Cervical smear samples were collected by various professionals (nurses, cytotechnologists, and cytopathologists
) at different basic health centers.
Hence, such clear fluid aspirate should alert the cytopathologist
towards the possibility of parasitic etiology.
"Such as poor diagnostic accuracy by cytopathologists
due to the fact that actual cancer cells in sputum can be prohibitively rare for human analysis."
Prior to 2005, radiology nurses fixed the sample; between 2005-2009 an on-site cytopathologist
fixed and examined the sample; and since 2010 the sample has been fixed directly into CytoRich[R] liquid media.
Professor of Pathology of Karachi Medical and Dental College and Abbasi Shaheed Hospital Consultant Histopathologist & Cytopathologist
VINEY WADEHRA, FRCPath, Consultant Cytopathologist
, Department of Pathology, Freeman Hospital, Newcastle-uponTyne, UK.
Awareness by both the otolaryngologist and cytopathologist
of the clinical presentation of pilomatricoma in the workup of a subcutaneous mass of the head and neck is crucial to the avoidance of unnecessarily morbid treatments for this benign lesion.
It is also noteworthy that the accuracy of FNAB is closely related to the skill and experience of the physician who is performing the biopsy and the cytopathologist
who is analyzing the specimen.
The accuracy of cytological diagnosis depends on several factors including the experience of aspirator, sampling method, the adequacy of sample the target organ and the expertise of examiner (Cytotechnologist and cytopathologist
An FNA has the advantage of obtaining a fast diagnosis if an onsite cytopathologist
is available, with an interpretation of a cellular smear being possible in minutes.
Studies report the sensitivity of FNA as 65% to 90% (average 83%); depending on the experience of endocrinologist and cytopathologist
, with a specificity of 72% to 100% (average 92%) (7,8).