Related Experiment Video
Updated: May 1, 2026
05:52
Sentinel Lymph Node Mapping and Biopsy for Endometrial Cancer at Early Stage with Laparoscopy
Published on: August 19, 2021
13.7K
[Cervical node fine needle aspiration: factors influencing the failure rate]
S Rammeh1, H Ben Rejeb1, M K M'farrej1
1Service d'anatomie et de cytologie pathologiques, hôpital Charles-Nicolle, Tunis, Tunisie.
Summary
The rate of unsatisfactory cervical node fine needle aspirations (CNFNA) is influenced by lymph node size, location, and operator experience. Repeating the procedure significantly improves diagnostic yield.
Area of Science:
- Oncology
- Cytopathology
- Surgical Pathology
Background:
- Cervical node fine needle aspiration (CNFNA) is a crucial diagnostic tool.
- A significant rate of non-satisfactory (NS) results can impede timely diagnosis and treatment.
Purpose of the Study:
- To investigate factors affecting the rate of non-satisfactory (NS) cervical node fine needle aspirations (CNFNA).
- To identify predictors of NS results and assess the impact of repeating the procedure.
Main Methods:
- A prospective study of 272 CNFNA procedures performed over two years.
- Analysis of NS results based on lymph node characteristics (size, location), number of punctures, and operator experience.
Main Results:
- 20.6% of CNFNA yielded NS results (acellular or paucicellular).
- NS rates were higher for small lymph nodes (≤1 cm) and specific locations (submandibular, jugulodigastric).
- Increased punctures (≥3) and operator experience significantly reduced NS rates. Repeating CNFNA improved efficiency by 73.7%.
Conclusions:
- Lymph node size, location, and operator experience are key determinants of CNFNA success.
- Repeating CNFNA is an effective strategy to increase diagnostic yield and improve patient management.
