A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
Thyroglobulin, Fine Needle Aspirate
Test Code16559
Alias/See Also
LAB00167
THYG FNA
THYG FNA
CPT Codes
84432
Preferred Specimen
1 mL fine needle aspirate (FNA) or thyroid-tissue washings submitted in a sterile transport tube
Minimum Volume
0.8 mL
Other Acceptable Specimens
Non-lymph node • Non-nodal soft tissue • Cervical node washings
Instructions
A 25-gauge needle is inserted obliquely within the transducer plane of view and moved back and forth (passes) through the nodule to compensate for patient movement and needle deflection. There is no suction device; cells move into the needle via capillary action. After collection of the cytology samples, withdraw between 0.10 and 0.25 mL of saline up through each needle and empty this fluid back through the needle into a tube. This is the needle washing used for analysis. Repeat the passes and saline washings from the same biopsied site and empty contents into the same tube. The washes from all needles are pooled (final volume 1 mL). Inspect specimen for visible blood or tissue contamination. If bloody, centrifuge specimen and transfer supernatant to a new tube to send to the laboratory. The supernatant, not the cellular materials, is used for analysis. If the specimen is clear, centrifugation is not necessary.
Freeze immediately and transport frozen sample to laboratory directly. Do not send specimens in glass tubes.
Freeze immediately and transport frozen sample to laboratory directly. Do not send specimens in glass tubes.
Transport Container
Sterile transport tube
Transport Temperature
Frozen
Specimen Stability
Room temperature: 14 days
Refrigerated: 7 days
Frozen: 28 days
Refrigerated: 7 days
Frozen: 28 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Glass tubes
Methodology
Beckman Coulter Chemiluminescent
Setup Schedule
Tues, thurs, sat
Report Available
3-6 days
Reference Range
Negative | ≤1.0 ng/mL |
Indeterminate | 1.1-10.0 ng/mL |
Consistent with thyroid tissue or metastatic thyroid cancer | >10.0 ng/mL |
Clinical Significance
Clinically enlarged cervical lymph nodes with a history of thyroid cancer are usually assessed by fine-needle aspiration biopsy (FNAB) followed by a cytology. Thyroglobulin (Tg) is frequently elevated in malignant FNAB needle wash specimens and it's use may possibly augment or replace cytology.
Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA |
33608 Ortega Highway |
San Juan Capistrano, CA 92675-2042 |