scholarly journals On-site cytotechnician evaluation of the adequacy of fine needle aspiration in a neck lump clinic

2013 ◽  
Vol 95 (8) ◽  
pp. 595-598 ◽  
Author(s):  
VM Reddy ◽  
WO Bennett ◽  
E Bassett ◽  
DJ Cunliffe ◽  
LC Fryer ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Absolute Risk ◽  
Test Group ◽  
Absolute Risk Reduction ◽  
Needle Aspiration ◽  
Control Group ◽  
Number Needed To Treat ◽  
Fine Needle ◽  
Neck Lump ◽  
The Impact

Introduction The gold standard for assessing neck lumps is a one-stop clinic with an on-site cytopathologist who can provide an immediate fine needle aspiration (FNA) report. However, this has considerable resource implications and is not available in all units. In our department, surgeons perform FNAs guided by palpation. The FNA is evaluated for specimen adequacy by an on-site cytotechnician. This study evaluated the impact of the cytotechnician on the adequacy of neck lump FNA. Methods FNA performed between June 2010 and February 2012 was examined. The FNA performed at a neck lump clinic with an assessment of adequacy by an on-site cytotechnician were considered the test group. All other neck lump FNAs from other sources without an assessment of adequacy by an on-site cytotechnician were considered the control group. Results Of the FNAs, 134 met the inclusion criteria for this study. Of these, 87 FNAs (65%) were analysed for adequacy by the on-site cytotechnician and the remaining 47 (35%) were not. The results demonstrated an FNA inadequacy with and without on-site cytotechnician assessment of 29.9% and 40.4% respectively. This is equivalent to an absolute risk reduction of an inadequate FNA of 10.5%, which equates to a number needed to treat of 9.5, ie the cytotechnician needs to assess 9.5 (ie the cytotechnician […] specimen). Conclusions In neck lump clinics where on-site cytopathology is not available, an on-site cytotechnician is a compromise measure that does reduce the number of inadequate FNAs.

scholarly journals The impact of rapid on‐site evaluation on thyroid fine‐needle aspiration biopsy: A 2‐year cancer center institutional experience

2018 ◽  
Vol 126 (10) ◽  
pp. 846-852 ◽  
Author(s):  
Ricardo G. Pastorello ◽  
Camila Destefani ◽  
Pedro H. Pinto ◽  
Caroline H. Credidio ◽  
Rafael X. Reis ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Aspiration Biopsy ◽  
Cancer Center ◽  
Fine Needle ◽  
Thyroid Fine Needle Aspiration ◽  
Institutional Experience ◽  
Site Evaluation ◽  
The Impact

scholarly journals The Impact of Noninvasive Follicular Variant of Papillary Thyroid Carcinoma on Rates of Malignancy for Fine-Needle Aspiration Diagnostic Categories

Thyroid ◽  
2015 ◽  
Vol 25 (9) ◽  
pp. 987-992 ◽  
Author(s):  
Kyle C. Strickland ◽  
Brooke E. Howitt ◽  
Ellen Marqusee ◽  
Erik K. Alexander ◽  
Edmund S. Cibas ◽  
...  
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Papillary Thyroid ◽  
Follicular Variant ◽  
Fine Needle ◽  
Diagnostic Categories ◽  
The Impact

scholarly journals Fine needle aspiration adequacy in a one-stop neck lump clinic: 2nd cycle improvement

2020 ◽  
Author(s):  
George McNally ◽  
Usama Fawzy Kamel ◽  
Sucha Hampal
Keyword(s):  
Head And Neck ◽  
Fine Needle Aspiration ◽  
Diagnostic Delay ◽  
Needle Aspiration ◽  
Specimen Preparation ◽  
Fine Needle ◽  
One Stop ◽  
Neck Lump ◽  
Cancer Guidelines ◽  
The One

The one-stop neck lump clinic at Warrington Hospital was established in 2011 in line with NICE head and neck cancer guidelines.1 They recommend that fine needle aspiration (FNA) is performed under ultrasound guidance in the presence of an onsite cytopathologist. This enables an immediate assessment of adequacy and repeat sampling as required on the same day to prevent diagnostic delay.2 The Royal College of Radiologists recommend a minimum adequacy rate of 70% for thyroid lesions. In 2014, a systematic review of 78 papers found an average FNA adequacy rate for all head and neck lesions of 90.7%.3 Methods: This re-audit aimed to evaluate whether local recommendations for improving the performance of ultrasound. Data collected retrospectively between August 2017 and January 2018 were compared to the first cycle audit (December 2015 May 2016). The adequacy of initial FNA samples were recorded and whether repeat aspirations were required. Samples were considered inadequate if the cytology report stated insufficient material for adequate diagnosis.4 The reasons for diagnostically inconclusive reports were documented. Results: FNA cytology reports for 62 patients (53% female) in the second cycle were compared to 56 patients (64% female) in the first cycle. All pathologies were included, except for patients with suspected lymphoma.The adequacy rate for initial FNA reports increased from 76% to 89%. The specific adequacy rates for thyroids, salivary glands and lymph nodes improved by 18%, 18% and 4% respectively Conclusion: Discussion with the local pathology and radiology departments after the initial audit generated recommendations to improve adequacy rates. The introduction of CytoRich fluid for thyroid specimen preparation significantly increased adequacy. Narrower bore needles reduce the risk of haemorrhagic samples and were used for repeat FNA sampling to successfully decrease inadequate reports.

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