FNAC is contraindicated in
(Bleeding disorders): (214-Baily & Love 26th edition; 467-690- H18th)FNAC - generally obtains only a suspension of cells from within a mass* This procedure is minimally invasive, and if positive or cancer it may allow inception of systemic treatment when metastatic disease is evident or it can provide a basis for planning a meticulous and extensive surgical procedureFNAC* Sample accessible sites such as- Breast, thyroid, and superficial lymphnodes* FNAC from deeper and less accessible structures eg- Liver pancreas, kidney and lung is usually assisted by ultrasound or CT guidance* Ultrasound guided trans bronchial FNA - for mediastinal masses and transmucosal FNA for submucosal gastrointestinal lesions or perivisceral lesionsAdvantages - simplicity of the procedure and the low rate of complications
Disseminated malignancy
Bleeding disorders
Lymph node malignancy
Liver disorders
Neoplasia