Pub Date : 2008-01-01DOI: 10.1007/978-0-387-69252-4_8
L. C. Murtaugh, Jared Cassiano, O. Jean-PaulDeLa
{"title":"Development of the Endocrine and Exocrine Pancreas","authors":"L. C. Murtaugh, Jared Cassiano, O. Jean-PaulDeLa","doi":"10.1007/978-0-387-69252-4_8","DOIUrl":"https://doi.org/10.1007/978-0-387-69252-4_8","url":null,"abstract":"","PeriodicalId":76185,"journal":{"name":"Monographs in pathology","volume":"21 1","pages":"117-135"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51684607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Errors and pitfalls in diagnostic cytology of abdominal organs.","authors":"J F Silverman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76185,"journal":{"name":"Monographs in pathology","volume":" 39","pages":"147-70"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20192092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
When performing fine-needle aspiration of the thyroid, the limitations of the technique must be considered and one must keep an open mind when examining the cytologic specimen. It is also important to develop a philosophy for handling the occasional difficult "gray zone" case. Some cases will be at the border of normal and abnormal and a philosophical approach concerning how to handle these problem cases is useful. One approach is to "play it safe" and classify as "suspicious" any lesion that clearly does not fit into a benign category. Sometimes, a discussion with clinicians about the degree of suspicion is appropriate, and minimally suspicious lesions might be followed up unless clinical indications point toward surgery. An intermediate to strong degree of cytologic suspicion usually mandates surgical exploration. Undoubtedly, we will continue to refine our diagnostic abilities in fine-needle aspiration cytology of the thyroid. The above discussion reflects the experience of one institution, represents the state of the art as of 1996 and may have to be revised in the near future.
{"title":"Problems and pitfalls in thyroid cytology.","authors":"J R Goellner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When performing fine-needle aspiration of the thyroid, the limitations of the technique must be considered and one must keep an open mind when examining the cytologic specimen. It is also important to develop a philosophy for handling the occasional difficult \"gray zone\" case. Some cases will be at the border of normal and abnormal and a philosophical approach concerning how to handle these problem cases is useful. One approach is to \"play it safe\" and classify as \"suspicious\" any lesion that clearly does not fit into a benign category. Sometimes, a discussion with clinicians about the degree of suspicion is appropriate, and minimally suspicious lesions might be followed up unless clinical indications point toward surgery. An intermediate to strong degree of cytologic suspicion usually mandates surgical exploration. Undoubtedly, we will continue to refine our diagnostic abilities in fine-needle aspiration cytology of the thyroid. The above discussion reflects the experience of one institution, represents the state of the art as of 1996 and may have to be revised in the near future.</p>","PeriodicalId":76185,"journal":{"name":"Monographs in pathology","volume":" 39","pages":"75-93"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20192088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cytologists need to critically evaluate their practices and practice settings to ensure that what they do and how they document what they do will withstand both regulatory and legal scrutiny. Any individual involved in cytology as a laboratory owner, operator, director, supervisor, technical or staff employee, independent agent, or customer representative is a potential target of cytology malpractice litigation. All of these individuals must participate in the risk management process. For the laboratory as a corporate entity, business and technical practices, including quality control and quality assurance procedures, must be contemporary, legitimate, and justifiable. Sound scientific evidence and well-subscribed standards of practice supporting an individual's or laboratory's conduct are the best defenses to malpractice claims. For the near future, litigation will continue to focus on false-negative Pap smears on a case-by-case basis. Laboratories and individuals can reduce the risk of malpractice liability by directing their attention to proactive quality control and quality assurance methods. But in the final analysis, consumer education about the benefits and limitations of the Pap test is key to limiting malpractice claims.
{"title":"Errors in cervical smears: minimizing the risk of medicolegal consequences.","authors":"S E Greening","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cytologists need to critically evaluate their practices and practice settings to ensure that what they do and how they document what they do will withstand both regulatory and legal scrutiny. Any individual involved in cytology as a laboratory owner, operator, director, supervisor, technical or staff employee, independent agent, or customer representative is a potential target of cytology malpractice litigation. All of these individuals must participate in the risk management process. For the laboratory as a corporate entity, business and technical practices, including quality control and quality assurance procedures, must be contemporary, legitimate, and justifiable. Sound scientific evidence and well-subscribed standards of practice supporting an individual's or laboratory's conduct are the best defenses to malpractice claims. For the near future, litigation will continue to focus on false-negative Pap smears on a case-by-case basis. Laboratories and individuals can reduce the risk of malpractice liability by directing their attention to proactive quality control and quality assurance methods. But in the final analysis, consumer education about the benefits and limitations of the Pap test is key to limiting malpractice claims.</p>","PeriodicalId":76185,"journal":{"name":"Monographs in pathology","volume":" 39","pages":"16-39"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20194021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Errors and pitfalls in diagnostic cytology: new techniques applied to cytopathology.","authors":"J S Ross","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76185,"journal":{"name":"Monographs in pathology","volume":" 39","pages":"94-117"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20192089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Errors and pitfalls in lung and pleural cytology.","authors":"J Linder","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76185,"journal":{"name":"Monographs in pathology","volume":" 39","pages":"40-59"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20194022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Errors and pitfalls in cytology of the lower urinary tract.","authors":"L G Koss","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76185,"journal":{"name":"Monographs in pathology","volume":" 39","pages":"60-74"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20192087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pitfalls in cytology of the breast.","authors":"K Bottles","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76185,"journal":{"name":"Monographs in pathology","volume":" 39","pages":"134-46"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20192091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pitfalls in diagnostic cervicovaginal cytology.","authors":"M K Sidawy, D Solomon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76185,"journal":{"name":"Monographs in pathology","volume":" 39","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20194020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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