A Single Institutional Experience With the Paris System for Reporting Urinary Cytology
| Autor: | Andres A. Roma, Niloufar Reisian, Farnaz Hasteh, Leili Mirsadraei, Xiaoyan Liao, Somaye Y. Zare, Ahmed Shabaik |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry Urinary system 030209 endocrinology & metabolism General Medicine medicine.disease Predictive value Correlation 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Cytology medicine Atypia Overall performance Radiology Medical diagnosis business Reporting system |
| Zdroj: | American Journal of Clinical Pathology. 150:162-167 |
| ISSN: | 1943-7722 0002-9173 |
| DOI: | 10.1093/ajcp/aqy043 |
| Popis: | Objectives The Paris System for Reporting Urinary Cytology (TPS) is designed to standardize the criteria and terminology used in urinary tract cytology reporting. The aim of this study was to evaluate the impact of implementing TPS and to analyze the correlation with follow-up biopsies in order to assess its reproducibility. Methods Urinary tract cytology specimens with follow-up biopsies over a 2-year period were reviewed and reclassified according to TPS criteria. Surgical follow-up diagnoses were correlated with the initial cytology diagnoses and TPS interpretations, and the results were compared. Results Applying TPS in comparison to our previous reporting system resulted in fewer cases in the atypia category (11.8% vs 24.2%) and higher specificity, accuracy, and predictive value. We observed acceptable interobserver agreement in diagnostic categories of this reporting system. Conclusions TPS improves the overall performance of urinary tract cytology by standardizing the criteria and terminology. |
| Databáze: | OpenAIRE |
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