By Sudha R. Kini
Respiratory cytopathology is vital within the workup of sufferers suspected of getting lung melanoma requiring cytologic assessment and is used more and more in immunocompromised sufferers for the id of infectious ailments. presently, there's no unmarried textual content committed completely to Pulmonary Cytology. Color Atlas of Pulmonary Cytopathology is the one textual content to incorporate, below one conceal, updated info on each element of breathing Cytopathology. The atlas contains strategies of bronchoscopy, brochoalveolar lavage, and advantageous needle aspiration biopsy, a close part on cytopreparatory innovations, liberal use of pictures on histomorphology to enrich cytology, emphasis on diagnostic pitfalls, a close part on cytopathology of non-neoplastic stipulations, strange and unusual lesions, cytology of metastatic lung cancers to different physique websites, and a bit on pediatric pulmonary cytology. Abundantly illustrated with over 1300 colour photographs on 108 plates, the atlas offers not just the standard cytohistologic styles of varied illness entities, but in addition specializes in differential diagnostic difficulties and depicts the differentiating gains. Over seventy five tables summarize cytologic standards and differentiating beneficial properties. vital reference for cytotechnology scholars, cytotechnologists, pathologists, pathology citizens, cytopathologists, in addition to pulmonologists.
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Additional info for Color Atlas of Pulmonary Cytopathology
Saponize if NO small cell carcinoma, lymphoma! leukemia or any small celliesion is suspected (see Saponin® technique ). If the quantity of the specimen permits, make two smears presaponization and two smears following saponization. 7. Wash the specimen until the supernatant is c1ear and colorless. 8. Determine the cellularity and ratio to blood and choose the smear preparation method accordingly. After saponizing, the specimen sometimes becomes hard and stringy, which makes smear preparation difficult.
Radiol Clin N Am 1990; 28:647-655. Zarbo RD, Fenoglio-Preiser CM. Interinstitutional database for comparison of performances in lung fine-needle aspiration cytology: College of American Pathologists Q-Probe study of 5264 cases with histologic correlation. Arch Pathol Lab Med 1992; 116: 463-470. Serous Effusion Fluid Coughlin D, Lukeman JM. The use of saponin for hemolysis in effusion cytology. Acta Cytol 1982; 26:739. Venrick MG, Sidawy MK. Cytologic evaluation of serous effusions. Processing techniques and optimal numbers of smears for routine preparation.
The supernatant is poured off in a contaminated waste container. If the specimen allows, a wet-mount is made to determine the cellularity and presence of malignant cells. Ce]) spreads are prepared if the sediment is cellular. If poorly cellular or grossly very cIear, it is processed by cytocentrifugation. Smears prepared from the rinse ideally should complement the direct smears. If the brushes are poorly cellular to begin with, however, rinse specimens do not add any information. Bronchial Washings FIGURE 2-6.