Journal of Cytology
Home About us Ahead of print Instructions Submission Subscribe Advertise Contact e-Alerts Login 
Users Online:1087
  Print this page  Email this page Small font sizeDefault font sizeIncrease font size
ORIGINAL ARTICLE
Year : 2007  |  Volume : 24  |  Issue : 2  |  Page : 82-84

Comparison of unsatisfactory aspirates in fine needle aspiration performed by surgical medical officers and pathologists


Advanced Medical and Dental Institute, Universiti Sains, Malaysia

Correspondence Address:
G Kaur
Advanced Medical and Dental Institute Universiti Sains Malaysia, No. 29, Lorong Bertam Indah 4/9, Taman Bertam Indah, 13200 Kepala Batas, Penang
Malaysia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

The evaluation of fine-needle aspiration cytology (FNAC) is based on a satisfactory cell yield, which is highly operator-dependent. The aim of this study was to compare the proportion of unsatisfactory aspirates obtained by surgical medical officers and pathologists. FNAC case reports were retrospectively reviewed and cases grouped according to organ/site and person who performed the FNA procedure. An aspirate was deemed 'adequate' when a diagnostic report was issued; and 'unsatisfactory' when a report contained terms such as 'unsatisfactory sample' or 'inadequate cellularity for interpretation'. The results showed of a total of 1,248 FNAC reports reviewed, 610 (48.9%) aspirations were performed by medical officers and 638 (51.2%) by pathologists. The most common organs subjected to FNA were breast (68.9%), thyroid (17%), lymph node (9.3%) and others (salivary glands and soft tissue lumps) (4.8%). The overall proportion of unsatisfactory aspirates was 16.7%. Of aspirates performed by medical officers, 26.4% were unsatisfactory compared to 7.5% obtained by pathologists (P<0.001). Pathologists had significantly lower proportion of unsatisfactory aspirates in all organs compared to medical officers. Thyroid lesions had the highest number of unsatisfactory aspirates when performed by medical officers. Hands-on training in aspiration techniques for medical officers and the use of cytospin smears and cell block in bloody thyroid aspirates will be conducted.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2573    
    Printed155    
    Emailed0    
    PDF Downloaded220    
    Comments [Add]    

Recommend this journal