Cytopathology of the Head and Neck

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