FINE
NEEDLE ASPIRATION CYTOLOGY (FNAC)
Fine needle aspiration cytology (FNAC) is a diagnostic
procedure in which a thin, hollow needle is inserted into a mass or lump, such
as a cyst, to obtain a sample of cells for examination under a microscope. The
procedure is performed under local anesthesia and is relatively quick, simple,
and safe.
The
needle used for FNAC is thin and hollow, and it is inserted into the mass or
lump. The cells are then suctioned out of the mass or lump and collected on a
microscope slide. The slide is then sent to a laboratory for examination. The
procedure is usually performed by a Cytopathologist or a Pathologist.
FNAC
is commonly used to diagnose and monitor a wide range of conditions, including
but not limited to: thyroid nodules, breast lumps, lymph nodes, and liver
cysts. The procedure can also be used to diagnose cancer, infection, or
inflammation. It is especially useful when a mass is not accessible for a
biopsy or when a patient is not able to undergo a surgical procedure.
The
procedure has high accuracy for diagnosis of benign and malignant tumors,
however, it is not able to provide information about the stage of the cancer.
It is used as a tool to provide a diagnosis, and if malignancy is suspected, a
biopsy is recommended to confirm the diagnosis and to provide more information
about the stage of the cancer.
In
summary, Fine needle aspiration cytology (FNAC) is a diagnostic procedure in
which a thin, hollow needle is inserted into a mass or lump to obtain a sample
of cells for examination under a microscope. It is commonly used to diagnose
and monitor a wide range of conditions and is a useful tool to provide a
preliminary diagnosis, however, a biopsy is recommended to confirm the
diagnosis and to provide more information about the stage of the cancer.
Fine needle aspiration cytology (FNAC) is a simple, safe,
and cost-effective procedure that can be performed in a doctor's office or
clinic. The procedure is usually well tolerated by patients, and complications
are rare. Some patients may experience slight discomfort or pain during the
procedure, but this is usually minimal.
The
sample obtained by FNAC is examined under a microscope by a cytopathologist or
pathologist, who will look for abnormal cells or signs of infection or
inflammation. The results of the FNAC can be available within a few days,
depending on the lab's workload and the complexity of the sample.
FNAC
has a high sensitivity and specificity for the diagnosis of malignancy, and it
is considered to be a reliable and accurate method for the diagnosis of many
types of cancer, including thyroid cancer, breast cancer, and lymphoma.
However, in some cases, the sample obtained by FNAC may not be sufficient to
make a definitive diagnosis, and a biopsy may be necessary.
It
is important to note that FNAC is not recommended for the diagnosis of certain
types of cancer, such as sarcomas, or for the diagnosis of certain types of
benign conditions, such as inflammatory conditions. In these cases, a biopsy is
usually necessary to make a definitive diagnosis.
In
summary, Fine needle aspiration cytology (FNAC) is a simple, safe, and
cost-effective procedure that can be used to obtain a sample of cells from a
mass or lump for examination under a microscope. The procedure has high
sensitivity and specificity for the diagnosis of malignancy, but it may not be
sufficient to make a definitive diagnosis in some cases, and a biopsy may be
necessary.
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