cytopath.

[moodydoc]

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I was wondering which text people found the most helpful for cytology?

(I have read the FAQ), just trying to determine what is the best for the money.

Thanks

 

[LADoc00]

I was wondering which text people found the most helpful for cytology?

(I have read the FAQ), just trying to determine what is the best for the money.

Thanks

People are still studying that?! I thought with HPV vaccines, HPV genotyping and Radiology guided core biopsy needles, cytology was placed somewhere near EM in the resident curriculum.

 

[yaah]

People are still studying that?! I thought with HPV vaccines, HPV genotyping and Radiology guided core biopsy needles, cytology was placed somewhere near EM in the resident curriculum.

God no. We have at least one didactic a week still. Cytopath varies in popularity at different institutions among clinicians. It's not that popular here for breast, soft tissue, and CT-guided things but it is elsewhere.

I don't know what text is best if you take cost into account too. Demay is probably the best text and most definitive, but it's big and expensive. I think the FAQ has some suggestions also.

I kind of like the Geisinger textbook, but that's one person's opinion (and I don't like cytology).

 

[Acremonium]

If you want to spend the money, DeMay's Art and Science of Cyto is the definitive text. If you want something more readable for a rotation and more affordable, I think Cibas is the best. It costs about $125.

 

[deschutes]

Yes, Cibas has good "things to look for" and "how to describe findings"-type text. My beef with it is that it doesn't have enough pictures. So I ended up buying Baby Demay, just to know how things LOOK.

As a resident, half the time you can get by with "irregular wrinkled nuclear contours", "prominent nucleoli" and "papillary cell clusters" in your microscopic descriptions anyway 🙂

 

[DarksideAllstar]

I kind of like the Geisinger textbook, but that's one person's opinion (and I don't like cytology).

I own the Geisinger book (got it free at the end of my post-soph year) and compared to the Demay books (the big and the baby) it is more difficult to read--it just seems unnecessarily wordy to me. I went to a cyto conference on lung FNA that he gave which was excellent, so I kind of went for his book considering I had a good amount of money to spend, but not enough for the large Demay book, and wanted something more extensive than the Baby Demay.

 

[moodydoc]

Has anyone looked at the koss book? it is a little more expensive but seems like it might also double as a hem text.

 

[pathdawg]

You crack me up, LA. Yes, cytopath is still pertinent, believe it or not. I am not a big fan of the Koss text. I like DeMay (the big two volume one, not the baby version) and Bibbo. Those two are more than enough to get by. I am cytopath fellowship-trained and certified, and I still consult the big DeMay book from time to time.

 

[dermpathlover]

People are still studying that?! I thought with HPV vaccines, HPV genotyping and Radiology guided core biopsy needles, cytology was placed somewhere near EM in the resident curriculum.

A buddy of mine that did cytopath and is now out working in the community for about three years said that, where he is, they don't FNA pancreas or any internal organs. The radiologists have become so good that they can core anything anywhere. The only thing they do is a TP to see if it is adequate. Maybe that counts as cytology.

 

[DarksideAllstar]

A buddy of mine that did cytopath and is now out working in the community for about three years said that, where he is, they don't FNA pancreas or any internal organs. The radiologists have become so good that they can core anything anywhere. The only thing they do is a TP to see if it is adequate. Maybe that counts as cytology.

That's interesting. When I was on IR, all I saw were FNAs of pancreas (and this was CT-guided, not EUS). What region of the country is this?

 

[yaah]

A buddy of mine that did cytopath and is now out working in the community for about three years said that, where he is, they don't FNA pancreas or any internal organs. The radiologists have become so good that they can core anything anywhere. The only thing they do is a TP to see if it is adequate. Maybe that counts as cytology.

Maybe they don't do ERCP and EUS there, because places that do those procedures do FNAs (or brushings/scrapings). If it's CT-guided then yes, more people are doing core bx. It's probably not about being "good" at it, it's more the type of procedure and physician doing it.

 

[CameronFrye]

Maybe they don't do ERCP and EUS there, because places that do those procedures do FNAs (or brushings/scrapings). If it's CT-guided then yes, more people are doing core bx. It's probably not about being "good" at it, it's more the type of procedure and physician doing it.

Yeah, I don't think I've ever seen a core of a pancreas. The GI dept here does a ton of ERCP's, so we get a good amount of FNA's.

We also get a lot of head and neck FNA's (not just thyroid, but that is also common).

Here, the one site where cores have pretty much completely replaced FNA's is the breast.