Table 3.
Sampling and specimen adequacy of fine needle aspiration cytology sample
Sample | Specimen collection | Adequacy | Diagnostic categorization | Guideline society |
Thyroid | Multiple fine needle aspiration from different sites or fine needle sampling. | Different opinions • Five to six groups of well-preserved, well-visualized follicular cells with each group contains 10 or more cells. [33] • Ten clusters of follicular cells with at least 20 cells in each cluster. [34] • At least six groups of follicular cells should be present on at least two of six aspirates.[35] |
• Unsatisfactory for interpretation, specific reason(s) • Benign thyroid nodule/colloid nodule/nodular goiter • Thyroiditis • Cellular follicular lesion, favor non-neoplastic process • Follicular neoplasm, favor benign • Follicular neoplasm, favor malignant • Hurthle cell neoplasm • Malignant specific type if possible • Other |
Papanicolaou's society guidelines, 1996 [4] |
Breast | Average 2–4 pass in palpable mass More than 2 passes in lesion difficult to stabilize or penetrate, dry tap or in suspected carcinoma. | No consensus on number of cells in a solid breast lesion. Adequacy determined by 1) opinion of the aspirator 2) opinion of the pathologist. |
• Benign • Atypical/indeterminate • Suspicious/probably malignant • Malignant: specific types • Unsatisfactory Tumor/nuclear grading should be incorporated in all breast carcinomas whenever possible. |
NCI sponsored conference in Bethesda, Maryland 1996 [5] |