Near-patient testing using fine-needle aspiration: A multidisciplinary breast clinic's experience

W. A. Schmidt, M. S. Wachtel, M. K. Jones, A. S. Thurmond, P. M. DuBois, Rodney Pommier, John Vetto

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Breast fine-needle aspiration biopsy (FNAB) is an important near-patient test for the anatomic pathologist. An FNAB cart allows for in-clinic aspirations and diagnoses before patients are discharged. Of 452 patients evaluated in our multidisciplinary breast clinic, FNAB was attempted in 72. The procedure was interrupted in 7 (9.7%) patients because of patient anxiety, and the results were unsatisfactory in 3 (4.2%). Forty-four FNABs were performed on 43 patients with temporally concordant FNABs and biopsy results. FNAB sensitivity and specificity were 97.7% and 100%, respectively. Successful implementation of a multidisciplinary breast clinic depends on careful staff selection and teamwork; the nurse manager of the clinic is the most important team member. Cytopathologic success depends on attention to indications, contraindications, technique, and interpretation. This is the third article in a four-part series. Other articles deal with immunocytochemistry and cytology's relationship to laboratory service.

    Original languageEnglish (US)
    Pages (from-to)618-625
    Number of pages8
    JournalLaboratory Medicine
    Volume25
    Issue number10
    StatePublished - 1994

    Fingerprint

    Biopsy
    Fine Needle Biopsy
    Needles
    Breast
    Testing
    Cytology
    Nurse Administrators
    Managers
    Cell Biology
    Anxiety
    Immunohistochemistry
    Sensitivity and Specificity

    ASJC Scopus subject areas

    • Clinical Biochemistry
    • Pathology and Forensic Medicine

    Cite this

    Schmidt, W. A., Wachtel, M. S., Jones, M. K., Thurmond, A. S., DuBois, P. M., Pommier, R., & Vetto, J. (1994). Near-patient testing using fine-needle aspiration: A multidisciplinary breast clinic's experience. Laboratory Medicine, 25(10), 618-625.

    Near-patient testing using fine-needle aspiration : A multidisciplinary breast clinic's experience. / Schmidt, W. A.; Wachtel, M. S.; Jones, M. K.; Thurmond, A. S.; DuBois, P. M.; Pommier, Rodney; Vetto, John.

    In: Laboratory Medicine, Vol. 25, No. 10, 1994, p. 618-625.

    Research output: Contribution to journalArticle

    Schmidt, WA, Wachtel, MS, Jones, MK, Thurmond, AS, DuBois, PM, Pommier, R & Vetto, J 1994, 'Near-patient testing using fine-needle aspiration: A multidisciplinary breast clinic's experience', Laboratory Medicine, vol. 25, no. 10, pp. 618-625.
    Schmidt WA, Wachtel MS, Jones MK, Thurmond AS, DuBois PM, Pommier R et al. Near-patient testing using fine-needle aspiration: A multidisciplinary breast clinic's experience. Laboratory Medicine. 1994;25(10):618-625.
    Schmidt, W. A. ; Wachtel, M. S. ; Jones, M. K. ; Thurmond, A. S. ; DuBois, P. M. ; Pommier, Rodney ; Vetto, John. / Near-patient testing using fine-needle aspiration : A multidisciplinary breast clinic's experience. In: Laboratory Medicine. 1994 ; Vol. 25, No. 10. pp. 618-625.
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    abstract = "Breast fine-needle aspiration biopsy (FNAB) is an important near-patient test for the anatomic pathologist. An FNAB cart allows for in-clinic aspirations and diagnoses before patients are discharged. Of 452 patients evaluated in our multidisciplinary breast clinic, FNAB was attempted in 72. The procedure was interrupted in 7 (9.7{\%}) patients because of patient anxiety, and the results were unsatisfactory in 3 (4.2{\%}). Forty-four FNABs were performed on 43 patients with temporally concordant FNABs and biopsy results. FNAB sensitivity and specificity were 97.7{\%} and 100{\%}, respectively. Successful implementation of a multidisciplinary breast clinic depends on careful staff selection and teamwork; the nurse manager of the clinic is the most important team member. Cytopathologic success depends on attention to indications, contraindications, technique, and interpretation. This is the third article in a four-part series. Other articles deal with immunocytochemistry and cytology's relationship to laboratory service.",
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