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Fine Needle Aspiration Biopsy (FNAB) is a minimally invasive procedure used to collect cells or fluid from a lump or mass in the body. A thin hollow needle is inserted into the affected area to extract a sample for examination under a microscope. FNAB is commonly used for thyroid nodules, breast lumps, lymph nodes, and other abnormal growths. This test helps doctors determine whether the mass is benign (non-cancerous) or malignant (cancerous).
It is mainly used to:
Diagnose thyroid nodules (FNA thyroid) and other glandular abnormalities.
Check for cancerous cells in lymph nodes or suspicious lumps.
Examine fluid filled cysts to confirm if they are benign or require further treatment.
Assist in detecting conditions like angiosarcoma fine needle aspiration and leiomyoma fine needle aspiration.
Identify aprocrine cells fine needle aspiration abnormalities.
Inform your doctor about medications, allergies or bleeding disorders.
You do not need anesthesia for most FNA needle biopsy procedures.
If your biopsy involves deeper tissues, imaging (like ultrasound or CT scan) may be used.
Avoid blood thinners before the test (as advised by your doctor).
The doctor cleans the skin over the lump or swelling.
A thin needle is inserted into the area to extract a small sample of cells or fluid.
The sample is sent for fine needle aspiration cytology (FNA cytology) to examine under a microscope.
A bandage is placed over the biopsy site and you can return to normal activities.
1. Before the procedure:
You may undergo imaging tests to guide the needle.
2. During the procedure:
A slight pinching or mild discomfort is common but pain is minimal.
3. After the procedure:
Mild soreness at the biopsy site may occur but it resolves quickly.
FNAB is a safe procedure but rare complications may include:
Minor bruising or swelling at the biopsy site.
Infection though very rare.
Bleeding especially in people taking blood thinners.
If no cancer cells are found the lump is benign and no further treatment may be needed.
If the biopsy indicates suspicious or malignant cells further tests or treatments will be recommended.
Inconclusive results may require repeat FNA or a core biopsy for a more detailed analysis.
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