The Paris system for reporting urinary cytology: The quest to develop a standardized terminology

Güliz A. Barkan, Eva M. Wojcik, Ritu Nayar, Spasenija Savic-Prince, Marcus L. Quek, Daniel F I Kurtycz, Dorothy Rosenthal

Research output: Contribution to journalReview article

Abstract

The main purpose of urine cytology is to detect highgrade urothelial carcinoma. With this principle in mind, The Paris System (TPS) Working Group, composed of cytopathologists, surgical pathologists, and urologists, has proposed and published a standardized reporting system that includes specific diagnostic categories and cytomorphologic criteria for the reliable diagnosis of high-grade urothelial carcinoma. This paper outlines the essential elements of TPS and the process that led to the formation and rationale of the reporting system. TPS Working Group, organized at the 2013 International Congress of Cytology, conceived a standardized platform on which to base cytologic interpretation of urine samples. The widespread dissemination of this approach to cytologic examination and reporting of urologic samples and the scheme's universal acceptance by pathologists and urologists is critical for its success. For urologists, understanding the diagnostic criteria, their clinical implications, and limitations of TPS is essential if they are to utilize urine cytology and noninvasive ancillary tests in a thoughtful and practical manner. This is the first international/inclusive attempt at standardizing urinary cytology. The success of TPS will depend on the pathology and urology communities working collectively to improve this seminal paradigm shift, and optimize the impact on patient care.

Original languageEnglish (US)
Pages (from-to)193-201
Number of pages9
JournalAdvances in Anatomic Pathology
Volume23
Issue number4
DOIs
StatePublished - 2016

Keywords

  • bladder cancer
  • standardized reporting terminology
  • The Paris System
  • urine

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Anatomy

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