Resident
Manual
CYTOPATHOLOGY ROTATION - BLOCK 1
MONTHS 1 AND 2
Goals
Introduction to Gyn Cytology
- A systematic approach to general cellular features
- Specimen types/methods of collection
- The Papanicolaou stain
- Reporting results (including Bethesda System) & clinical implications
- Sensitivity
Exfoliative Cytopathology of the Female Genital Tract (FGT)
- The normal uterine cervix & hormonal cytology
- Benign inflammatory and infectious changes, repair, postpartum, postmenopausal,
radiation, folate deficiency
- Atypical squamous cells of uncertain significance (ASCUS)
- Squamous intraepithelial lesions (including HPV)
- Squamous cell carcinoma
- Glandular atypias/neoplasms of the FGT- endocervix, endometrium, ovary/fallopian tube,
metastatic lesions
- Radiation effect and postradiation dysplasia
- Vulvar and vaginal cytology
- Misc and rare lesions
GYN Cytology Study Materials
Reading List:
-
Cibas, ES, and Ducatman, BS. Cytology
Diagnostic Principles and Clinical Correlates, 2nd Ed., 2003.
[can get from SFF]
-
DeMay, RM, The Art and Science of
Cytopathology, 1996.
-
Solomon, D, and Nayar, R. The Bethesda
System for Reporting Cervical Cytology, 2nd Ed., 2004.
Optional Reading:
-
Koss, LG, Diagnostic Cytology and Its
Histopathologic Bases, 4th Ed., 1992. [can get from SFF]
-
Bibbo, M, Comprehensive Cytopathology,
2nd Ed., 1997.
Cytomorphology CD-Roms
[can get from SFF]
Microscope Didactic Sessions with SFF
– minimum of 1 hour per week
Review of Glass Study Set Slides:
Paps
Program:
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Month 1
GYN: |
Introduction
Normal cytology of the uterine cervix
Hormonal cytology
The Papanicolaou stain |
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Required Reading: |
Cibas: pgs 1-19
DeMay: pgs 61-74, 120-123
Bethesda System:
pgs xxi-18 |
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Optional Reading: |
Bibbo: pgs 97-99
Koss: pgs 251-313, 1429-1440, 1474-1484 |
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Benign proliferative lesions
Infectious & inflammatory processes,
repair, postpartum, postmenopausal,
radiation, folate deficiency |
|
Required Reading: |
Cibas: pgs 20-28
DeMay: pgs 109-120, 133-135, 137-138
Bethesda System:
pgs 21-64 |
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Optional Reading: |
Bibbo: pgs 125-158, 161-178
Koss: pgs 314-370, 663-686 |
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Last two weeks of Month 1 – Attend signout without previewing slides - daily |
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Month 2
GYN: |
Squamous intraepithelial lesions,
Epithelial cell abnormalities: HPV infection, ASCUS,
Squamous cell carcinoma |
|
Required Reading: |
Cibas: pgs 28-43
DeMay: pgs 29-36, 139-158, 74-109
Bethesda System:
pgs 67-119 |
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Optional Reading: |
Bibbo: pgs 178-225
Koss: pgs 371-444, 444-485 |
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Adenocarcinoma of the FGT- endocervix,
endometrium,
ovary/fallopian tube, other
Vulvar and vaginal cytology
Metastatic & rare lesions |
|
Required Reading: |
Cibas: pgs 43-55
DeMay: pgs 120-132, 135-137
Bethesda System:
pgs 123-187 |
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Optional Reading: |
Bibbo: pgs 231-276, 279-288, 291-310
Koss: pgs 535-587, 588-616 |
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Sign-out: |
Daily. Review Gyns prior to sign-out.
Screen Paps (16 total). |
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Satisfactory Completion of GYN Post-test. |
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