Non-Gynecologic Cytopathology Center of Excellence
5150 Centre Avenue
POB2, Suite 201
Pittsburgh, PA 15232
200 Lothrop Street
Pittsburgh, PA 15213
Mission StatementThe mission of the Non-gynecologic Cytopathology Centers of Excellence is to provide excellence in cytopathology diagnostics, education, and investigation. Individual faculty members have further expertise in organ-based subspecialty areas (e.g. head and neck cytopathology, thoracic cytopathology, gastrointestinal and hepato-pancreatico-biliary cytopathology, genitourinary cytopathology, hematolymphoid cytopathology, and bone and soft tissue cytopathology). Along with the surgical pathology COEs, the application of ancillary technologies for diagnostic, therapeutic and prognostic purposes is emphasized. Our colleagues at Magee Womens Hospital provide the expertise in Gynecologic and Breast cytopathology.
Clinical WorkThe UPMC Presbyterian-Shadyside Cytopathology Center of Excellence (COE) is focused primarily on non-gynecologic cytopathology. We have high volumes of FNAs and fluid specimens. In addition, recent advances in endoscopy have resulted in endoscopic ultrasound (EUS) and endobronchial ultrasound (EBUS) procedures. Both of these procedures are utilized by our surgeons, pulmonologists, and gastroenterologists in establishing tissue diagnosis, staging, prognostication, and predicting response to therapy. Our cytopathologists also perform FNA procedures on superficial palpable lesions in multiple settings (FNA clinic, Otolaryngology Clinic, radiation oncology, emergency room, and patient rooms). Immediate on-site cytology evaluations for radiologically guided, EUS, EBUS, and cytopathologist performed FNA procedures are done when requested by the clinical groups. The on-site information is useful in triaging specimens so that appropriate ancillary studies are performed to answer clinically relevant questions. Telecytology technology is available for rapid on-site evaluations (ROSE).
At UPMC Presbyterian, the practice of cytopathology is closely aligned with the organ based surgical pathology specialty practices. Cytopathologists also participate in at least one of the subspecialty surgical pathology Center of Excellence (COE) services. This diversity among our faculty results in the depth and breadth of our non-gynecologic cytopathology expertise and is an asset to our specialty based practice. Furthermore, clinicopathologic conferences held regularly with the clinical subspecialty groups provide a multidisciplinary environment for optimal patient care.
ResearchResearch in Non-gynecologic Cytopathology at UPMC Presbyterian-Shadyside Cytopathology COE focuses on the following areas which emphasize surgical pathology correlation, application of ancillary technologies, and investigation of novel technology:
- thyroid and head and neck cytopathology
- pancreaticobiliary cytopathology
- thoracic cytopathology
- bone and soft tissue cytopathology
- pediatric cytopathology
- infectious diseases
- quality improvement and informatics.
TeachingUPMC Presbyterian-Shadyside Cytopathology COE is actively involved in teaching pathology fellows, residents and cytotechnology students. Faculty members are also involved in lecturing medical students. The department has an extensive teaching slide set for trainees and offers a cytopathology online unkown case series: https://secure.opi.upmc.edu/cytounknowns/index.cfm
UPMC faculty is also heavily involved with teaching at national and international meetings, including prominent pathology meetings such as the American Society of Cytopathology (ASC), American Society for Clinical Pathology (ASCP), International Academy of Cytology (IAC), and the United States and Canadian Academy of Pathology (USCAP).
Our faculty has also authored several practical educational textbooks in the field of cytopathology:
- Monaco SE, Khalbuss WE, Pantanowitz L. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA): A practical approach. Karger, Basel. 2014.
- Pantanowitz L, Parwani AV. Practical Informatics for Cytopathology. Springer. 2014.
- Khalbuss WE, Monaco SE, Pantanowitz L. Quick Compendium of Cytopathology. ASCP Press. 2013.
- Pantanowitz L, Michelow P, Khalbuss WE. Cytopathology of Infectious Diseases. Springer. 2011.
- Nikiforov YE, Ohori NP. Follicular Adenoma in Diagnostic Pathology and Molecular Genetics of the Thyroid, Second Edition. Nikiforov YE, Biddinger PW, Thompson LDR, ed. Wolters Kluwer/Lippincott Williams & Wilkins, 2012.
- Nikiforov YE, Ohori NP. Follicular Carcinoma in Diagnostic Pathology and Molecular Genetics of the Thyroid, Second Edition. Nikiforov YE, Biddinger PW, Thompson LDR, ed. Wolters Kluwer/Lippincott Williams & Wilkins, 2012.
- Nikiforov YE, Ohori NP. Papillary Carcinoma in Diagnostic Pathology and Molecular Genetics of the Thyroid, Second Edition. Nikiforov YE, Biddinger PW, Thompson LDR, ed. Wolters Kluwer/Lippincott Williams & Wilkins, 2012.