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shidham cytopathology vshidham serous effusion diagnostic cell block test pap asc-h fna cytology tata immunohistochemistry scip immuno effusion serous cavity fluid cytopathology cell bl immuono ecc melanoma node lymph sentinel istanbul cell block preparation protocol pancreas open eus cmas cytojournal access serous fluid teaching pathology medical studemts practice immunocytochemistry gi pathology phantom training