Fine Needle Aspiration This leaflet tells you about the procedure known as a fine needle aspiration (FNA), explains what is involved, and what the possible risks are. If your procedure is pre-planned then you should have plenty of time to discuss the situation with your doctor and the radiologist (X-ray doctor) who will be doing the FNA, before you sign the consent form. What is a fine needle aspiration? This is a procedure where a needle is inserted into a lump or mass in your body to remove cells or fluid so that it can be examined under a microscope. This is to help your doctor decide the best course of treatment for your condition. Are there any risks or complications? This procedure is normally carried out during an outpatient visit and is considered very safe, but there are some risks and complications that can arise. Some pain, bleeding, and possible bruising around the site where the needle is inserted are the most common. Complications can vary in severity depending on the aspiration site. What will happen during the procedure? You will be given the opportunity to ask any questions that you still have before the procedure starts. You will lie on the scanning table in the position that the radiologist has decided is most suitable. The radiologist will keep everything sterile and will wear sterile gloves. Your skin will be cleaned with an antiseptic solution and you will have some of your body covered with a theatre towel. The radiologist will use the ultrasound machine to decide on the most suitable point for inserting the needle. The needle will be inserted into the lump and fluid or tissue will be removed for examination. When the needle is removed, pressure is applied to the area briefly (to reduce the chance of bleeding or bruising) and the puncture site is covered with a plaster. Will it hurt? Most patients find that this test is no more painful than having a blood test. The needle is very small and the procedure is very quick, usually around five minutes. What will happen afterwards? The procedure is carried out as an outpatient and no aftercare is required. The sample taken during the procedure will be sent to the laboratory for processing and diagnosis. Your consultant will explain the results with you at your next out patient appointment. If you experience any excessive bleeding, pain, bruising or swelling you should contact your GP as soon as possible. Who should I contact if I have any questions? If you have any questions about this procedure, please contact the Medical Imaging Department. You will find our telephone number on your appointment letter. We will do everything we can to make your visit as pleasant as possible. WPR33730 Nov 2010