Fine-Needle Aspiration Followed by Core-Needle Biopsy in the Same Setting: Modifying Our Approach
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چکیده
Fine-needle aspiration biopsy (FNAB) is a well-established initial diagnostic tool. However, in some instances limitations and shortcomings arise, making it insufficient for determining a specific diagnosis. Consequently, patients have to undergo another diagnostic procedure. The second procedure is either repeat FNAB, core-needle or open biopsy, and can be inconvenient and costly. In some centers, the FNAB is immediately followed by core-needle biopsy (CNB) in the same setting after assuring adequacy on the initial FNAB utilizing rapid on-site specimen evaluation (ROSE). It is argued that implementing such an approach will eventually have additional critical advantages that include the following: (a) it is more convenient to patients to have both procedures in one visit, (b) the tissue procured by both procedures will be more adequate, enabling cytopathologists to reach an accurate diagnosis, and (c) it is ultimately a cost-effective approach if we take into consideration the avoidance of a potential second more invasive diagnostic procedure. Since we Received: October 26, 2015 Accepted after revision: January 29, 2016 Published online: March 11, 2016 Correspondence to: Prof. Mousa A. Al-Abbadi Department of Pathology and Laboratory Medicine King Fahad Specialist Hospital Dammam (Kingdom of Saudi Arabia) E-Mail alabbadima @ yahoo.com © 2016 S. Karger AG, Basel 0001–5547/16/0601–0001$39.50/0
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Fine-Needle Aspiration Followed by Core-Needle Biopsy in the Same Setting: Modifying Our Approach.
Fine-needle aspiration biopsy (FNAB) is a well-established initial diagnostic tool. However, in some instances limitations and shortcomings arise, making it insufficient for determining a specific diagnosis. Consequently, patients have to undergo another diagnostic procedure. The second procedure is either repeat FNAB, core-needle or open biopsy, and can be inconvenient and costly. In some cent...
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