
Sara E. Monaco, MD
System Director, Cytopathology
Program Director, Geisinger Cytopathology Fellowship Program
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The Geisinger Medical Laboratories (GML) Cytopathology laboratory provides:
- Expert review and consultation with clinicians
Fine needle aspirates, small biopsies, body cavity fluids, urine, Pap tests, cerebrospinal fluid, and any other cytological specimen. Direct contact with submitting physicians.
- Highly skilled and experienced staff
We have experienced cytotechnologists and cytopathologists providing cytopathology services throughout our large medical system, with a commitment to patient care.
- State-of-the-art liquid based cytology cervical screening preparation
Computer-assisted review and HPV-DNA testing.
- Rapid on-site evaluation (ROSE) services
On-site cytology personnel with telecytology capabilities for evaluation of FNAs and small biopsies.
- Fine Needle Aspiration (FNA) Biopsy Clinic & Service
Our staff can perform FNAs in our outpatient FNA clinics or at the bedside for inpatients.
- Consultation Service available
We are available for outside consultations through the GML website. Here's how to submit a specimen.
- Quality Assurance
We also provide cytohistologic correlations and maintain an extensive quality assurance program.
Other information about the GML Cytopathology Laboratory:
- The cytopathology laboratories of the Geisinger Medical Laboratories process more than 35,000 cytology cases per year, of which approximately 8,000 are non-gynecologic cases.
- The laboratory excels in the technique of fine needle aspiration biopsy and in the evaluation of radiographic or sonographic guided biopsies, with rapid on-site evaluation (ROSE) services by trained cytotechnologists and cytopathologists.
- The laboratory is fully automated and incorporates computer-assisted primary screening using the FocalPoint computer. This significantly improves the ability to detect premalignant epithelial lesions.
- The laboratory routinely processes SurePath and ThinPrep liquid based cervical specimens. These liquid based technologies help to reduce the false negative rate of cervical cytologic screening.
- The laboratory offers expertise in the interpretation of specimens from multiple collection systems in order to provide flexibility and choice for our many outreach clients. Ancillary testing for high-risk HPV-DNA is offered on both liquid-based platforms.
Geisinger also offers a cytopathology fellowship program, emphasizing the skills and technology available at GML.  
Pancreatic adenocarcinoma on an EUS-guided biopsy of a pancreatic head mass.
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Haiyan Liu, MD
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