Difference between revisions of "Urine cytology"
Jump to navigation
Jump to search
(→Evaluation: Updated) |
m (→Evaluation: Bolded) |
||
| Line 10: | Line 10: | ||
Mainly look for: | Mainly look for: | ||
<gallery mode=packed heights=190> | <gallery mode=packed heights=190> | ||
| − | File:Cytopathology of reactive urothelial changes.png|Reactive urothelial changes, Pap stain, showing urothelial cells with enlarged nuclei but a nucleus-cytoplasm ratio of less than 0.5. There are bacteria, as well as an inflammatory response of neutrophils, providing a cause for the changes. Can be reported as ''"Benign urothelial cells, neutrophils and bacteria"''. | + | File:Cytopathology of reactive urothelial changes.png|'''Reactive urothelial changes''', Pap stain, showing urothelial cells with enlarged nuclei but a nucleus-cytoplasm ratio of less than 0.5. There are bacteria, as well as an inflammatory response of neutrophils, providing a cause for the changes. Can be reported as ''"Benign urothelial cells, neutrophils and bacteria"''. |
| − | File:HIgh-Grade Urothelial Carcinoma (28263697589).jpg|High-grade urothelial carcinoma. Cytologic diagnosis of high-grade urothelial carcinoma requires > 10 cells with high N/C ratio, irregular chromatin pattern and hyperchromatic nuclei (Pap stain).<ref name="pmid29278461">{{cite journal| author=Wang Y, Auger M, Kanber Y, Caglar D, Brimo F| title=Implementing The Paris System for Reporting Urinary Cytology results in a decrease in the rate of the "atypical" category and an increase in its prediction of subsequent high-grade urothelial carcinoma. | journal=Cancer Cytopathol | year= 2018 | volume= 126 | issue= 3 | pages= 207-214 | pmid=29278461 | doi=10.1002/cncy.21958 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29278461 }} </ref> | + | File:HIgh-Grade Urothelial Carcinoma (28263697589).jpg|'''High-grade urothelial carcinoma'''. Cytologic diagnosis of high-grade urothelial carcinoma requires > 10 cells with high N/C ratio, irregular chromatin pattern and hyperchromatic nuclei (Pap stain).<ref name="pmid29278461">{{cite journal| author=Wang Y, Auger M, Kanber Y, Caglar D, Brimo F| title=Implementing The Paris System for Reporting Urinary Cytology results in a decrease in the rate of the "atypical" category and an increase in its prediction of subsequent high-grade urothelial carcinoma. | journal=Cancer Cytopathol | year= 2018 | volume= 126 | issue= 3 | pages= 207-214 | pmid=29278461 | doi=10.1002/cncy.21958 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29278461 }} </ref> |
File:Decoy cell cytology.png|Distinguish urothelial carcinoma from '''decoy cells''', which are virally infected epithelial cells (Pap stain). | File:Decoy cell cytology.png|Distinguish urothelial carcinoma from '''decoy cells''', which are virally infected epithelial cells (Pap stain). | ||
File:Urine cytology with red blood cells.jpg|Also report the presence of '''red blood cells''' (here seen compared to benign urothelial cells, Pap stain). | File:Urine cytology with red blood cells.jpg|Also report the presence of '''red blood cells''' (here seen compared to benign urothelial cells, Pap stain). | ||
Revision as of 12:51, 23 September 2022
Author:
Mikael Häggström [note 1]
Clinical information
It is not necessary to look through more than readily available reports from previous urine cytologies.
Evaluation
Mainly look for:
Reactive urothelial changes, Pap stain, showing urothelial cells with enlarged nuclei but a nucleus-cytoplasm ratio of less than 0.5. There are bacteria, as well as an inflammatory response of neutrophils, providing a cause for the changes. Can be reported as "Benign urothelial cells, neutrophils and bacteria".
High-grade urothelial carcinoma. Cytologic diagnosis of high-grade urothelial carcinoma requires > 10 cells with high N/C ratio, irregular chromatin pattern and hyperchromatic nuclei (Pap stain).[1]
Distinguish urothelial carcinoma from decoy cells, which are virally infected epithelial cells (Pap stain).
Also report the presence of red blood cells (here seen compared to benign urothelial cells, Pap stain).
.jpg)
The Paris System for reporting urine cytology, version 2.0.[2]
Nuclear-cytoplasmic ratios.
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
Main page
References
- ↑ Wang Y, Auger M, Kanber Y, Caglar D, Brimo F (2018). "Implementing The Paris System for Reporting Urinary Cytology results in a decrease in the rate of the "atypical" category and an increase in its prediction of subsequent high-grade urothelial carcinoma. ". Cancer Cytopathol 126 (3): 207-214. doi:. PMID 29278461. Archived from the original. .
- ↑ - Image by Mikael Häggström. Reference: Wojcik EM, Kurtycz DFI, Rosenthal DL (2022). "We'll always have Paris The Paris System for Reporting Urinary Cytology 2022. ". J Am Soc Cytopathol 11 (2): 62-66. doi:. PMID 35094954. Archived from the original. .
Image sources
