Multidisciplinary approach to deep-seated lesions requiring radiologically-guided fine-needle aspiration

Logroño, Roberto; Kurtycz, Daniel F.I.; Sproat, Ian A.; Shalkham, John E.; Stewart, James A.; Inhorn, Stanley L.

doi:10.1002/(sici)1097-0339(199805)18:5<338::aid-dc6>3.0.co;2-6

Cited by 27 publications

(10 citation statements)

References 14 publications

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“…[10][11][12] However,none of these studies used on-site immediate assessment of FNA samples by a cytologist, which has been shown to maximize diagnostic yield and accuracy. [13][14][15] A well-prepared cellblock derived from an FNA sample produces a microhistology specimen that can provide sufficient material to evaluate for architectural features and to perform immunohistochemical studies. 2,[16][17][18] This provides an alternative to NCB when an NCB cannot conveniently be performed.…”

Section: Sampling Technique and Preparationmentioning

confidence: 99%

Pathology of Liver Metastases

Centeno

2006

Cancer Control

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IntroductionThe liver is one of the most common sites for metastatic disease, accounting for 25% of all metastases to solid organs. 1 In the United States and Europe, secondary liver neoplasms are far more common than primary hepatic neoplasms. In the adult oncology patient, most are metastatic carcinomas, of which adenocarcinomas are the predominant subtype, followed by squamous cell carcinomas and neuroendocrine carcinomas. Pathology of Liver Metastases

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Section: Sampling Technique and Preparationmentioning

confidence: 99%

Pathology of Liver Metastases

Centeno

2006

Cancer Control

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“…In one scenario, the clinician performs the procedure (often under imaging or endoscopic guidance) and cytopathology team prepares the specimen, confirms adequacy, and renders an on-site interpretation. [24] In the second situation, the cytopathologist performs the aspiration, generally for palpable and superficial sites such as subcutaneous nodules, salivary glands, lymph nodes, breast lesions and abdominal fat pads. Either situation can occur in the context of an outpatient or inpatient visit, providing a unique opportunity to raise awareness among patients, their families, and other hospital staff of the key role pathologists plays in the patient's care.…”

Section: On-site Service: Special Advantagesmentioning

confidence: 99%

Progression from on-site to point-of-care fine needle aspiration service: Opportunities and challenges

Gupta

2010

CytoJournal

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BackgroundStandard-of-care requires the availability of an efficient, economical and accurate on-site fine needle aspiration (FNA) service. Presence of a trained individual during the procedure ensures an improved patient care. Appropriate selection of the equipment, interaction with the clinicians and compliance with the various regulations during the procedure is essential. This is often done by an on-site FNA service. Organization and implementation of such a system in a large academic center is challenging.Methodwe reviewed the ambulatory care needs in the new Perelman Center for Advanced Medicine (PeCAM). Multiple (9) FNA sites have been established keeping in view the patient's convenience, clinic demands, various regulatory requirements and laboratory staff. Each location has dedicated FNA station with microscopes and supplies. In addition, state- ofthe -art technologies including a mobile FNA cart (Penn-A- Cart), remote specimen evaluation (TeleCyP) have been incorporated.ResultsThe new set up is extremely efficient and much valued by the patients and the clinicians. It has improved patient care.ConclusionWith necessary investments and resources a point-of-care FNA service has been created which has improved patient care. This, albeit with certain modifications may serve as a model for FNA service.

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“…Cytological material may be obtained directly from a clinically suspicious lesion using fine needle biopsy (FNB), which is a rapid, safe and minimally invasive technique1 10 and an accurate means of diagnosing metastatic melanoma 11 12. Alternatively, fluid in body cavities (such as pleural fluid, peritoneal fluid, cerebrospinal fluid), fluid collections in other body sites or fluid within cystic tumours may be aspirated, or washings of various body sites (eg, bronchial washings) may be obtained and subjected to cytological examination.…”

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confidence: 99%