Working practices for Head and Neck (HN) diagnostic and clinical teams have changed dramatically over the past 15 years with highlighted importance on specialist Multidisciplinary Teams (MDT) including radiologists and cytopathologists. To achieve high levels of diagnostic accuracy in this modern working environment, special training and commitment to cytopathology are required in addition to histopathology.
Cytopathology of the Head and Neck: Ultrasound guided FNAC supports the learning of new skills expected of practicing pathologists by providing a comprehensive approach to cytopathology, including performing FNAC and on site interpretation. New to this edition is coverage of ultrasound (US) guidance the use of which has emerged as an essential adjunct to either Fine Needle Aspiration Cytology (FNAC) or needle core biopsy, and is expected to increase. US combined with US guided FNAC is now recommended as the investigation method of first choice for HN lesions for evaluating regional metastases in HN patients, for both those with and those without palpable lumps.
This second edition also includes:
• Expanded coverage of clinical images of head and neck masses
•Clear presentation of FNAC diagnostic features with images
• Over 200 ultrasound images and explanatory text
• Clinical management algorithms
• Examples of diagnostic of pitfalls and complications in FNAC
• Medicolegal issues in head and neck cytopathology practice
This timely book fills the training gap required for pathologists and offers a team approach to head and neck lesions, with valuable input from radiologists, ENT (ear, nose, and throat) surgeons, oncologists, and medico-legal experts. This new edition reflects the emergent multidisciplinary approach to head and neck practice.
Contents
Chapter 1. Introduction
Introduction
Fine Needle Aspiration Cytology of the Head and Neck
Ultrasound Guided FNAC
A Combined US/FNAC Approach
Sampling Technique
Chapter 2. Salivary Gland
Introduction
Diagnostic Imaging of Salivary Glands
Cytology of the Salivary Gland
Salivary Gland Tumours
Malignant Tumours of the Salivary Gland
Miscellaneous Tumours
Clinical Management of Salivary Gland Lesions
Chapter 3. Thyroid
Introduction
Non-Neoplastic and Inflammatory Conditions
Indeterminate Cytological Findings: Follicular Lesions
Malignant Tumours
Chapter 4. Lymph Node
Introduction
Non-Neoplastic Lymphoproliferative Conditions
Hodgkin’s Lymphoma
Non-Hodgkin’s Lymphoma
Metastatic Carcinoma in Lymph Nodes
Chapter 5. Miscellaneous Lesions of the Head and Neck
Introduction
Benign Soft Tissue Lesions
Cysts of the Head and Neck
Small Round Cell Tumours
Locally Arising Miscellaneous Tumours
Dr Gabrijela Kocjan, MBBS, Spec Clin Cyt, FRCPath
Senior Lecturer/Honorary Consultant,
Department of Cellular Pathology
University College London
Dr Simon Morley MA, BM BCh, MRCP, FRCR
Consultant Radiologist
Department of Imaging
University College London
Dr Timothy Beale MB BS FRCS FRCR
Consultant Radiologist
Department of Imaging
University College London
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