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, R. F. Pommier, J. T. Vetto

    Research output: Contribution to journalArticle

    3 Scopus citations

    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
    DOIs
    StatePublished - Jan 1 1994

    ASJC Scopus subject areas

    • Clinical Biochemistry
    • Biochemistry, medical

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