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Adequacy of Urine Specimens (Adequacy)

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The Paris System for Reporting Urinary Cytology

Abstract

Adequacy is a source of disagreement and controversy in all areas of cytopathology, and urinary tract specimens are no exception. For the purposes of this chapter, the term “adequacy” for urine specimens is used to refer to the usefulness of the specimen to diagnose or broach the suspicion of urothelial carcinoma. As such, adequacy of urine specimens for the diagnosis of urothelial carcinoma is determined by the interplay of four specimen characteristics: collection type, cellularity, volume, and cytomorphological findings. In this chapter, we introduce an algorithm for how these variables should be used to arrive at a systematic adequacy determination and how future investigations into the adequacy of urine specimens should be framed.

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Authors and Affiliations

  1. Department of Pathology, Johns Hopkins University School of Medicine, Pathology 406A, 600 N. Wolfe Street, Baltimore, MD, 21287, USA

    Matthew T. Olson

  2. Pathology and Histology-Cytology Department, Toulouse-Rangueil University Hospital, Toulouse University Cancer Institute, Toulouse, France

    Monique Courtade-Saïdi

  3. Department of Pathology, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Japan

    Toyonori Tsuzuki

  4. Department of Pathology, Loyola University Health Systems, Loyola University, Chicago, IL, USA

    Güliz A. Barkan

  5. Department of Pathology, University of California San Francisco, San Francisco, CA, USA

    Christopher J. VandenBussche

  6. Loyola University Healthcare System, Maywood, IL, USA

    Z. Laura Tabatabai

  7. Department of Urology, Saga University, Saga, Japan

    Yuji Tokuda

Authors
  1. Matthew T. Olson
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  2. Güliz A. Barkan
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  3. Monique Courtade-Saïdi
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  4. Z. Laura Tabatabai
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  5. Yuji Tokuda
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  6. Toyonori Tsuzuki
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  7. Christopher J. VandenBussche
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Corresponding author

Correspondence to Matthew T. Olson .

Editor information

Editors and Affiliations

  1. The Johns Hopkins Hospital, The Johns Hopkins University, Baltimore, Maryland, USA

    Dorothy L. Rosenthal

  2. Department of Pathology, Loyola University Medical Center Department of Pathology, MAYWOOD, Illinois, USA

    Eva M. Wojcik

  3. Department of Pathology and Laboratory M, University of Wisconsin School of Medine Department of Pathology and Laboratory M, MADISON, Wisconsin, USA

    Daniel F.I. Kurtycz

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© 2016 Springer International Publishing Switzerland

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Olson, M.T. et al. (2016). Adequacy of Urine Specimens (Adequacy). In: Rosenthal, D., Wojcik, E., Kurtycz, D. (eds) The Paris System for Reporting Urinary Cytology. Springer, Cham. https://doi.org/10.1007/978-3-319-22864-8_2

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  • DOI: https://doi.org/10.1007/978-3-319-22864-8_2

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22863-1

  • Online ISBN: 978-3-319-22864-8

  • eBook Packages: MedicineMedicine (R0)

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