Companion Society Meetings

International Academy of Cytology

How to Communicate Our Results Better

Sunday, March 18, 2018, 1:30 pm - 5:00 pm

Session Credits:

3 CME and 3 SAMs


Robert Y. Osamura, M.D., Ph.D., FIAC, International University of Health and Welfare, Nippon Koukan Hospital, Tokyo & Kawasaki, Japan
Fernando Schmitt, MD, PhD, FIAC, IPATIMUP, Porto University, Porto, Portugal

Course Description:

This symposium will be led by the President of the International Academy of Cytology (IAC), Prof. Robert Osamura and by the General Secretary of IAC, Prof. Fernando Schmitt. After a short introduction, Prof. Schmitt will show the advantages of using common international nomenclatures and structured reports for better communication with clinicians and especially for better health care and management of patients. Following this introduction, all the Systems for Reporting Cytology used at this moment will be presented by speakers who were leaders or co-leaders of the working groups involved in the establishment of these systems. We will start with Dr. Ritu Nayar who will show the beginning of the history with the first system described for reporting gynecological cytology: The Bethesda System. The advantages of using a structured report were observed by all cytopathologists and was proposed for the first time for non-gynecological cytology on thyroid FNA. This system will be shown by Dr. Syed Ali one of the leaders of this proposal. Although these two systems were proposed in the United States, both rapidly gained an international acceptance. Subsequently, the international community of cytopathologists showed their willingness to participate actively in the other proposals for different organs. The first international system, co-sponsored by the IAC and the American Society of Cytology was proposed in Paris for an area where standardization of the reports was definitely needed: urine cytology. This system will be presented by Dr. Eva Wojcik one of the leaders of the proposal. Salivary gland cytology, a complex area, was the next system. The idea was born in Milan and the system gained the name The Milan System. Dr. Philippe Vielh, one of the promoters of the system will present the system. Finally, one type of cytology that despite showing a decrease in some centers is still in world-wide use, is breast FNA. In the last international congress of the IAC in Yokohama, a proposal was launched for structured reports in breast FNA. This is a work in progress and will be presented by one of the authors of the proposal, Prof. Andrew Field from Australia.

Learning Objectives:

Upon completion of this educational activity, the learner will be able to:

  • Identify the diagnostic issues and limitations of the different systems.
  • Discuss the new ancillary/molecular tests used in cytology.
  • Appreciate the clinical implications of cytologic interpretations.


1:30 PM Introduction
Robert Y. Osamura, M.D., Ph.D., FIAC, International University of Health and Welfare, Nippon Koukan Hospital, Tokyo & Kawasaki, Japan
1:40 PM Why Do You Need to Give Names?
Fernando Schmitt, MD, PhD, FIAC, IPATIMUP, Porto University, Porto, Portugal, Porto, Portugal
2:00 PM The Beginning of the History - The Bethesda System for Reporting Gynaecological Cytology
Ritu Nayar, M.D., MIAC, Northwestern Memorial University Hospital, Chicago, IL
2:30 PM Time for Non-gynaecological Cytology - The Bethesda System for Reporting of Thyroid Cytology
Syed Ali, M.D., FIAC, Johns Hopkins University, Baltimore, MD
3:00 PM Break
3:30 PM From US to Europe - The Paris System for Reporting Urinary Cytology
Eva Wojcik, M.D., MIAC, Loyola University Medical Center, Maywood, IL
4:00 PM Spreading for Other Organs - The Milan System for Reporting Salivary Gland Cytology
Philippe Vielh, M.D., Ph.D., FIAC, Laboratorie National de Sante, Dudelange, Luxembourg
4:30 PM What is Coming Now? The Yokohama System for Reporting Breast FNA
Andrew Field, MBBS, FIAC, St. Vincents Hospital, Sydney, Australia


Continuing Medical Education and Maintenance of Certification

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The United States and Canadian Academy of Pathology and International Academy of Cytology. The United States and Canadian Academy of Pathology is accredited by the ACCME to provide continuing medical education for physicians.

The United States and Canadian Academy of Pathology designates this live activity for a maximum of
3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The USCAP is approved by the American Board of Pathology (ABP) to offer Self-Assessment credits (SAMs) for the purpose of meeting the ABP requirements for Maintenance of Certification (MOC). Physicians must take and pass the post-test in order to claim SAMs credit.

Physicians can earn a maximum of 3 SAM credit hours.


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