2 doctors weighed in:

What's the point in doing a fine needle aspiration on swollen cervical lymph nodes if the sensitivity is less than 99 percent?

2 doctors weighed in
Dr. Inderjit Deol
Pathology

In brief: FNA

Fine needle aspiration (FNA) can rule out cancer.
Your age group, there are less chances that it is cancerous. FNA procedure is easy and can be done as outpatient procedure. If FNA result comes out as reactive, inflammatory or infective in nature, then you don't have to undergo surgical procedure and you can be treated accordingly. Even lymphoma, metastatic malignant tumor can be diagnosed.

In brief: FNA

Fine needle aspiration (FNA) can rule out cancer.
Your age group, there are less chances that it is cancerous. FNA procedure is easy and can be done as outpatient procedure. If FNA result comes out as reactive, inflammatory or infective in nature, then you don't have to undergo surgical procedure and you can be treated accordingly. Even lymphoma, metastatic malignant tumor can be diagnosed.
Thank
Dr. Michael Ein
Internal Medicine - Infectious Disease

In brief: To make diagnosis

Most tests in medicine have much less than 99% sensitivity and specificity.
Fna of an abnormal lymph node has a high likelyhood of determining the cause be it infectious or neoplastic. If your doctor recommends it i suggest you listen to him. Second guessing your doctor frequently leads to bad outcomes. If you have serious reasons to doubt his judgement ask for a second opinion.

In brief: To make diagnosis

Most tests in medicine have much less than 99% sensitivity and specificity.
Fna of an abnormal lymph node has a high likelyhood of determining the cause be it infectious or neoplastic. If your doctor recommends it i suggest you listen to him. Second guessing your doctor frequently leads to bad outcomes. If you have serious reasons to doubt his judgement ask for a second opinion.
Thank
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