Bowlt K L, Newton R, Murphy S, Blackwood L, Starkey M
Department of Small Animal Soft Tissue Surgery, Animal Health Trust, Lanwades Park, Newmarket, Suffolk CB8 0UF.
J Small Anim Pract. 2014 Aug;55(8):409-14. doi: 10.1111/jsap.12234. Epub 2014 Jun 6.
To document the fine needle aspiration methods used by UK veterinary practitioners for the assessment of cutaneous masses and relate this to the achievement of a representative sample.
An internet-based questionnaire was designed and publicised in the UK national veterinary press, at a national surgical meeting, and in letters to veterinary surgeons.
One hundred and seventy respondents replied to the questionnaire: 58 · 2% sampled cutaneous masses on the basis of appearance or behaviour; 41 · 3% sampled every cutaneous mass. Practitioners with a greater oncological caseload or who graduated more recently were more likely to recommend fine needle aspiration for every cutaneous mass (P = 0 · 019 and P = 0 · 0002 respectively); 66 · 5% of respondents applied suction during fine needle aspiration; 89% of all respondents used a 2 or 5 mL syringe in combination with a 21 or 23 G needle. There was no statistically significant association between achievement of a representative sample and syringe (P = 0 · 64) or needle size (P = 0 · 63).
Fine needle aspiration is widely used in UK practice, but may be underutilised in practices with lower oncological caseloads. Survey participants reported a high rate of representative samples obtained using all the commonly used techniques. Further work is required to confirm these observations.
记录英国兽医从业者用于评估皮肤肿块的细针穿刺方法，并将其与获取代表性样本的情况相关联。
设计了一份基于网络的问卷，并在英国全国性兽医报刊、一次全国性外科会议上以及给兽医的信件中进行宣传。
170名受访者回复了问卷：58.2%根据外观或行为对皮肤肿块进行采样；41.3%对每个皮肤肿块都进行采样。肿瘤病例量较大或毕业时间较近的从业者更有可能建议对每个皮肤肿块进行细针穿刺（分别为P = 0.019和P = 0.0002）；66.5%的受访者在细针穿刺过程中施加吸力；所有受访者中有89%使用2或5毫升注射器搭配21或23G针头。获取代表性样本与注射器（P = 0.64）或针头尺寸（P = 0.63）之间无统计学显著关联。
细针穿刺在英国的兽医实践中广泛使用，但在肿瘤病例量较低的实践中可能未得到充分利用。调查参与者报告称，使用所有常用技术获取代表性样本的比例很高。需要进一步开展工作来证实这些观察结果。
