title: Advances in head and neck fine-needle aspiration and ultrasound technique for the pathologist.
abstract: The success of fine-needle aspiration (FNA) biopsy in the evaluation of head and neck (H&N) masses has already been established. Herein we outline the most recent advancement for the pathologist who performs traditional palpation-guided FNA (PGFNA) in the H&N while also incorporating ultrasound-guided FNA (UGFNA) into their practice. We provide an overview of the educational and training opportunities in H&N ultrasound and UGFNA with emphasis on the advantages and limitations for the pathologist. Throughout are useful clinical and technical pearls, many of which may also interest those who practice PGFNA, including local anesthesia use and FNA procedures in pediatric patients.
authors: Division of Anatomic Pathology, Department of Pathology, Virginia Commonwealth University Health Systems, Gateway Building, 6th Floor, Room 6-203, 1200 E Marshall St, Richmond, Virginia 23298. Electronic address: jjakowski@mcvh-vcu.edu.
authors: Joseph D
authors: JD
authors: Jakowski
authors: Department of Otolaryngology/Head and Neck Surgery, Virginia Commonwealth University Health Systems, Richmond, Virginia.
authors: Laurence J
authors: LJ
authors: DiNardo
mesh_terms: D059925:Anatomic Landmarks; D002983:Clinical Competence; D003406:Credentialing; D004503:Education, Medical, Graduate; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000639:trends*; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D010173:Palpation; D010336:Pathology / Q000193:education; D011237:Predictive Value of Tests
keywords: Aspiration biopsy; Fine needle; Head and neck; Ultrasound