Our board certified cytopathologists provide real time adequacy of ultrasound-guided fine needle aspiration biopsies (FNAs). Appointments are easy to schedule and our comfortable clinic is conveniently located near the medical center.
COVID-19 Update - To Our Patients
We take your health and safety very seriously here at Pathology Reference Laboratory. Due to the outbreak of COVID-19 (Coronavirus), we want to assure you that we follow health and safety procedures every day and are taking extra care during this time above and beyond our daily cleaning and sanitizing to include:
Upon check-in, our team at the front desk will be asking every patient if he or she has had a fever in the last 24 hours.
Providing hand sanitizer at entry and exit points to help stop the spread of any bacteria and it's being used by our team
Sanitizing the rooms, door handles, and hard surfaces with industrial sanitizer
Requiring employees to stay home if sick
Our office will remain open and maintain its normal hours and operations. Our employees has always followed sanitation protocols to help ensure our patients' well-being. We will continue to sanitize all patient chairs after every patient encounter, while continually wiping down our wait area and front desk.
Here's how you can help. If you or a household contact (ex. child, live-in relative, etc.) is experiencing a cough, fever, or other cold or flu-like symptoms, or, if you have traveled to a country that has tested positive for the coronavirus in the last 3 weeks, please call us to reschedule your appointment. Please come to your appointment alone if possible.
You can also adhere to the following CDC recommendations:
Wash hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing the nose, coughing, or sneezing. Soap and warm water is best, however, when it is not available, use an alcohol-based hand sanitizer.
Avoid touching the eyes, nose, mouth.
Avoid close contact with people who may be sick.
Cover a cough or sneeze with a tissue, then, throw the tissue in the trash.
Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
MEET OUR FNA SPECIALISTS
Tom Kardos, MD
Jeff Christal, MD
Steven Goodman, MD
Abby Richmond, MD
FAQS ABOUT FINE NEEDLE ASPIRATION
WHAT IS A FINE NEEDLE ASPIRATION BIOPSY?
Usually a Fine Needle Aspiration Biopsy is performed to diagnose the cause and nature of a growth or lump (tumor). A very thin needle is inserted into the lump to remove minute fragments for examination under a microscope to try to determine its cause. This technique is frequently used to determine if a tumor is benign (no cancer) or malignant (cancer). This technique can be used to obtain material from an infection for further laboratory tests to determine the best drug to treat the infection. The results of this test, together possibly with other studies, will help guide your physician in determining the best treatment.
WILL THE TEST SPREAD THE DISEASE?
Because such a thin needle is used in this procedure the risk of spreading tumor essentially does not exist.
ARE THERE ANY COMPLICATIONS?
Significant complications are extremely rare with this technique. The most common complication is for blood to collect at the site of the aspiration causing a hematoma (bruise), but this doesn’t usually require any treatment or at most you may want to apply a cold compress to the site. Even patients taking aspirin, Advil® or other non-steroidal anti-inflmmatory drugs should not experience significant bleeding. If you have a severe bleeding disorder or are taking blood thinners such as Heparin, Coumadin® or Plavix® you should discuss with their physician discontinuing the use of these drugs 3-5 days prior to the procedure. In the very rare event that you should experience significant difficulty in breathing some time after the procedure you should contact your physician.
HOW LONG WILL THE PROCEDURE TAKE AND WILL I EXPERIENCE ANY DISCOMFORT?
The procedure takes about 15-20 minutes. Since such a small needle is used, most patients do not find this procedure very uncomfortable. In fact, we do not usually use a local anesthetic because most patients tell us that receiving the local anesthetic stings more than the procedure itself. Also use of a local anesthetic may mix with and distort the material we are trying to examine. If you experience discomfort after the procedure Aspirin or Tylenol or the application of an ice pack may help relieve any discomfort.
WILL I NEED TO TAKE OFF FROM WORK?
You need to take off only the time required to have the procedure performed, you may go back to work or school the same day. If you need a note for your absence for your employer or school please notify our receptionist.
CAN I EAT OR TAKE MEDICATIONS BEFORE THE PROCEDURE?
Yes, you do not need to alter your daily routine for this procedure.
CAN I DRIVE AFTER THE PROCEDURE? ARE THERE ANY RESTRICTIONS TO MY ACTIVITY FOLLOWING THE PROCEDURE?
Driving is fine. There are no restrictions to your normal activities.
WHEN CAN I EXPECT RESULTS FROM THIS TEST?
Your physician will generally receive results from this test within two working days. They may, however, be awaiting results from other tests before determining what is the best course of action for treatment. If you have not heard from your physician within a week you should contact them to determine what the plan of action may be.
WILL I NEED TO PAY FOR THE PROCEDURE BEFORE IT IS DONE?
Our billing office will be happy to file with your insurance company. If a co-pay is required we will ask for payment at the time of your appointment. If you have any questions about our billing procedures, please call our Billing Department at 210-892-3700 and choose Option 2.