1. |
The syringe
gun, syringe, and needle are assembled.
All slides and specimen containers are labeled with patient
name and a requisition form is completed.
|
2. |
The lesion
is palpated and its distance from the skin estimated.
|
3. |
Skin surface
is sterilized with alcohol or other iodine-like solution.
|
4. |
The target
is fixed with one hand, usually between index finger and thumb.
|
5. |
The needle
is placed into the mass. Usually a distinct change in consistency
of tissue is felt when a subcutaneous lesion is entered.
|
6. |
The plunger
on the syringe is withdrawn to create a vacuum. The needle tip
is moved within the mass with short movements, withdrawing approximately
2 to 5 mm and reinserting with redirection of the needle tip.
At least three needle passes should be performed within the
target lesion.
|
7. |
Negative pressure
within the syringe is released when aspiration is complete or
when any hemorrhagic material or fluid is noted within the needle
hub or syringe.
NOTE: If a cystic lesion is aspirated, the cyst fluid
should be placed directly into a separate vial of Saccomanno-type
solution. It is recommended that the cyst wall of the lesion
then be reaspirated to insure that the cyst wall has been properly
sampled. |