Fine‐needle aspiration of cutaneous, subcutaneous, and intracavitary masses in dogs and cats using 22‐ vs 25‐gauge needles. (18th June 2019) - Arai, Shiori
Abstract: Background: Fine‐needle aspiration (FNA) is a common procedure as a diagnostic tool in veterinary medicine. However, it is unclear whether the gauge of the needle affects the quality of cytology. Objective: This study compared the quality of cytologic samples obtained via FNA using 22‐ or 25‐gauge needles. Methods: Fine‐needle aspiration was performed on 50 masses (cutaneous, subcutaneous, or intracavitary) obtained from client‐owned animals. The size of the needle was randomly assigned using either of the following two sequences: 22‐25‐22 gauge or 25‐22‐25 gauge. Samples were evaluated by two board‐certified clinical pathologists to assess cellularity, blood contamination, amount of cellular debris, degree of cellular trauma, and the overall ability to make a diagnosis for each sample. Results: No significant difference was detected between the 22‐ and 25‐gauge needle samples for cellularity, whereas a significant difference was present for blood contamination, amount of cellular debris, and degree of cellular trauma. The overall ability to make a diagnosis was not significantly affected by the needle gauge. The degree of cellular trauma was significantly increased in intracavitary samples. Conclusions and Clinical Relevance: Needle gauge is a contributing factor to FNA sample quality. However, it did not affect the overall ability to make a diagnosis. Samples obtained using 25‐gauge needles resulted in less blood contamination yet increased cellular trauma compared to 22‐gauge needle samples.