Journal of Cytology

LETTER TO EDITOR
Year
: 2012  |  Volume : 29  |  Issue : 3  |  Page : 220-

Author's response


Neeta Kumar 
 Department of Pathology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India

Correspondence Address:




How to cite this article:
Kumar N. Author's response.J Cytol 2012;29:220-220


How to cite this URL:
Kumar N. Author's response. J Cytol [serial online] 2012 [cited 2020 Aug 4 ];29:220-220
Available from: http://www.jcytol.org/text.asp?2012/29/3/220/101188


Full Text

We appreciate the points raised by the reader on our paper. [1] My comments as principal author for each of the four points proposed are as under.

Regular use of syringe holder: In our experience, syringe holder is good for superficial swellings of 1 cm or larger in size. The disadvantages are: 1) loss of sensitivity in the aspirating hand about the consistency while piercing the swelling; 2) locally made handle and syringes may not be of good quality, resulting in ill-fitting syringe and high chances of slipping during aspiration and 3) slipping of the hand often occurs when swelling is small or deep-seated, causing needle stick injury (NSI). In such cases, use of non-aspiration technique gives better grip.

Syringe size: The smallest syringe size adequate for the procedure should be used. Syringe is mostly required for fibrous or cystic lesions. Two millilitre and 5 mL syringes are good enough for most of the lesions. Ten millilitre syringe is useful if the lesion is very fibrous, like in breast or benign soft tissue tumour. Twenty millilitre syringe offers no advantage over the smaller sizes, but increases the risk of NSI.

Ultrasonography-guided FNA: It will increase the cost for small superficial swellings and the facility may not be available in all FNA clinics. It should be advised only for deep-seated lesions which are small and not palpable.

Needle recapping: Instead of recapping the needle after FNA procedure, the needle can be crushed and destroyed safely in a needle crusher. We agree with the authors that this is the most important rule which should be followed all the times. Without the needle crusher, FNA service should not be started. No recapping should be attempted.

References

1Chowhan AK, Nandyala R, Patnayak R, Bobbidi PV. Role of syringe holder in reducing needle stick injuries. J Cytol 2012;29:219.