Skip to main content

The International System for Reporting Serous Fluid Cytopathology: Introduction and Overview of Diagnostic Terminology and Reporting

  • Chapter
  • First Online:
The International System for Serous Fluid Cytopathology

Abstract

The International System (TIS) for Reporting Serous Fluid Cytopathology is comprised of six diagnostic categories adopted from previous cytopathology reporting models. These include Nondiagnostic (ND), Negative for Malignancy (NFM), Atypia of Undetermined Significance (AUS), Suspicious for Malignancy (SFM), Malignant-Primary (MAL-P), and Malignant-Secondary (MAL-S). We discuss the rationale for and use of this proposed terminology, along with a meta-analysis-supported risk of malignancy associated with each category and the limitations of the existing literature.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kurman RJ, Solomon D, editors. The Bethesda system for reporting cervical/vaginal cytologic diagnoses. Definitions, criteria, and explanatory notes for terminology and specimen adequacy. New York: Springer; 1994.

    Google Scholar 

  2. Solomon D, Nayar R. The Bethesda system for reporting cervical cytology. Definitions, criteria, and explanatory notes. 2nd ed. New York: Springer; 2004.

    Book  Google Scholar 

  3. Nayar R, Wilbur DC. The Bethesda system for reporting cervical cytology. Definitions, criteria, and explanatory notes. 3rd ed. New York: Springer; 2015.

    Book  Google Scholar 

  4. Pittman MB, Layfield LJ, editors. The Papanicolaou Society of Cytopathology system for reporting pancreaticobiliary cytology. Definitions, criteria, and explanatory notes. New York: Springer; 2015.

    Google Scholar 

  5. Rosenthal DL, Wojcik EM, Kurtycz DFI, editors. The Paris system for reporting urinary cytology. Switzerland: Springer; 2016.

    Google Scholar 

  6. Ali SZ, Cibas ES, editors. The Bethesda system for reporting thyroid cytopathology. Definitions, criteria, and explanatory notes. 2nd ed. Switzerland: Springer; 2018.

    Google Scholar 

  7. Faquin WC, Rossi ED, editors. The Milan system for reporting salivary gland cytopathology. Switzerland: Springer; 2018.

    Google Scholar 

  8. Fitzgibbons PL, Dillon DA, Berman AR, et al. Template for reporting results of biomarker testing of specimens from patients with carcinoma of the breast. Arch Pathol Lab Med. 2014;138(5):595–601.

    Article  Google Scholar 

  9. Lindeman NI, Cagle PT, Beasley MB, et al. Molecular testing guideline for selection of lung cancer patients for EGFR and ALK tyrosine kinase inhibitors: guideline from the College of American Pathologists, International Association for the Study of Lung Cancer, and Association for Molecular Pathology. Arch Pathol Lab Med. 2013;137(6):828–1174.

    Article  CAS  PubMed Central  Google Scholar 

  10. Cree IA, Deans Z, Ligtenberg MJ, for the European Society of Pathology Task Force on Quality Assurance in Molecular Pathology and Royal College of Pathologists, et al. Guidance for laboratories performing molecular pathology for cancer patients. J Clin Pathol. 2014;67(11):923–31.

    Article  CAS  PubMed Central  Google Scholar 

  11. Farahani SJ, Baloch Z. Are we ready to develop a tiered scheme for the effusion cytology? A comprehensive review and analysis of the literature. Diag Cytopathol. 2019;47(11):1145–59.

    Article  Google Scholar 

  12. Chandra A. Announcement: the international system for reporting serous fluid cytopathology. Acta Cytol. 2019;63(5):349–51.

    Google Scholar 

  13. Psallidas I, et al. Malignant pleural effusion: from bench to bedside. Europ Respir Rev. 2016;25:189–98.

    Article  Google Scholar 

  14. Kremer R, et al. Pleural fluid analysis of lung cancer vs. benign inflammatory disease patients. Br J Cancer. 2010;102:1180–4.

    Google Scholar 

  15. Loveland P, et al. Diagnostic yield of pleural fluid cytology in malignant effusions: an Australian tertiary center experience. Intern Med J. 2018;48:1138–324.

    Article  Google Scholar 

  16. Rossi ED, et al. The role of liquid-based cytology and ancillary techniques in pleural and pericardial effusions: an institutional experience. Cancer Cytopathol. 2015;123:258–66.

    Article  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Barbara Crothers .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Crothers, B., Baloch, Z., Chandra, A., Farahani, S., Kurtycz, D., Schmitt, F. (2020). The International System for Reporting Serous Fluid Cytopathology: Introduction and Overview of Diagnostic Terminology and Reporting. In: Chandra, A., Crothers, B., Kurtycz, D., Schmitt, F. (eds) The International System for Serous Fluid Cytopathology. Springer, Cham. https://doi.org/10.1007/978-3-030-53908-5_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-53908-5_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-53907-8

  • Online ISBN: 978-3-030-53908-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics