Abstract
An interventional approach by the pathologist is essential for the success of fine-needle biopsy (FNB) [1–14]. FNB is a reliable, inexpensive, minimally invasive diagnostic procedure that is immediately repeatable and very well-tolerated by the patient. However, its success depends totally upon the capacity of the physician performing the procedure to reach the target, collect a representative sample, and, finally, optimally exploit the cellular sample for proper ancillary investigations. In other words, FNB is extremely operator-dependent, which represents a great limitation that has thus far negatively impacted potential diffusion of the procedure in many clinical contexts. In addition, inadequate or poor-quality samples have prevented pathologists from developing sufficient experience in the interpretation of cytological findings, thereby further undermining the popularity of FNB.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ljung BM, Drejet A, Chiampi N et al (2001) Diagnostic accuracy of fine-needle aspiration biopsy is determined by physician training in sampling technique. Cancer 93: 263–268.
Dray M, Mayall F, Darlington A (2000) Improved fine needle aspiration (FNA) cytology results with a near patient diagnosis service for breast lesions. Cytopathology 11:32–37.
Mayall F, Denford A, Chang B, Darlington A (1998) Improved FNA cytology results with a near patient diagnosis service for non-breast lesions. J Clin Pathol 51:541–544.
Florentine BD, Staymates B, Rabadi M et al (2006) Cancer Committee of the Henry Mayo Newhall Memorial Hospital. The reliability of fine-needle aspiration biopsy as the initial diagnostic procedure for palpable masses: a 4-year experience of 730 patients from a community hospital-based outpatient aspiration biopsy clinic. Cancer 107:406–416.
Florentine BD, Staymates B, Rabadi M et al (2006) Cancer Committee of the Henry Mayo Newhall Memorial Hospital. Cost savings associated with the use of fine-needle aspiration biopsy (FNAB) for the diagnosis of palpable masses in a community hospital-based FNAB clinic. Cancer 107: 2270–2281.
Anne S, Teot LA, Mandell DL (2008) Fine needle aspiration biopsy: role in diagnosis of pediatric head and neck masses. Int J Pediatr Otorhinolaryngol 72:1547–1553.
Abele JS (2008) The case for pathologist ultrasound-guided fine-needle aspiration biopsy. Cancer 114:463–468.
Brown LA, Coghill SB (1991) Fine needle aspiration cytology of the breast: factors affecting sensitivity. Cytopathology 2:67–74.
Brown LA, Coghill SB, Powis SA (1991) Audit of diagnostic accuracy of FNA cytology specimens taken by the histopathologist in a symptomatic breast clinic. Cytopathology 2:1–6.
Bandyopadhyay S, Pansare V, Feng J et al (2007) Frequency and rationale of fine needle aspiration biopsy conversion to core biopsy as a result of onsite evaluation. Acta Cytol 51:161–167.
Suen KC (2002). Fine-needle aspiration biopsy of the thyroid. Can Med Ass J 167:491–495.
Brown LA, Coghill SB (1992) Cost effectiveness of a fine needle aspiration clinic. Cytopathology 3:275–280.
Kim A, Lee J, Choi JS et al (2000) Fine needle aspiration cytology of the breast. Experience at an outpatient breast clinic. Acta Cytol 44:361–367.
Padel AF, Coghill SB, Powis SJ (1993) Evidence that the sensitivity is increased and the inadequacy rate decreased when pathologists take aspirates for cytodiagnosis. Cytopathology 4:161–165.
Stanley MW, Lowhagen T (1993) Fine needle aspiration of palpable masses. Butterworth-Heinemann, Boston.
Jeffrey PB, Miller TR (1996) Fine-needle aspiration cytology of the thyroid. In: Ljung BM (ed) Pathology: State of the art reviews. Hanley and Belfus, Philadelphia, p 320.
Koss LG, Woyke S, Olszewski W (1996) Aspiration biopsy. Cytologic interpretation and histologic bases. 2nd Ed. Igaku-Shoin, New York.
Bishop Pitman M, Abele J, Ali SZ et al (2008) Techniques for Thyroid FNA: A Synopsis of the National Cancer Institute Thyroid Fine-Needle Aspiration State of the Science Conference. Diagn Cytopathol 36:407–424.
Zajdela A, de Maublanc MA, Schlienger P, Haye C (1986) Cytologic diagnosis of orbital and periorbital palpable tumors using fine-needle sampling without aspiration. Diagn Cytopathol 2:17–20.
Cajulis RS, Sneige N (1993) Objective comparison of cellular yield in fine-needle biopsy of lymph nodes with and without aspiration. Diagn Cytopathol 9:43–45.
Haddadi-Nezhad S, Larijani B, Tavangar SM, Nouraei SM (2003) Comparison of fine-needle-nonaspiration with fineneedle-aspiration technique in the cytologic studies of thyroid nodules. Endocr Pathol 14:369–373.
Rizvi SA, Husain M, Khan S, Mohsin M (2005) A comparative study of fine needle aspiration cytology versus non-aspiration technique in thyroid lesions. Surgeon 3:273–276.
Pothier DD, Narula AA (2006) Should we apply suction during fine needle cytology of thyroid lesions? A systematic review and metaanalysis. Ann R Coll Surg Engl 88:643–645.
Matalon TAS, Silver B (1999) US guidance of interventional procedures. Radiology 174:43–47.
Caturelli E, Giacobbe A, Facciorusso D et al (1996) Freehand technique with ordinary antisepsis in abdominal US-guided fine-needle punctures: three-year experience. Radiology 199:721–723.
Abele JS, Miller TR, King EB, Lowhagen T (1985) Smearing techniques for the concentration of particles from fine needle aspiration biopsy. Diagn Cytopathol 1:59–65.
Koss LG (1992) Diagnostic Cytology and its histopathologic bases. Cytologic Techniques. Lippincott, Philadelphia, pp 1503–1504.
Kaminsky DB (1981) Aspiration Biopsy for the Community Hospital. In: Johnston WW (ed) Masson Monographs in Diagnostic Cytopathology, Masson Publishing USA, New York, pp 12–13.
Ackerman AB (1978) Histologic Diagnosis of Inflammatory Skin Diseases. A Method by Pattern Analysis. Lea & Febiger, Philadelphia, pp 157–168.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Italia
About this chapter
Cite this chapter
Gherardi, G. (2009). Methods. In: Fine-Needle Biopsy of Superficial and Deep Masses. Springer, Milano. https://doi.org/10.1007/978-88-470-1433-6_1
Download citation
DOI: https://doi.org/10.1007/978-88-470-1433-6_1
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-1432-9
Online ISBN: 978-88-470-1433-6
eBook Packages: MedicineMedicine (R0)