EXFOLIATIVE

CYTOLOGY
NAME-Saniya Kulkarni
Class-3rd year
Roll No-22
 DEFINITION PROCEDURE

THEORY USES

INDICATIONS ADVANTAGES

CONTRAINDICATION DISADVANTAGES

CLASSES CONCLUSION

MATERIALS REFERENCES

CONTENTS
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 “
Exfoliative cytology is the microscopic
examination of shed ,desquamated
cells from body surfaces or cells
harvested by rubbing or brushing a
lesional tissue surfaces.
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• Epithelial physiology
• Epithelial turnover

• Deep lying cells adherent to each other

• Pathological condition-cells lose their
cohesiveness, cells in deeper
layer also shed
• Analysed quantitatively and qualitatively.
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 EXFOLIATIVE ORAL CYTOLOGY

Normal epithelial cells Malignant cells from patient

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with epidermoid carcinoma
 INDICTIONS

Recurrent Carcinoma Screening Lesion

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Pemphigus Vulgaris Benign Familial Pemphigus

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White Sponge Nevus

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Pernicious And Sickle Cell Anaemia

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1)Herpes simplex virus

2)Keratosis follicularis

3)Hereditary benign

intraepithelial dyskeratosis

4)Herpes zoster

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 CONTRAINDICATIONS

A Submucosal lesion Benign Lesions

12 Fibroepithelial Polyp
 Leucoplakia

Cancer –Justify a biopsy 13

 CLASSES

1 2
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 4
5
3

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SITES

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Clinical report form

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1)Clean
2)Identifiers
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 5)Fix
3)Brush

4)Spread
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 CELLULAR
ORAL CANCER
RESPONSE
USES
FORENSIC
DENTISTRY

SYSTEMIC HEREDITARY
CONDITIONS DISEASE

IRON
DEFICIENCY

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1)Quick,simple,painless,bloddless

2) Early diagnosis of lesion

3)Check against false negative biopsy

4)Use-Patients with systemic disorders

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1)Presence or extent of invasion –not assessed

2)Negative report does not rule out cancer

3)Not useful in non epithelial lesion

4)Low sensitivity

5)Contamination

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✓ Any dentist can perform oral exfoliate cytology

✓ It is simple,pain-free,non-invasive,non

aggressive, and rapid

✓ continuing development of cytological

technique, improvements in cell collecting

instruments - oral cytology will become

routine procedure .
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REFERENCES

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