Penn State Pathology and Laboratory Medicine

 

 

Penn State Pathology Residency Program

Pathology Residency ProgramResident Manual

CYTOPATHOLOGY ROTATION - BLOCK 1
MONTHS 1 AND 2

Goals

Introduction to Gyn Cytology

  1. A systematic approach to general cellular features
  2. Specimen types/methods of collection
  3. The Papanicolaou stain
  4. Reporting results (including Bethesda System) & clinical implications
  5. Sensitivity

Exfoliative Cytopathology of the Female Genital Tract (FGT)

  1. The normal uterine cervix & hormonal cytology
  2. Benign inflammatory and infectious changes, repair, postpartum, postmenopausal, radiation, folate deficiency
  3. Atypical squamous cells of uncertain significance (ASCUS)
  4. Squamous intraepithelial lesions (including HPV)
  5. Squamous cell carcinoma
  6. Glandular atypias/neoplasms of the FGT- endocervix, endometrium, ovary/fallopian tube, metastatic lesions
  7. Radiation effect and postradiation dysplasia
  8. Vulvar and vaginal cytology
  9. 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:

Month 1

GYN:


Introduction
Normal cytology of the uterine cervix
Hormonal cytology
The Papanicolaou stain
Required Reading:

Cibas:  pgs 1-19
DeMay:  pgs 61-74, 120-123
Bethesda System:  pgs xxi-18

Optional Reading:

Bibbo:  pgs 97-99
Koss:  pgs 251-313, 1429-1440, 1474-1484

  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

Optional Reading:

Bibbo:  pgs 125-158, 161-178
Koss:  pgs 314-370, 663-686


Last two weeks of Month 1 – Attend signout without previewing slides - daily

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

Optional Reading:

Bibbo:  pgs 178-225
Koss:  pgs 371-444, 444-485

  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

Optional Reading:

Bibbo:  pgs 231-276, 279-288, 291-310
Koss:  pgs 535-587, 588-616

Sign-out: Daily. Review Gyns prior to sign-out. Screen Paps (16 total).

Satisfactory Completion of GYN Post-test.

 

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