Application of the milan system for reporting risk. 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. 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. If you continue browsing the site, you agree to the use of cookies on this website. These reporting systems provide a uniform approach for classifying and reporting cytology in cervical, thyroid, salivary gland, and urinary cytology. The result was a tiered reporting system named the milan system for. It presents for the first time, an international cytologic reporting system for salivary gland lesions. The establishment of a classification system for reporting salivary gland fna represents an essential step towards improving the overall effectiveness of. Msrsgc, milan system for reporting salivary gland cytopathology. The milan system for reporting salivary gland cytopathology pathcast. Salivary gland fine needle aspiration and introduction of. Nondiagnostic 25% clinicalradiologic correlation, repeat fna ii. 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.
This international panel, under the sponsorship of the american society of cytopathology asc and the international academy of cytology iac, gathered in september 2015 at the european congress of cytology, held in milan, italy, to propose the milan system for reporting salivary gland cytopathology. Salivary gland cytology and the milan system for reporting dina r. The role of 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. An international effort toward improved patient carewhen the roots might be inspired by leonardo da vinci. Pdf the role of the milan system for reporting salivary gland. Thyroid cytopathology is dealt with in the thyroid cytopathology article. The milan system for reporting salivary gland cytology. Home milan system for salivary gland cytology university. An introduction to cytopathology is in the cytopathology article. Effectuation to cognize malignancy risk and accuracy of fine needle aspiration cytology in salivary gland using milan system for reporting. The milan system for reporting salivary gland cytopathology was developed and introduced to provide enhanced communication and improved overall care. Milan system for reporting salivary gland cytopathology ncbi.
Implementation of this reporting system in routine practice and further reevaluation in prospective studies can assess the clinical utility of this system. Application of the milan system for reporting risk stratification in salivary gland cytopathology. A large body of literature has demonstrated that fna is an effective method for the initial evaluation. The milan system for reporting salivary gland cytopathology msrsgc diagnostic category risk of malignancy rom management i. Reporting systems american society of cytopathology. Application of the milan system of reporting salivary. 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. The milan system for reporting salivary gland cytopathology by william c. Core group and over 40 participants from 14 countries the milan system for reporting salivary gland cytopathology.
The milan system for reporting salivary gland cytology msrsgc has been recently published to help communication between. The milan system for reporting salivary gland cytopathology msrsgc aims to provide a common language for risk stratification and management. Time to standardize the cytology reporting accmedisclosure. Each diagnostic category is associated with an implied risk of malignancy and recommendations for the clinical management table 1. 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. The milan system for reporting salivary gland cytopathology msrsgc established a standardized, tiered reporting system for salivary gland fine. Atypia of undetermined significanceaus 20% repeat fna or surgery iva. The papanicolaou society of cytopathology system for reporting pancreatobiliary. The milan system and other aspects of salivary gland cytology. Fourteen cases originated from accessory salivary glands 4%, 291. An international panel of experts in the field of salivary gland cytology sgc, supported by the american society of. Introduction milan system for salivary gland cytology.
Faquin has nothing to disclose accmedisclosure salivary gland tumors are among the most heterogeneous group of neoplasms. Additionally, this site will provide an opportunity for realtime updates of terminology and. A clinical approach to diagnosis and management of atypical and suspicious lesions w. 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. Target audience this educational activity is designed for pathologists, cytopathologists, cytotechnologists, students and other members of the cytopathology. This volume describes a uniform international approach for classifying and reporting salivary gland fna samples. 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. Director head and neck pathology massachusetts general hospital harvard medical school boston, ma dr. The milan system for reporting salivary gland cytopathology 1st ed. 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. The milan system for reporting salivary gland cytopathology.
An interactive medical education curriculum that leverages live. A call for universal acceptance of the milan system for. Finally, an overview of the newly proposed milan system for reporting salivary gland cytopathology will be presented. We aimed to clarify the validity and diagnostic utility of the msrsgc. 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. May 2017the milan system for reporting salivary gland cytopathology was published jan. 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. Salivary gland fna diagnostics in a reallife setting. In 2015, an international group of pathologists initiated the development of an evidencebased tiered classification system for reporting salivary gland fna specimens designated the milan system for reporting salivary gland cytopathology msrsgc that culminated with the publication of the msrsgc atlas in february 2018.
Milan system for reporting salivary gland cytopathology msrsgc. The milan system for reporting salivary gland cytopathology msrsgc. Application of the milan system for reporting salivary. The milan system for reporting salivary gland cytopathology msrsgc is a tiered risk. Pdf the milan system for reporting salivary gland cytopathology. Salivary gland fnac with application of milan system of. The milan system for reporting salivary gland cytopathology msrsgc is designed to include best practice guidelines pertaining to sgfna including. The milan system for reporting salivary gland cytopathology msrsgc was introduced in. Fine needle aspiration cytology for salivary gland lesions has shown to be adequately sensitive and specific for diagnosing and treating salivary gland pathologies. Download now this volume describes a uniform international approach for classifying and reporting salivary gland fna samples. 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. 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. The milan system for reporting salivary gland cytopathology mucinous cyst contents, aspirates with atypia, is composed of 6 general diagnostic categories summarized below. May 2018the milan system for reporting salivary gland cytopathology was published jan.
Reporting salivary gland cytopathologynew userfriendly milan. Salivary gland cytology presents many diagnostic challenges. The milan system for reporting salivary gland cytopathology provides a stage for a standardized international reporting system. Multiinstitutional studies are required for the validation of the milan system for reporting salivary gland cytopathology. Milan system for reporting of salivary gland cytopathology. 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. Time to standardize the cytology reporting of salivary glands. The milan system for reporting salivary gland cytopathology dr. The websites for the bethesda, milan and paris systems. Non neoplastic 10% clinical follow up, radiologic correlation iii.
We examine the incidence of msrsgc categories and the corresponding risk of malignancy rom within a tertiary referral centre in southeast asia. Salivary gland cytopathology and salivary gland cytology redirect to here. Fineneedle aspiration cytology fnac is a wellestablished technique for evaluation of salivary gland lesions, but because of the heterogenicity and. Nov 29, 2018 the milan system for reporting salivary gland cytopathology. Nov 27, 2017 the milan system for reporting salivary gland cytopathology pathcast. The milan system for reporting salivary gland cytopathology msrsgc was introduced in 2018 following other organ specific. Moving toward a systematic approach for reporting salivary. Maria pia foschini, esther diana rossi, kayoko higuchi, nirag c. Fnac is a well established technique for categorization of salivary gland lesions preoperatively. Mairembam p, jay a, beale t, morley s, vaz f, kalavrezos n, kocjan g.
Fourteen cases originated from accessory salivary glands 4%, 291 89% from the. Salivary gland cytology and the milan system for reporting. In the meantime, milan system of salivary gland fna, corresponding risk of malignancy and clinical management will be discussed in detail. An introduction to cytopathology is in the cytopathology article salivary gland cytopathology and salivary gland cytology redirect to here. Welcome to the milan system for reporting salivary gland cytopathology online atlas. Results were used to provide focus for the proposed milan system for reporting salivary gland cytopathology. Rossi ed 1, faquin wc 2, baloch z 3, barkan ga 4, foschini mp 5, pusztaszeri m6, vielh p 7, kurtycz dfi 8. Suspicious for malignancy sfm milan system for reporting. All lectures are archived as subspecialty playlists for ondemand viewing. The bethesda system for reporting thyroid cytopathology. The milan system for reporting salivary gland cytopathology msrsgc is a tiered reporting system with six diagnostic categories and proposed risk of.
The milan system for reporting salivary gland cytopathology msrsgc was published in 2018 and comprises seven categories. 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. Riskbased stratification of salivary gland lesions on. Head and neck cytopathology is a small part of cytopathology. Risk assessment of salivary gland cytological categories of the. Background the milan system for reporting salivary gland cytopathology msrsgc is a 6. Designed as a practical book with easy readability, the milan system for reporting salivary gland cytopathology combines the highquality images of an atlas with a logical approach described in concise textform and in linedrawing algorithms. 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. Application of the milan system for reporting salivary gland. Akin to the bethesda system for reporting thyroid cytopathology, the msrsgc is an evidence. Malignant confident diagnosis of malignancy of an identified tumor type, supported by. Recently, the milan system for reporting salivary gland cytopathology msrsgc was introduced, providing guide for diagnosis and.