Dr Piyush Tailor

1. Body fluid and Intraoperative cytology at the Cytopathology Laboratory, 3rd floor, College Building between 9 AM to 5 PM.
2. Fine Needle Aspiration (FNA) and cervical PAP- OPD hours: 9 AM to 1 PM and 4 PM to 6 PM

1. For Fine needle aspiration sample collection room OPD - 10
   1. Monday to Friday : 9 AM to 1 PM and 4 PM to 6 PM
   2. Saturday : 9 AM to 1PM
2. For Cytopathology laboratory
   1. Monday to Friday : 9 AM to 5 PM
   2. Saturday : 9 AM to 1PM

Type and amount of sample to be collected

Special timing of collection

1. Five most essential items on request form: MRD + Name + Department + Unit + Ward
2. MRD number is most important item in filling request form.
3. Do not forget to write correct name. It is very useful to identify patient when any thing goes wrong with MRD number provided.
4. [Department + Unit + Ward ] help to locate patient for conveying critical reports. Please mention them without fail.
5. This is a no-fee, nominal-fee laboratory.Please request only necessary examinations.
6. Do not forget to write relevant clinical history, any investigations, past history, previous history of FNAC reports if any, the source of material is important for proper evaluation of reports.
7. Swelling should be marked by clinician when it is not assessable

1. A clear explanation of the procedure.
2. Explain procedure and possible side effects.
3. Take informed consent
4. The procedure is carried out in supine position on a simple examination couch or a chair with head rest for aspiration from head & neck area.
5. Local Anesthesia is given by clinician in deep seated lesion are to be aspirated with aid of CT or USG

1. Cytopathology sample are not rejected on the basis of poor sample integrity. They are all accessioned and appropriate remarks the incorporate in the gross, microscopic descriptions and diagnostic interpretations.
2. In case of any discrepancy of sample identification and traceability or sample misleading, the sample is not processed for examination till relevant information are obtained. Meanwhile concerned clinician is informed and necessary correction are made. In the intervening period, the sample is not discard.

1. If the swelling is small and difficult to aspirate, adequate material may not to be obtained.
2. Aspirated material may be not representative of the whole swelling which may lead to false or negative diagnosis.
3. Inadequate clinical information may lead to difficulty in interpretation.
4. Insufficient quantity of fluid may lead to false negative interpretation.
5. Time of receipt of sample is more than recommended time may lead to poorly preserved cytomorphology leading to difficulty in interpretation.

1. Specimen of fluid should be submitted to the laboratory as early as possible within 2 hours of collection.

Patient selection: -In patient with clotting disorders deep seated lesions should not be aspirated. While taking Pap smear

1. Women should not use any vaginal medication, contraceptives during the 48 hours prior to the sample collection.
2. Mucous or any other discharge from the cervix should be gently removed by a folded gauze pad.
3. The cervix should not be cleaned by washing with saline as it may result in a relatively acellular sample.
4. Wet smears should immediately be fixed without delay

Contraindications of FNAC

1. Carotid body tumors
2. Pheochromocytomas
3. Highly vascular tumors
4. Hemangiomas
5. Prostatitis
6. Ovarian cyst aspiration
7. Hydatid cysts
8. Lung lesions like severe emphysema, pulmonary hypertension-condition associated with severe hypoxaemia.

The laboratory gives patient sample report to

1. Authorized report collection person
2. Patient and their relatives
3. Authorized person from ward/Residents/Interns

The laboratory use laboratory data for research only after striping data from patient identification.