical; they appear to be ideally suited to OSEA, and results from our own practice have shown that when acting alone, they perform with similar accuracy to cytopathologists for OSEA of the thyroid [11], endoscopic US-guided pancreas FNA [12], bone and soft-tissue neoplasms [13] and metastatic diseases that also involve the bone and soft tissues [14]. …”

Section: Introductionmentioning

confidence: 99%

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Accuracy of Cytotechnologist Evaluation of Specimen Adequacy and Screening Interpretation of Malignancy in Fine-Needle Aspiration of the Liver

Ahmed¹,

Novak²,

Sheerin³

et al. 2014

Acta Cytologica

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Objective: To evaluate the performance of cytotechnologists in assessing the adequacy and accuracy of the preliminary diagnosis for fine-needle aspirates of the liver. Study Design: We retrospectively analyzed 10 years of data and found 589 cases of ultrasound-guided fine-needle aspiration (FNA) of the liver with on-site evaluation of adequacy (OSEA). All the OSEA were performed by the cytopathologist because OSEA of liver FNA is not performed by cytotechnologists at our institution at present. After OSEA, the material was seen by cytotechnologists who rendered an adequacy assessment and preliminary diagnosis. We calculated the adequacy and accuracy statistics and compared the performance of the cytotechnologists with the OSEA and final interpretation. Results: There was no statistically significant difference in adequacy downgrade rate for cytotechnologist versus cytopathologist assessment during the study period (5 vs. 3%, p = 0.06). A total agreement of 88% was noted in overall diagnosis with 97% agreement in malignant cases. Conclusion: Cytotechnologists assess the adequacy of liver FNA accurately and there is therefore potential for them to perform OSEA for liver FNA.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Accuracy of Cytotechnologist Evaluation of Specimen Adequacy and Screening Interpretation of Malignancy in Fine-Needle Aspiration of the Liver

Ahmed¹,

Novak²,

Sheerin³

et al. 2014

Acta Cytologica

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“…However, the use of on-site evaluation for soft tissue lesions should not be underestimated, as metastatic carcinomas are not uncommon and usually yield adequate material [31,32]. In the case of a primary soft tissue neoplasm, often at least rare material can be obtained to guide a core biopsy.…”

Section: Discussionmentioning

confidence: 99%

Cytopathologic Characteristics of Epithelioid Vascular Malignancies

et al. 2014

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Objectives: Epithelioid hemangioendothelioma (EHE) and epithelioid angiosarcoma (EAS) are rare vascular neoplasms that share many morphological characteristics on histology but demonstrate different clinical behavior. Given the many reported clinical and morphological features shared between EAS and EHE, we examined all cases of EAS and EHE diagnosed primarily on fine needle aspiration (FNA) at our three institutions that were confirmed by a tissue diagnosis. Study Design: A total of 29 cases from 25 patients were identified: 15 EHE from 11 patients and 14 EAS from 14 patients. Results: Many cytomorphological features existed on a spectrum that overlapped considerably between EAS and EHE cases. Common features between the two entities include epithelioid morphology and eccentrically placed nucleus. Intracytoplasmic lumens (ICL), a morphological feature that may suggest vascular origin, can be found in both entities but are not always present. Conclusions: Given the general absence of vascular cytomorphological features, such as ICL, the proper classification of these tumors depends on the successful use of immunoperoxidase markers such as factor VIII-related antigen, ERG, or CD31 as well as a high index of suspicion. The distinction between EAS and EHE on FNA alone is treacherous at best.

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Everything's Coming Up R.O.S.E.s

Collins

2014

Journal of the American Society of Cytopathology

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Cytotechnologist-attended on-site evaluation of adequacy for fine-needle aspiration of bone and soft tissue neoplasms

Cited by 7 publications

References 33 publications

Accuracy of Cytotechnologist Evaluation of Specimen Adequacy and Screening Interpretation of Malignancy in Fine-Needle Aspiration of the Liver

Accuracy of Cytotechnologist Evaluation of Specimen Adequacy and Screening Interpretation of Malignancy in Fine-Needle Aspiration of the Liver

Cytopathologic Characteristics of Epithelioid Vascular Malignancies

Everything's Coming Up R.O.S.E.s

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