4. Hrvatski kongres kliniËke citologije 4th Croatian Congress ... - Penta

4. Hrvatski kongres kliniËke citologije / 1. Hrvatski simpozij analitiËke citologije / 2. Hrvatski simpozij citotehnologije
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Klinička citologija - Plenarna i pozvana predavanja
CLINICAL CYTOLOGY IN PRIMARY HEALTH CARE OF CHILDREN AND ADULTS
Round Table Discussion
Moderator: Znidarčić Ž
Participants:
Jeren T, Kaić G, Kardum-Skelin I, Knežević-Obad A, Smojver-Ježek S, Vince A
Summary - Clinical cytology is well known in gynecology by Pap smears and it is usually
considered a diagnosis of malignancy. However, many diseases in almost all fields of
medicine can be cytologically diagnosed. Because of many advantages of cytology, such
as minimal aggressiveness, simple technique and high accuracy, it is important for all
medical specialties, primary practitioners in particular, to know more about this medical
field about which they could not learn enough during their educational process. Perhaps
this educational failure could now be connected with low costs, which was one of the
cytology advantages at the beginning.
Clinical cytology is used in the prevention, diagnosis, follow up and treatment of disease.
It is a morphological medical field employing medical history data, clinical findings, technical
procedures of material sampling and smear preparation and finally microscopic
analysis in its diagnostic procedure. Sometimes some other technologies are necessary
to classify the pathological process or, possibly, to differentiate similar morphological
findings, which can be decided after microscopic analysis.
Primary practitioners should know the indications for cytological examination, the way
of material collection and interpretation of cytological findings. The participants in this
discussion answer these three questions in several fields of medical practice where
cytological diagnosis is most often used, i.e. infectious diseases, hematology, pulmonology,
gastroenterology, urology, thyroid gland and breast. The last question refers to appropriate
communication between primary practitioners and cytologists.
Here the answers are summarized in short, almost tabular way because it provides
information that is more practical and appears more suitable for educational purpose.
Extensive texts will be printed after the Congress as journal articles (Collegium Antropologicum).
Infectious diseases (Jeren T, Vince A):
1. Indications: various inflammatory lesions of the skin and mucous membranes, often
enlarged lymph nodes;
2. Obtaining of material: smears, brushing, fine needle aspiration;
3. Interpretation of cytological findings description of smears, conclusion, diagnosis,
differential diagnosis (with regard to the pathological process dynamics);