Doug Robertson

Senior Cytotechnologist

CT(ASC) Australian Society of Cytology

Doug has worked in anatomical pathology since 1982. He began his cytology training in 1987 at Edinburgh University Pathology Department before departing for Australia in 1996.

Doug worked in cytology at Clinpath and Flinders Medical Centre in Adelaide before moving to Sullivan Nicolaides Pathology in Brisbane around 2005. There he developed an interest in the provision of rapid on site evaluation at FNA clinics. Returning to Adelaide in 2006, he worked at Gribbles and Adelaide Pathology Partners as 2IC before the latter’s merger with Clinpath in 2016.

Doug has interest and involvement in Cytology education, EBUS TBNA and the promotion of ROSE at FNA procedures.

EBUS – Interesting cases

Abstract

Linear Endobronchial Ultrasound Transbronchial Needle Aspiration (EBUS TBNA) allows the respiratory clinician to obtain minimally invasive tissue samples in order to stage lung cancers and diagnose enlarged PET +ve lymph nodes in the mediastinal and hilar regions of the bronchial tree.

Rapid on site evaluation (R.O.S.E) of these samples by a suitably experienced cytotechnologist gives the clinician immediate feedback on specimen adequacy, increasing the potential for improved diagnostic yield. This allows appropriate triage of the sample for ancillary studies such as flow cytometry, culture, immunocytochemistry and molecular studies.

In this presentation, we will look at and discuss 5 interesting Linear EBUS cases attended by Clinpath cytotechnologists in their provision of R.O.S.E.