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

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4. Hrvatski kongres kliniËke citologije / 1. Hrvatski simpozij analitiËke citologije / 2. Hrvatski simpozij citotehnologije 72 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);
Clinical Cytology - Plenary and Invited Lectures Hematology (Kardum-Skelin I): 1. Indications: a) lymph node - children: clinically unexplained enlargement - adults: every enlarged lymph node b) bone marrow and peripheral blood: abnormal blood cell finding (number, form); 2. Material collection: lymph node and bone marrow puncture, peripheral blood smear; 3. Interpretation of cytological findings: conclusion - diagnosis/differential diagnosis, quantitative analysis of bone marrow and peripheral blood Pulmonology (Smojver-Ježek S): 1. Indications: symptoms (cough with or without blood in sputum), asthma (eosinophils in sputum), x-ray abnormalities of the lung; 2. Material collection: nasal smear, sputum, bronchial aspiration, bronchoalveolar lavage, brushing - bronchoscopy, imprint of biopsy specimen, pleural effusion; transtracheal or transbronchial puncture, transthoracic puncture (x-ray or US- or CTguided); 3. Interpretation of cytological findings: conclusion – diagnosis (tumor classification), epithelial atypia, hyperplasia, metaplasia Gastroenterology (Kaić G): 1. Indications: endoscopic or US-findings (tumors, inflammation); 2. Material collection: smears, brushing, puncture (transmucous or transcutaneous); 3. Interpretation of cytological findings: conclusion, diagnosis or suggestion Urology (Kaić G): 1. Indications: clinical symptoms (especially hematuria); 2. Material collection: urine (spontaneous, rarely catheterization or washing), brushing, puncture of prostate, rarely kidney; 3. Interpretation of cytological findings: conclusion - diagnosis (atypia, suspected tumor) suggestions Thyroid gland (Knežević-Obad A): 1. Indications: node(s) - palpable or impalpable (US found); 2. Material collection: puncture (US-guided); 3. Interpretation of cytological findings: diagnosis or suggestion for additional work-up 73 4 th Croatian Congress of Clinical Cytology / 1 st Croatian Symposium of Analytical Cytology / 2 nd Croatian Symposium of Cytotechnology
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Final programme and abstract book
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UTORAK, 13.10.2009. SRIJEDA, 14.10.
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