Fine Needle Aspiration: who must perform this Procedure?

2021 ◽  
Vol 4 (5) ◽  
pp. 01-05
Author(s):  
Negri Stefano ◽  
Azzolini Diana ◽  
Corradi Gabriele ◽  
Calabrese Giovanni
Keyword(s):  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
The Body ◽  
Diagnostic Quality ◽  
Fine Needle ◽  
Pathologic Anatomy ◽  
Historical Moment

In this historical moment, when FNA seems to have lost its paramount importance, it’s necessary to publish the data of the case study carried out from 2007 to 2014 in the pathologic anatomy unit at Carlo Poma Hospital in Mantua. This work includes 5,586 FNAs performed in various parts of the body. In particular, we examined 583 breast FNAs performed by a pathologist without help from a radiologist. The data confirm that it is very important for a pathologist to be present when a sample is being taken as this results in a decrease in the number of inadequate preparations as well as in improved diagnostic quality.

scholarly journals Fine-needle aspiration biopsy of ameloblastic carcinoma of the mandible: a case report

2011 ◽  
Vol 22 (3) ◽  
pp. 254-257 ◽  
Author(s):  
Gisele Alborghetti Nai ◽  
Roque Nanci Grosso
Keyword(s):  
Fine Needle Aspiration ◽  
Preoperative Diagnosis ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
The Body ◽  
Aspiration Biopsy ◽  
Odontogenic Tumors ◽  
Ameloblastic Carcinoma ◽  
Fine Needle ◽  
Needle Aspiration Biopsy

The use of fine-needle aspiration biopsy (FNAB) in the diagnosis of odontogenic tumors seems to have attracted little attention. The presence of a firm preoperative diagnosis helps preventing suboptimal surgery, contributing to avoid recurrence of these tumors. A case of ameloblastic carcinoma of the mandible diagnosed by FNAB is presented in this report, illustrating its effectiveness for preoperative diagnosis of odontogenic tumors. A 74-year-old female presented with a painless swelling in the right mandibular angle. A panoramic radiograph revealed a radiolucent lesion in the body of the mandible. Cytological smears from FNAB in the area revealed basaloid cells with a palisade arrangement and presence of stellate-shaped cells. These cytological features lead to the diagnosis of ameloblastoma. However, when there are atypical cells and atypical mitoses, as in the present case, diagnosis of ameloblastic carcinoma may be established. The patient underwent chemotherapy, showing remission of the lesion after treatment. FNAB is a minimally invasive, safe, fast and inexpensive method for diagnosing benign and malignant ameloblastomas, which ensures that patients have a proper treatment without the need of performing an incisional biopsy, especially in neoplastic cases.

scholarly journals Diagnostic diversities of Clear Fluid encountered during Fine needle aspiration cytology with an analysis of various variables.

2019 ◽  
Vol 18 (4) ◽  
pp. 753-755
Author(s):  
RS Minz ◽  
A Adhikari ◽  
S Biswas ◽  
RN Ray ◽  
K Bose ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Incidental Finding ◽  
Medical Science ◽  
Malignant Lesion ◽  
Needle Aspiration ◽  
The Body ◽  
Epidermal Cyst ◽  
Clear Fluid ◽  
Female Ratio ◽  
Fine Needle

Background: Incidental finding of clear fluid during fine needle aspiration (FNA) is not rare in day to day practice of cytology. Though clear in appearance, cells obtained from it may yield a diverse diagnosis ranging from an inconclusive opinion to a malignant lesion. So, clear fluid is not non-significant always; lack of proper processing and examination may prove fatal to a patient. Aim: To evaluate the diverse diagnosis of clear fluid. Materials and methods: During a period of three years, hundred and seven cases which yielded clear fluid during FNAC from different parts of the body were studied. Direct and indirect smears (wherever applicable) was prepared, stained and examined microscopically. Results: Of these 107 cases of clear fluid, Male: Female ratio was 1: 1.6. Maximum cases - 55 (51.40%) was found in the age group 21 to 40 years. Trunk held the most number of lesions - 54 cases (50.46%). FNA results were interpreted as inconclusive in 19 cases (17.76%), benign in 84 cases (78.50%), suspicious in 01 case (0.93%) and malignant in 03 cases (2.80%). Epidermal cyst was the most common benign lesion - 16 cases (14.95%). Malignant lesions found were papillary carcinoma of thyroid, carcinoma of breast and metastatic squamous cell carcinoma – one case each. Conclusion: Our study emphasizes on the importance of proper examination of clear fluid as it may prove helpful in an undiagnosed case of malignancy and it may also improvise the learning of young pathologists. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.753-755

Stage I nonfunctioning neuroendocrine tumors of the pancreas: Surgery or surveillance?

2011 ◽  
Vol 29 (4_suppl) ◽  
pp. 349-349 ◽  
Author(s):  
J. R. Strosberg ◽  
A. Cheema ◽  
L. K. Kvols
Keyword(s):  
Surgical Resection ◽  
Neuroendocrine Tumors ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
The Body ◽  
Stage I ◽  
Pancreatic Neuroendocrine Tumors ◽  
Partial Pancreatectomy ◽  
Fine Needle ◽  
Cystic Tumors

349 Background: An increasing number of nonfunctioning, early-stage pancreatic neuroendocrine tumors are detected incidentally as patients undergo radiographic procedures for unrelated indications. Endoscopic sonography with fine-needle aspiration now enables nonoperative biopsy of tumors smaller than 1 cm in diameter. It is unclear whether the risks of partial pancreatectomy or enucleation exceed the risks of surveillance in patients with these neoplasms. Methods: We performed a database search of patients with pancreatic neuroendocrine tumors treated at the H. Lee Moffitt Cancer Center in order to evaluate outcomes of patients with stage I tumors who did not undergo surgical resection. Results: Four patients were identified who elected to undergo surveillance of their stage I tumors instead of surgical resection. All had been diagnosed via endoscopic ultrasound-guided fine-needle aspiration. The tumor sizes were 7 mm, 12 mm, 13 mm, and 15 mm at initial diagnosis. Three tumors were cystic and one was solid. Three were located in the body of the pancreas and one in the tail. In two patients, the Ki-67 index was measured and was <1%. With a median of follow-up of two years, none of the patients experienced tumor growth. All three patients with cystic tumors experienced shrinkage of their tumors following the diagnostic needle aspiration and did not experience subsequent increase in size (Table). Conclusions: Surveillance may be an appropriate strategy for management of incidentally discovered, stage I pancreatic neuroendocrine tumors. [Table: see text] No significant financial relationships to disclose.

scholarly journals Tumor seeding after endoscopic ultrasound-guided fine-needle aspiration of cancer in the body of the pancreas

Endoscopy ◽  
2012 ◽  
Vol 44 (S 02) ◽  
pp. E160-E161 ◽  
Author(s):  
A. Katanuma ◽  
H. Maguchi ◽  
S. Hashigo ◽  
M. Kaneko ◽  
T. Kin ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
The Body ◽  
Ultrasound Guided ◽  
Tumor Seeding ◽  
Fine Needle
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