Pdf the milan system for reporting salivary gland cytopathology. Jul 17, 2018 the current study aimed at investigating the cytomorphological features of salivary gland lesions with histopathological correlation and performing risk based stratification of these lesions using the recommended milan system for reporting of salivary gland cytopathology msrsgc. A clinical approach to diagnosis and management of atypical and suspicious lesions w. Mairembam p, jay a, beale t, morley s, vaz f, kalavrezos n, kocjan g. The purpose of this atlas is to offer instructive images with explanatory text to illustrate the features of the milan system for practitioners and trainees alike. Milan system for reporting salivary gland cytopathology. May 2017the milan system for reporting salivary gland cytopathology was published jan. Fourteen cases originated from accessory salivary glands 4%, 291. The milan system for reporting salivary gland cytology. We aimed to clarify the validity and diagnostic utility of the msrsgc. Salivary gland fine needle aspiration and introduction of. The result was a tiered reporting system named the milan system for. Salivary gland tumors are one of the most heterogeneous groups of neoplasms, and salivary gland tumors are one of the most difficult areas of evaluation in cytology.
Milan system for reporting of salivary gland cytopathology. Salivary gland cytology presents many diagnostic challenges. The papanicolaou society of cytopathology system for reporting pancreatobiliary. The role of the milan system for reporting salivary gland cytopathology. Thyroid cytopathology is dealt with in the thyroid cytopathology article. The milan system for reporting salivary gland cytopathology msrsgc was published in 2018 and comprises seven categories.
The milan system for reporting salivary gland cytopathology msrsgc. These reporting systems provide a uniform approach for classifying and reporting cytology in cervical, thyroid, salivary gland, and urinary cytology. It presents for the first time, an international cytologic reporting system for salivary gland lesions. Application of the milan system for reporting salivary. The milan system for reporting salivary gland cytopathology msrsgc is designed to include best practice guidelines pertaining to sgfna including. Application of the milan system for reporting salivary gland. Salivary gland fnac with application of milan system of.
May 2018the milan system for reporting salivary gland cytopathology was published jan. Nov 27, 2017 the milan system for reporting salivary gland cytopathology pathcast. Finally, an overview of the newly proposed milan system for reporting salivary gland cytopathology will be presented. A large body of literature has demonstrated that fna is an effective method for the initial evaluation. Application of the milan system for reporting risk. The milan system for reporting salivary gland cytopathology mucinous cyst contents, aspirates with atypia, is composed of 6 general diagnostic categories summarized below.
Fineneedle aspiration cytology fnac is a wellestablished technique for evaluation of salivary gland lesions, but because of the heterogenicity and. Salivary gland cytopathology and salivary gland cytology redirect to here. Salivary gland cytology and the milan system for reporting dina r. We read with interest the recent publication by rohilla et al,1 which discussed the clinical applicability and potential benefits of the forthcoming milan system for reporting salivary gland cytopathology msrsgc. Rossi ed 1, faquin wc 2, baloch z 3, barkan ga 4, foschini mp 5, pusztaszeri m6, vielh p 7, kurtycz dfi 8. Mody, md director of cytology laboratories the ibrahim ramzy chair in pathology houston methodist hospital professor of pathology and laboratory medicine weill cornell medicine conflict of interest none with vendors of cytology equipment or hpv testing. Non neoplastic 10% clinical follow up, radiologic correlation iii. An introduction to cytopathology is in the cytopathology article.
Each diagnostic category is associated with an implied risk of malignancy and recommendations for the clinical management table 1. Welcome to the milan system for reporting salivary gland cytopathology online atlas. Target audience this educational activity is designed for pathologists, cytopathologists, cytotechnologists, students and other members of the cytopathology. If you continue browsing the site, you agree to the use of cookies on this website. The study group, formed during the 2015 european congress of cytology held in milan, italy, generated a survey that included 49 specific questions related to the taxonomies, practices, and diagnostic entities of salivary cytology. Fourteen cases originated from accessory salivary glands 4%, 291 89% from the.
In the meantime, milan system of salivary gland fna, corresponding risk of malignancy and clinical management will be discussed in detail. The milan system for reporting salivary gland cytopathology msrsgc is a tiered reporting system with six diagnostic categories and proposed risk of malignancy rom for each category. Application of the milan system for reporting risk stratification in salivary gland cytopathology. Time to standardize the cytology reporting accmedisclosure.
The bethesda system for reporting thyroid cytopathology. Suspicious for malignancy sfm milan system for reporting. The milan system for reporting salivary gland cytopathology provides a stage for a standardized international reporting system. An international effort toward improved patient carewhen the roots might be inspired by leonardo da vinci. Msrsgc, milan system for reporting salivary gland cytopathology. We examine the incidence of msrsgc categories and the corresponding risk of malignancy rom within a tertiary referral centre in southeast asia.
The milan system for reporting salivary gland cytopathology msrsgc is a tiered risk. Riskbased stratification of salivary gland lesions on. The milan system for reporting salivary gland cytopathology msrsgc aims to provide a common language for risk stratification and management. Pdf the role of the milan system for reporting salivary gland. Atypia of undetermined significanceaus 20% repeat fna or surgery iva. Reporting salivary gland cytopathologynew userfriendly milan. The new reporting system is evidencebased using data from the literature as well as upon the experience of a multidisciplinary group of leading experts involved in the field of salivary gland cytopathology. Application of the milan system of reporting salivary.
Salivary gland cytology and the milan system for reporting. The milan system for reporting salivary gland cytopathology was developed and introduced to provide enhanced communication and improved overall care. Salivary gland fna diagnostics in a reallife setting. Reporting systems american society of cytopathology.
We read with interest the recent publication by rohilla et al, 1 which discussed the clinical applicability and potential benefits of the forthcoming milan system for reporting salivary gland cytopathology msrsgc. Introduction milan system for salivary gland cytology. Additionally, this site will provide an opportunity for realtime updates of terminology and. The milan system for reporting salivary gland cytopathology by william c. For these reasons, the milan system for reporting salivary gland cytopathology msrsgc has been recently developed to standardize the terminology for reporting fna cytology of salivary gland and to improve the communication between clinicians and pathologists.
An introduction to cytopathology is in the cytopathology article salivary gland cytopathology and salivary gland cytology redirect to here. The american society of cytopathology and international academy of cytology recently proposed a tiered international classification scheme called the milan system for reporting salivary gland cytopathology msrsgc, providing guide for clinical management according to rom in different categories. The milan system for reporting salivary gland cytopathology msrsgc was introduced in. The milan system for reporting salivary gland cytopathology msrsgc established a standardized, tiered reporting system for salivary gland fine. Nondiagnostic 25% clinicalradiologic correlation, repeat fna ii. Milan system for reporting salivary gland cytopathology ncbi. The milan system for reporting salivary gland cytopathology msrsgc was introduced in 2018 following other organ specific. Fineneedle aspiration cytology fnac is a wellestablished technique for evaluation of salivary gland lesions, but because of the heterogenicity and morphological overlap between spectrum of lesion, there are a few challenges in its wide use.
Effectuation to cognize malignancy risk and accuracy of fine needle aspiration cytology in salivary gland using milan system for reporting. An international panel of experts in the field of salivary gland cytology sgc, supported by the american society of. The milan system for reporting salivary gland cytopathology dr. Director head and neck pathology massachusetts general hospital harvard medical school boston, ma dr. Time to standardize the cytology reporting of salivary glands.
The present study aimed to summarize our institutional experience with the institutional 6tier salivary gland cytopathology reporting system, as an initiative to promote collaborative work toward a consensus on a reporting system that is succinct, unambiguous, and clinically. Head and neck cytopathology is a small part of cytopathology. The milan system for reporting salivary gland cytopathology msrsgc diagnostic category risk of malignancy rom management i. In 2018, the milan system for reporting salivary gland cytopathology was published defining a diagnostic categorization scheme with known malignancy risks and clinical follow up recommendations. Milan system for reporting salivary gland cytopathology msrsgc. Faquin has nothing to disclose accmedisclosure salivary gland tumors are among the most heterogeneous group of neoplasms. Results were used to provide focus for the proposed milan system for reporting salivary gland cytopathology. Download now this volume describes a uniform international approach for classifying and reporting salivary gland fna samples. Multiinstitutional studies are required for the validation of the milan system for reporting salivary gland cytopathology. Recently, the milan system for reporting salivary gland cytopathology msrsgc was introduced, providing guide for diagnosis and. The websites for the bethesda, milan and paris systems. Akin to the bethesda system for reporting thyroid cytopathology, the msrsgc is an evidence. The result was a tiered reporting system named the milan system for reporting salivary gland cytopathology and was inspired by the city where the first discussions were held during the 2015 european congress of cytology. The milan system and other aspects of salivary gland cytology.
The establishment of a classification system for reporting salivary gland fna represents an essential step towards improving the overall effectiveness of. The challenges posed by the inherent complexity of salivary gland fna are complicated by the lack of a standardized, tiered diagnostic framework by which salivary gland fna can be reported. The milan system for reporting salivary gland cytopathology pathcast. Maria pia foschini, esther diana rossi, kayoko higuchi, nirag c. Moving toward a systematic approach for reporting salivary. An interactive medical education curriculum that leverages live. This volume describes a uniform international approach for classifying and reporting salivary gland fna samples.
The milan system for reporting salivary gland cytopathology msrsgc is a tiered reporting system with six diagnostic categories and proposed risk of. Malignant confident diagnosis of malignancy of an identified tumor type, supported by. Risk assessment of salivary gland cytological categories of the. Nov 29, 2018 the milan system for reporting salivary gland cytopathology. Fnac is a well established technique for categorization of salivary gland lesions preoperatively. The milan system for reporting salivary gland cytology msrsgc has been recently published to help communication between. Background the milan system for reporting salivary gland cytopathology msrsgc is a 6. The milan system for reporting salivary gland cytopathology. The milan system for reporting salivary gland cytopathology msrsgc was introduced in 2018 following other organ specific cytopathological reporting systems and it aimed at bringing a practical. Home milan system for salivary gland cytology university.
882 806 519 1368 1065 967 1523 835 292 1190 1351 323 619 1454 175 878 1182 743 939 869 894 408 29 656 435 739 518 1339 1475 1213 1167 918 17 290 1414 652 176 1326 787 1229 905 95 1460 460 985 1465 164 1352 1217 180