[Histonet] CAP Cytopathology checklist question

[Normington, Lacy]

Hello Valerie,
Here is the policy we created to meet this question.

Standardized criteria for specimen adequacy are applied where available. This includes the
Paris System for Reporting Urinary Cytology, the Bethesda System for reporting Anal/Rectal
Cytology, and the Bethesda System for reporting Thyroid Cytopathology. The additional criteria
below apply to all other non-gynecological specimen types.

1. A specimen is unsatisfactory if there's an absence of abnormal cells AND any of the
following criteria are met:
* The complete absence of cellular material.
* Insufficient cellular material present to verify the source of the specimen (i.e.
mesothelial cells in a serous fluid, alveolar macrophages in a BAL, etc.).
* The absence of lymphocytes in a lymph node FNA
* The presence of benign cellular material on an FNA that cannot explain a clinically
suspicious mass or lesion.

2. All unsatisfactory non-gynecologic specimens include a description of the specimen's
limitations (i.e. low cellularity).

References
1. Rosenthal D, Wojcik EM, Kurtycz DF. The Paris system for reporting urinary cytology.
Switzerland: Springer International Publishing; 2016.
2. Nayar R, Wilbur DC. The Bethesda system for reporting cervical cytology - definitions,
criteria, and explanatory notes. 3rd ed. Switzerland: Springer International Publishing;
2015.
3. Ali SZ, Cibas ES. The Bethesda System for Reporting Thyroid Cytopathology. New York,
NY: Springer; 2010.

-----Original Message-----
From: Hannen, Valerie via Histonet <histonet at lists.utsouthwestern.edu>
Sent: Wednesday, November 29, 2023 2:41 PM
To: Histonet at lists.utsouthwestern.edu
Subject: [Histonet] CAP Cytopathology checklist question

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Hello Everyone,

I am hoping you can help me.  I am very confused by one of the questions in our CAP Cytopathology question. How are you handling/ answering this question in the NON-GYNCOLOGIC CYTOPATHLOOGY Section?  The question is CYP.07666, Unsatisfactory Specimens- Non-gynecologic CytoPathology:
It states " The Laboratory follows defined criteria for identification and reporting of unsatisfactory non-gynecologic specimens, as applicable".  It shows that I must write a policy for this question.  Our  reports  do state the reason for being deemed a "unsatisfactory" specoimen.

Thank you in advance!!

Valerie

Valerie A. Hannen,MLT(ASCP),HTL,SU(FL)
Histology Section Chief
Parrish Medical Center
951 N. Washington Avenue
Titusville, Florida 32796
P: 321-268-6333  Ext. 7506
F: 321-268-6149
valerie.hannen at parrishmed.com<mailto:valerie.hannen at parrishmed.com>
http://www.parrishmed.com/

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