Cytology: fine needle aspirate

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Sections available in full article Overview, Uses, Sampling, Source of test material, Quantity of test material, Sample collection technique, Quality control, Test (s), Methodologies, Validity, Technique (intrinsic) limitations, Technician (extrinsic) limitations, Result data, Normal (reference) values, Abnormal values, Errors and Artifacts, Sources, Publications, Vetstream contributor(s),
Contributors Dr William Brewer Jr DVM DiplACVIM Oncology and Internal Medicine
Dr Kathleen P Freeman DVM MS PhD MRCVS
Synonyms FNA

Overview

  • Microscopic study of cells obtained from skin or internal organs.
  • Cells are smeared or pressed (compression smear), onto a slide and stained, then viewed by light microscopy.
  • Rapid, requires minimal equipment.
  • Direct evaluation of neoplastic/inflammatory changes provided representative sample obtained.

Uses

Alone

  • Cutaneous masses Skin: neoplasia.
  • Intra-cavitary fluids.
  • Intra-abdominal masses (liver Liver: neoplasia , spleen Spleen: neoplasia , kidney Kidney: neoplasia , mesenteric lymph node).
  • Intrathoracic masses.
  • Intraoperative evaluation of masses.

In combination

  • To assess the nature of a mass during surgical excision, prior to histopathology.
  • Diagnostic imaging: in assessment of intra-abdominal or thoracic masses.

Result data

Normal (reference) values

  • Depends on cell type.

Abnormal values



Neutrophilic inflammation
  • Bacterial infection.
  • Some yeast infections, eg Candidaspp Skin: candidiasis.
  • Sterile inflammation, (non-degenerate neutrophils).
  • Necrosis.
Granulomatous or pyogranulomatous inflammation
  • Fungal infection.
  • Foreign body reaction.
  • Mycobacterial infection.
Chronic inflammation
  • Old abscess.
  • Lick granuloma Skin: acral lick granuloma.
Eosinophilic inflammation
  • Parasitic infection.
  • Hypersensitivity reaction.
  • Neoplasia.
  • Infection.
Cells with malignant criteria
  • Neoplasia.

Errors and Artifacts

  • Non-representative sample.
  • Poorly exfoliating mass.
  • Cell lysis due to handling.

Sources

Publications

Refereed papers

  • Dunn J K & Villiers E (1998) General principles of cytological interpretation. In Pract 20 , 429-437.
  • Moriello K A & Rosenthal R C (1990) Clinical approach to tumors of the skin and subcutaneous tissues. Vet Clin N Am Small Anim Pract 20 (4), 1163-1190.
  • Mills J N (1989) Lymph node cytology. Vet Clin N Am Small Anim Pract 19 (4), 697-717.

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