Question 1

are fna's - even w/ flow cytology - useless for diagnosing lymphoma?

Accepted Answer

Pretty much: Accurate histopathologic evaluation of lymphomas requires a tissue biopsy, preferably an intact lymph node. Fnas suggesting the presence of a lymphoma should be followed up with a definitive tissue biopsy. Some centers use fna as an initial screening test to determine if the patient's lymphadenopathy is a benign reactive form. The accurate diagnosis of lymphoma based on fna is not possible.

Question 2

if they do a fna on a tumor, what would come out? like, liquid or tissue?

Accepted Answer

Tiny fragment: Think of a few fine droplets containing tiny cells, so delicate that the naked eye cannot say solid or liquid. It is examined with great care, and the microscope shows rich detail and color.

Question 3

how sure can a rad and pathologist be when doing a fna that it's  prob ok just by looking at it?

Accepted Answer

Sampling: Radiologist can try to ensure that the needle aspiration is done from the lesion. Pathologist can read individual cells and tell if the cells are benign or malignant. If the pathologist finds malignant cells, the diagnosis is definitive. If malignant cells are not seen, it may be because there is no cancer or that cancer cells were not aspirated by the needle.

Question 4

hello. i am having a fna perform on wed to check on my nodes in my chest. should i be worried about the procedure?  is it safe? thank you.

Accepted Answer

Generally safe: Fine needle aspirations are generally safe. They involve one or more passes of a needle through an area that is to be sampled. I assume that this is in the lung fields are not on the chest wall. One potential complication is called a pneumothorax where air can get introduced into the space between the long and the chest wall.

Question 5

what's the difference between eus trucut bx and eus fna bx? choice, likelihood of success and risk for bx extra-sigmoid soft tissue nodule?

Accepted Answer

Your doctor can expl: If you ask, your doctor will be happy to explain. Fna is a very thin needle used to do a biopsy. Trucut is a larger bore needle biopsy which yields more tissue than  a fna does, so it provides a better diagnostic yiled of tumor tissue. Eus is simple a way of endoscopic ultrasound guidance from inside the intestine (colon in your case).

Question 6

32 years old male. multiple nodule, the largest size is 1.5*1.78*0.839 cm. three times fna. result is no evidence of maligancy. but hurthle cell seen.

Accepted Answer

Be glad: If one of the nodules does start growing rapidly and becomes dominant, get needled again. Millions of folks have idiopathic multi modular goiter. Be thankful for good health and get on with your life.

Question 7

i had fna and the path said that it was calcium in it my endo was concerned to and she schedule another sonog in dec nodul 2.3 should i wait that long?

Accepted Answer

Yes.: Sounds like your doc is correct.  Thyroid cancer is sometimes quite difficult to diagnose and is not very aggressive.  Waiting for a few weeks or months and relooking is entirely appropriate.

Question 8

how long should it take to get results for a thyroid fna?

Accepted Answer

Thyroid FNA results: No longer than a week. May take longer if a second look or specialized pathology studies  are indicated.

Question 9

fna on a 2.o cm tumor came back as hurthle cell neoplasm.  what is the best approach?

Accepted Answer

Surgery: Hurthle cell tumors are adenomas but has higher incidence of malignancy , if they are over 4 cm and in older population , surgical resection is needed , some even advocate total thyroidectomy, instead of lobectomy.

Question 10

had an fna of thyroid done today. dr. said it looks very cellular. what does that mean?

Accepted Answer

: It means a good specimen, probably. You just have to wait for the final cyto-pathology report. Take care and good luck.

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Doctor answers about:

What is FNA

A member asked:

Are fna's - even w/ flow cytology - useless for diagnosing lymphoma?

A member asked:

If they do a fna on a tumor, what would come out? like, liquid or tissue?

A member asked:

How sure can a rad and pathologist be when doing a fna that it's prob ok just by looking at it?

A member asked:

Hello. i am having a fna perform on wed to check on my nodes in my chest. should i be worried about the procedure? is it safe? thank you.

A member asked:

What's the difference between eus trucut bx and eus fna bx? choice, likelihood of success and risk for bx extra-sigmoid soft tissue nodule?

A member asked:

32 years old male. multiple nodule, the largest size is 1.5*1.78*0.839 cm. three times fna. result is no evidence of maligancy. but hurthle cell seen.

A member asked:

I had fna and the path said that it was calcium in it my endo was concerned to and she schedule another sonog in dec nodul 2.3 should i wait that long?

A member asked:

How long should it take to get results for a thyroid fna?

A member asked:

Fna on a 2.o cm tumor came back as hurthle cell neoplasm. what is the best approach?

A member asked:

Had an fna of thyroid done today. dr. said it looks very cellular. what does that mean?

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Questions?

32 years old male. multiple nodule, the largest size is 1.51.780.839 cm. three times fna. result is no evidence of maligancy. but hurthle cell seen.