Abstract
In the modern era of cytopathology, sample acquisition refers to the process of procuring specimen material for both cytopathologic examination and ancillary testing. Depending on the site, sample acquisition can be categorized as either exfoliative or aspiration which refers to how material is obtained. Fine-needle aspiration (FNA) is a type of aspiration specimen procurement used to target a specific area not amenable to exfoliative techniques. Mastery of the FNA technique is critical in order to obtain optimal material for cytopathologic examination and further testing. Often, rapid on-site evaluation (ROSE) is utilized in aspiration cytopathology which allows for on-site and real-time specimen adequacy evaluation and allows for appropriate specimen triage during the procedure. After specimen collection, an appropriate test requisition should accompany the specimen to the cytopathology laboratory. This ensures the correct sample is matched with the correct patient and that the sample is appropriately handled.
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Abbreviations
- CNB:
-
Core-needle biopsy
- EBUS:
-
Endobronchial ultrasound
- EUS:
-
Endoscopic ultrasound
- FNA:
-
Fine-needle aspiration
- ROSE:
-
Rapid on-site evaluation
References
Light RW. Useful tests on the pleural fluid in the management of patients with pleural effusions. Curr Opin Pulm Med. 1999;5:245–9.
Friedman MA, Slater E. Malignant pleural effusions. Cancer Treat Rev. 1978;5:49–66.
Meyers DG, Meyers RE, Prendergast TW. The usefulness of diagnostic tests on pericardial fluid. Chest. 1997;111:1213–21.
Sahn SA. Plueral effusions in lung cancer. Clin Chest Med. 1982;3:443–52.
Ben-Horin S, Shinfeld A, Kachel E, et al. The composition of normal pericardial fluid and its implications for diagnosing pericardial effusions. Am J Med. 2005;118:636–40.
Papanicolaou GN. New cancer diagnosis. In: Proceeding of the third race Betterment conference. 1928; p. 528–34.
Kreula J, Brondestaom S, Virkkunun P. Sample size in fine needle aspiration biopsy. Br J Surg. 1989;76(12):1270–2.
Ly A. Fine-needle aspiration biopsy technique and specimen handling. In: Cibas ES, Ducatman BS, editors. Cytology: diagnostic principles and clinical correlates. 4th ed. Philadelphia: Elsevier Saunders; 2014. p. 221–32.
Pitman MB, Abele J, Ali SZ, et al. Techniques for thyroid FNA: a synopsis of the National Cancer Institute Thyroid fine-needle aspiration state of the science conference. Diagn Cytopathol. 2008;36(6):407–24.
Guidelines of the Papanicolaou Society of Cytopathology for fine-needle aspiration procedure and reporting. The Papanicolaou society of cytopathology task force on standards of practice. Diagn Cytopathol. 1997;17(4):239–47.
Mair S, Dunbar F, Becker PJ, Du Plessis W. Fine needle cytology – is aspiration suction necessary? A study of 100 masses in various sites. Acta Cytol. 1989;33(6):809–13.
Kamal MM, Arjune DG, Kulkarni HR. Comparative study of fine needle aspiration and fine needle capillary sampling of thyroid lesions. Acta Cytol. 2002;46(1):30–4.
Papanicolaou Society of Cytopathology. Optimal FNA techniques video series by Britt-Marie Ljung, M.D. http://www.papsociety.org/fna.html.
Sehgal IS, Dhooria S, Aggarwal AN, Agarwal R. Impact of rapid on-site cytological evaluation (ROSE) on the diagnostic yield of transbronchial needle aspiration during mediastinal lymph node sampling: systematic review and meta-analysis. Chest. 2018;153(4):929–38.
Yarmus L, Van Der Kloot T, Lechtzin N, et al. A randomized prospective trial of the utility of rapid on-site evaluation of transbronchial needle aspiration. J Bronchol Intervent Pulmonol. 2011;18(2):121–7.
Yasukufu K, Chiyo M, Sekine Y, Chhajed PN, Shibuya K, Iizasa T, et al. Real-time endobronchial ultrasound-guided transbronchial needle aspiration of mediastinal and hilar lymph nodes. Chest. 2004;126:122–8.
Joseph M, Jones T, Lutterbie Y, et al. Rapid on-site pathologic evaluation does not increase the efficacy of endobronchial ultrasonographic biopsy for mediastinal staging. Ann Thorac Surg. 2013;96:403–10. 10.
Layfield LJ, Bentz JS, Gopez EV. Immediate on-site interpretation of fine-needle: aspiration smears: a cost and compensation analysis. Cancer. 2001;93(5):319–22.
Schmidt RL, Walker BS, Cohen MB. When is rapid on-site evaluation cost-effective for fine-needle aspiration biopsy Schmitt F, ed. PLoS One. 2015;10(8):e0135466.
Iglesias-Garcia J, Dominguez-Munoz JE, Abdulkader I, Larino-Noia J, Eugenyeva E, Lozano-Leon A, Forteza-Vila J. Influence of on-site cytopathology evaluation on the diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) of solid pancreatic masses. Am J Gastroenterol. 2011;106:1705–10.
Eedes CR, Wang HH. Cost-effectiveness of immediate specimen adequacy assessment of thyroid fine-needle aspirations. Am J Clin Pathol. 2004;121(1):64–9.
Miller RA, Wright AM, Satrum LS, Mody DR, Schwartz MR, Thrall MJ. Utilization, review and reimbursement of cytology services in endobronchial ultrasound-guided procedures: challenge and opportunity. JASC. 2016;5:139–44.
Thrall M, Pantanowitz L, Khalbuss W. Telecytology: clinical applications, current challenges, and future benefits. J Pathol Inform [serial online]. 2011;2:51.
Khurana KK. Telecytology and its evolving role in cytopathology. Diagn Cytopathol. 2012;40:498–502.
da Cunha Santos G, Ko HM, Saieg MA, Geddie WR. “The petals and thorns” of ROSE (rapid on-site evaluation). Cancer Cytopathol. 2013;121(1):4–8.
Appelbaum L, Kane RA, Kruskal JB, et al. Focal hepatic lesions: US-guided biopsy–lessons from review of cytologic and pathologic examination results. Radiology. 2009;250:453–8.
Liao WY, Jerng JS, Chen KY, et al. Value of imprint cytology for ultrasound-guided transthoracic core biopsy. Eur Respir J. 2004;24:905–9.
Williams C, Ponten F, Moberg C, et al. A high frequency of sequence alterations is due to formalin fixation of archival specimens. Am J Pathol. 1999;155(5):1467–71.
Chowdhuri SR, Chen H, Staerkel G, Stewart JM. Concurrent fine needle aspirations and core needle biopsies: a comparative study of substrates for next-generation sequencing in solid organ malignancies. Mod Pathol. 2017;30(4):499–508.
Killian JK, Walker RL, Suuriniemi M, et al. Archival fine-needle aspiration cytopathology (FNAC) samples: untapped resource for clinical molecular profiling. J Mol Diagn. 2010;12(6):739–45.
Gailey MP, Stence AA, Jensen CS, Ma D. Multiplatform comparison of molecular oncology tests performed on cytology specimens and formalin-fixed, paraffin-embedded tissue. Cancer Cytopathol. 2015;123(1):30–9.
Rekhtman N, Kazi S, Yao J, et al. Depletion of core needle biopsy cellularity and DNA content as a result of vigorous touch preparations. Arch Pathol Lab Med. 2015;139(7):907–12.
Tong LCB, Rudomina D, Rekhtman N, Lin O. Impact of touch preparations on core needle biopsies. Cancer Cytopathol. 2014;122(11):851–4.
Cobb CJ. FNA or core needle biopsy? Why not both? CAP Today [serial online] 2007, p. 107.
Cibas ES, Ducatman BS. Cytology: diagnostic principles and clinical correlates. Philadelphia: Saunders/Elsevier; 2014.
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Miller, R.A., Sunassee, A. (2019). Sample Acquisition and Test Requisition. In: Roy-Chowdhuri, S., VanderLaan, P., Stewart, J., Santos, G. (eds) Molecular Diagnostics in Cytopathology. Springer, Cham. https://doi.org/10.1007/978-3-319-97397-5_3
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