PMID: 8943753Oct 1, 1996Paper

Immediate assessment of fine needle aspiration cytology of lung

Journal of Clinical Pathology
C J Stewart, I S Stewart

Abstract

To assess the value of immediate assessment of cytology in percutaneous fine needle aspiration (FNA) cytology of lung. FNA specimens from 75 consecutive patients with suspected pulmonary neoplasms were subjected to immediate cytology assessment. Direct smears were prepared in the radiology department and stained using the Diff Quik method. The cellular content was assessed and, if possible, a provisional diagnosis offered. A second FNA was requested if the initial aspirate seemed of doubtful adequacy. The diagnostic accuracy was examined by review of clinical and radiological data in all patients, and by correlation with other histological or cytological material in 25 patients. Complications of the procedure were identified during the clinical review. Two of 75 specimens were inadequate for diagnosis. Satisfactory diagnostic material was obtained in 51 patients on a single aspirate and following a second FNA in 22 patients. Of the 73 satisfactory aspirates, 58 were malignant, one highly suspicious of malignancy and 14 reported as negative for malignancy. All malignant diagnoses were confirmed on clinical or pathological review. FNA accurately distinguished primary small cell and large cell carcinomas in those patients with pat...Continue Reading

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Citations

Mar 29, 2001·European Journal of Radiology·S Al-Damegh
May 23, 2012·Interactive Cardiovascular and Thoracic Surgery·Maziar KhorsandiEdward Brackenbury
Oct 31, 2003·Thorax·A ManhireUNKNOWN BTS
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