Recall processes for biliary cytology in primary sclerosing cholangitis

Recall processes for biliary cytology in primary sclerosing cholangitis

Eaton, John E., Gossard, Andrea A., Talwalkar, Jayant A.

Abstract

Purpose of review: Patients with primary sclerosing cholangitis (PSC) are at an increased risk for cholangiocarcinoma (CCA). Distinguishing benign from malignant biliary strictures with routine biliary cytology in this population is challenging. In this review, we examine the strengths and limitations of biliary cytology, review the application of other techniques to help minimize these limitations and present a pragmatic approach to address biliary cytology findings when encountered in PSC . . .  To read further please click on the title.