Fine Needle Aspirations
Fine needle aspirationis a type of biopsy procedure using a thin needle that is inserted into an area of abnormal appearing tissues or body fluid.
- Appropriate consent should be obtained by the physician or nurse practitioner who orders the test.
- An appropriate local anesthetic, such as 1% lidocaine, should be available.
- An initial impression will be rendered immediately after the aspirations is performed.
- In general, a final report will be available within two days, and usually the next business day.
- The need for special stains or consultation with nationally recognized experts will, of course, cause a delay in the report; but this will be communicated to the clinician.
- At clinician request, referrals to other physicians can then be made immediately.
- In all cases, as assessment by the pathologist will be made as to the need for the aspiration.
- If an aspiration should not be performed, as in the case of a non-palpable breast or thyroid mass, the clinician will be immediately notified.
Aspirations performed by non-pathologists can also be evaluated. An equal number of spray fixed and air-dried smears should be provided. A cell block can be made from material placed in 10% formaldehyde. A final report, excluding the need for special stains or consultation, will be available.
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