Fine Needle Aspiration Cytology With Immediate Assessment
Also known as: Adrenals, Breast, Liver, Lung, Lymph Node
Use
Diagnose primary or metastatic malignant neoplasms; differential diagnosis of benign versus malignant processes
Special Instructions
Ensure that the patient's name, date of birth, sex, Social Security number, previous malignancy, drug therapy, radiation therapy, and all other pertinent clinical information, including history of alcohol abuse, are included on the request form. Laboratory personnel must be present for needle aspiration procedures under radiologic guidance if initial interpretation of specimen quality is desired. Call the cytology department manager for time arrangement; a 24-hour notification is preferred.
Limitations
Technical limitations include improper labeling, improper fixation, air-drying artifacts, specimens submitted in expired vials according to manufacturer's label, and frozen specimens. Additionally, the adequacy of the sample is crucial, and it relies on proper technique and immediate post-collection processing. The methodology must be followed precisely to ensure accurate results.
Methodology
Other
Biomarkers
LOINC Codes
- 22633-2
- 52797-8
- 33718-8
- 22638-1
- 22636-5
- 22634-0
- 22635-7
- 11546-9
Result Turnaround Time
1 day
Related Documents
For more information, please review the documents below
Specimen
Other
Volume
Not provided
Minimum Volume
Not provided
Container
Slides
Collection Instructions
Smears prepared by cytotechnologist when present. Radiologist collects specimen. Fill Pap jar with 95% ethyl alcohol, label slides with graphite pencil, localize mass, disinfect area, apply local anesthesia, introduce needle, create and maintain negative pressure, sample area vigorously, release plunger to equalize pressure, place needle bevel on glass slide, express material, place slides in fixative jar immediately if material is expressed. If no material expressed, rinse needle barrel with saline and add Saccomanno fixative.
Patient Preparation
To be determined by attending physician(s)
Storage Instructions
Slides in 95% ethyl alcohol maintain well at room temperature. Saline wash with Saccomanno fixative also maintains well at room temp; saline wash without fixative needs refrigeration and urgent transport to cytology.
Causes for Rejection
Improper labeling; improper fixation; air-drying artifact; specimen submitted in vial that expired according to manufacturer's label; frozen specimen