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Saieg M, Lozano MD, Perez-Machado M. The role of cytopathology practice and research in the development of personalized medicine in Iberoamerica. Diagn Cytopathol 2020; 48:819-820. [PMID: 32485070 DOI: 10.1002/dc.24509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 05/14/2020] [Accepted: 05/15/2020] [Indexed: 11/08/2022]
Affiliation(s)
- Mauro Saieg
- Department of Pathology, Santa Casa Medical School, São Paulo, Brazil.,Department of Pathology, A C Camargo Cancer Center, São Paulo, Brazil
| | - Maria D Lozano
- Department of Pathology, Clínica University of Navarra, Pamplona, Spain
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Reddy VM, Bennett WO, Bassett E, Cunliffe DJ, Fryer LC, Reece PH, Hickey SA. On-site cytotechnician evaluation of the adequacy of fine needle aspiration in a neck lump clinic. Ann R Coll Surg Engl 2013; 95:595-8. [DOI: 10.1308/rcsann.2013.95.8.595] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction The gold standard for assessing neck lumps is a one-stop clinic with an on-site cytopathologist who can provide an immediate fine needle aspiration (FNA) report. However, this has considerable resource implications and is not available in all units. In our department, surgeons perform FNAs guided by palpation. The FNA is evaluated for specimen adequacy by an on-site cytotechnician. This study evaluated the impact of the cytotechnician on the adequacy of neck lump FNA. Methods FNA performed between June 2010 and February 2012 was examined. The FNA performed at a neck lump clinic with an assessment of adequacy by an on-site cytotechnician were considered the test group. All other neck lump FNAs from other sources without an assessment of adequacy by an on-site cytotechnician were considered the control group. Results Of the FNAs, 134 met the inclusion criteria for this study. Of these, 87 FNAs (65%) were analysed for adequacy by the on-site cytotechnician and the remaining 47 (35%) were not. The results demonstrated an FNA inadequacy with and without on-site cytotechnician assessment of 29.9% and 40.4% respectively. This is equivalent to an absolute risk reduction of an inadequate FNA of 10.5%, which equates to a number needed to treat of 9.5, ie the cytotechnician needs to assess 9.5 (ie the cytotechnician […] specimen). Conclusions In neck lump clinics where on-site cytopathology is not available, an on-site cytotechnician is a compromise measure that does reduce the number of inadequate FNAs.
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Affiliation(s)
- VM Reddy
- South Devon Healthcare NHS Foundation Trust, UK
| | - WO Bennett
- South Devon Healthcare NHS Foundation Trust, UK
| | - E Bassett
- Royal Devon and Exeter NHS Foundation Trust, UK
| | - DJ Cunliffe
- South Devon Healthcare NHS Foundation Trust, UK
| | - LC Fryer
- South Devon Healthcare NHS Foundation Trust, UK
| | - PH Reece
- South Devon Healthcare NHS Foundation Trust, UK
| | - SA Hickey
- South Devon Healthcare NHS Foundation Trust, UK
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Abstract
Head and neck cancer affects approximately 8–15 per 100,000 of the UK population, with marked regional variations. There is good evidence that early detection improves prognosis but unfortunately many of the initial symptoms are often non-specific. In 2000 the NHS Cancer Plan introduced the 'two-week wait'(2WW) rule to increase the speed with which patients with suspected cancer are seen by a specialist.
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Affiliation(s)
- J Rimmer
- SpR in Otolaryngology, University College Hospital, London
| | - J Watson
- SHO in Head and Neck Surgery, University College Hospital, London
| | - P O'Flynn
- Consultant Head and Neck Surgeon, University College Hospital, London
| | - F Vaz
- Consultant Head and Neck Surgeon, University College Hospital, London
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