Needle Aspiration Biopsy: Role and Limitations in Surgical Decision Making

Schultenover, Stephen J.; Ramzy, Ibrahim; Page, Carey P.; LeFebre, Suzanne M.; Cruz, Anatolio B.

doi:10.1016/s0022-5347(17)49073-2

Cited by 9 publications

(11 citation statements)

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“…Pathologists have been shown to be highly eVective aspirators of breasts and non-breast lesions. [2][3][4] We used a "needle only" FNA technique. This is some times known as fine needle sampling (FNS) rather than FNA.…”

Section: Discussionmentioning

confidence: 99%

Improved FNA cytology results with a near patient diagnosis service for non-breast lesions.

Mayall

Denford²,

Chang³

et al. 1998

J Clin Pathol

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Aim-To review fine needle aspiration (FNA) cytology from sites other than the breast a year before and a year after the introduction of a near patient FNA diagnosis (NPFD) service in which the FNA were performed by a pathologist and reported within a few minutes. Methods-The setting was a large hospital in rural New Zealand. The year before the introduction of the NPFD service was examined retrospectively, and the year after prospectively. The pattern of use and the quality of the results before and after starting the NPFD service were compared. Results-Time taken to report the specimens decreased from a few days to a few minutes. There were statistically significant changes in the following: an increase from 237 to 304 in the number of nonbreast FNA performed, and in particular an increase from 65 to 113 in the number for general surgery; an increase in the use of immunolabelled flow cytometry from 0 to 19 and cell blocks from 3 to 41; an increase in specificity from 53% to 80%; a decrease in the overall inadequacy rate from 29% to 9%; and a decrease in the inadequacy rate for cancers from 9% to 2%. The cost of the non-breast FNA service increased by about £9200 a year. Conclusions-Starting an NPFD service for sites other than the breast greatly reduced the reporting time and produced statistically significant increases in the use of FNA cytology and in the quality of the results. (J Clin Pathol 1998;51:541-544) Keywords: near patient diagnosis; fine needle aspiration cytology; auditIn this study we reviewed the pattern of use and quality of fine needle aspiration (FNA) diagnoses from sites other than the breast a year before and a year after the introduction of a near patient FNA diagnosis (NPFD) service. The setting was a large general and tertiary referral hospital (750 beds) servicing approximately 550 000 people in a rural area of New Zealand. MethodsThe first year was examined retrospectively and the second year-after the introduction of the NPFD service-was examined prospectively. The information collected for each case included the case number, the patient identification, the clinical specialty, the FNA operator, the FNA reporter, the cytological diagnosis, the results of any histology related to the FNA sampled lesion, and the follow up from the clinical notes for those lesions with no clear final diagnosis. In our laboratory the cytological diagnosis is coded according to the NHS Breast screening programme guidelines for cytology procedures and reporting in breast cancer screening (available from NHSBSP publications, Fulwood House, SheYeld S10 3TH, UK): C1, inadequate; C2, benign; C3, atypical; C4, suspicious; C5, malignant. These codes and the related performance statistics are comprehensively defined and widely understood. They were originally intended to apply to breast cytology but they are applicable to all FNA cytology. The significance of diVerences between the first and second years was tested with the 2 test with Yates' correction using a computer program "Chi-square V2.0" from

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Section: Discussionmentioning

confidence: 99%

Improved FNA cytology results with a near patient diagnosis service for non-breast lesions.

Mayall

Denford²,

Chang³

et al. 1998

J Clin Pathol

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“…It has extremely low false positive results, reasonably low false negative results and a few minor complications. 1,9,13,[15][16][17] The rate of false negative results is dependent mainly on sampling failure and poor handling and preparation of aspirated material and much less on interpretation errors. To ensure maximum benefit and diagnostic outcome from FNAB, it is recommended that a collaborative team, including a radiologist, pathologist and surgeon, works closely together to obtain, handle and interpret the aspirates.…”

Section: Discussionmentioning

confidence: 99%

Positive Economic and Diagnostic Accuracy Impacts of On-Site Evaluation of Fine Needle Aspiration Biopsies by Pathologists

Saleh

Khatib²

1996

Acta Cytologica

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“…The high rate of accuracy of FNAC of bone lesions. (1,2,3,4,5) has resulted in recommending the use of this technique as the first line of investigation of bone lesions. (6) The technique has not been tried in our locality.…”

Section: Introductionmentioning

confidence: 99%

F Ine Needle Aspiration Cytology in Bone Lesions

Yadav¹,

Suryawanshi²

2014

jemds

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AIMS:To assess the efficiency of fine needle aspiration cytology (FNAC) in the diagnosis of bone lesions. PATIENTS AND METHODS: This Prospective study was conducted in the surgical wards at tertiary care hospital of the Miraj city over two year period from October 2012-September 2014.Thirty seven patients presented with bone lesions were included in this study. The lesions were provisionally diagnosed by clinical and radiological methods. RESULTS: The results of the aspirated lesions include 20 malignant lesions, 8 tumour like lesions, 5 benign and potentially malignant lesions and 3 inflammatory lesions. In one aspirate the materials was inadequate. The results were compared with the histopathological diagnosis. CONCLUSION: FNAC of bone lesion is safe, quick, easy, economical and helpful in planning the correct therapy. KEYWORDS: FNAC, Bone Lesion. INTRODUCTION:FNAC of bone lesions was introduced in 1930s. Experience in this field has revealed high rate of accuracy. The high rate of accuracy of FNAC of bone lesions. (1,2,3,4,5) has resulted in recommending the use of this technique as the first line of investigation of bone lesions. (6) The technique has not been tried in our locality. Therefore this study was planned to assess the efficiency of this technique in our locality.

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Needle Aspiration Biopsy: Role and Limitations in Surgical Decision Making

Cited by 9 publications

References 0 publications

Improved FNA cytology results with a near patient diagnosis service for non-breast lesions.

Improved FNA cytology results with a near patient diagnosis service for non-breast lesions.

Positive Economic and Diagnostic Accuracy Impacts of On-Site Evaluation of Fine Needle Aspiration Biopsies by Pathologists

F Ine Needle Aspiration Cytology in Bone Lesions

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