FNA Service Description

Our cytopathologists are specially trained in Fine-Needle Aspiration (FNA) biopsy and ultrasound-guided FNA.

We offer both palpation-guided FNA and ultrasound-guided FNA of superficial* masses that may be palpable or non-palpable and can be reached through the skin with a 1 ½-inch or 2.5- to 3-centimeter needle (please see any restrictions below). Superficial masses that we are routinely asked to biopsy utilizing FNA include those within the thyroid, subcutaneous tissue, salivary gland, and enlarged lymph nodes.**

The use of ultrasound gives our pathologists the added ability to:

• Identify and biopsy non-palpable superficial lesions.
• Document precise needle placement and assist in FNA sampling.
• Avoid important anatomical structures during needle aspiration.
• Help identify cystic lesions and drain them when applicable.

*Superficial anatomical sites are those located above the fascia that can be reached by a 1 ½-inch or 2.5- to 3-centimeter needle. For deeper masses, those that are below the fascia or within a body cavity (e.g., abdomen or thorax), please consult the VCU Department of Radiology.

**For breast biopsies please consult the Department of Radiology Breast Imaging Service.

Scheduling FNA

To order pathology performed FNA please place order in Epic for “FNA- pathology collect”. We will contact the patient to schedule the appointment.

We are currently scheduling patient appointments Tuesdays and Thursdays 1 pm and 2 pm.

Please note 1 hour is required per site. Please specify if multiple sites are requested in the FNA order.

Please call  (804) 828-9740 for further assistance.

What To Bring To Your Appointment

• Insurance card(s)
• Identification (drivers license or government-issued ID)
• Medical records (preferably faxed from your doctor's office prior to appointment)
• Radiology reports or images (preferably faxed from your doctor's office prior to appointment)

Our Fax: (804) 628-4661

About Your FNA Procedure

What is an FNA?

The fine needle aspiration (FNA) is a safe and quick procedure to make a pathologic diagnosis. We performed this procedure in the head and neck region but can also perform the biopsy in areas of lymph nodes in various regions of the body.

How do I prepare for the procedure?

No special preparation is needed. You may continue to take most medications. If you are on blood thinning medications, you should ask your doctor whether it should be held.

Who will perform this procedure?

Your procedure team will consist of a resident or fellow physician and attending physician but may include medical students or cytotechnologists.

How is the procedure conducted?

The FNA procedure will be performed while lying flat. A local anesthetic (lidocaine) will be injected to reduce pain. Typically, under ultrasound guidance, a thin needle will be put through the skin into the nodule. The needle will be removed after 15-30 seconds. After the completion of the biopsy the pathologists will look at the material collected under the microscope and determine whether additional samples are needed. Typically, no more than 3 passes are performed.

How will I see my test results?

The preliminary and final pathology findings will be available in MyChart under tests. Typically 3-5 business days are required for the final results.

Directions & Parking Information

We are located within the Anatomic Pathology department at the Virginia Commonwealth University Medical Center:

Cytodiagnosis Center
Gateway Building
6th Floor, Room 6-224 
1200 East Marshall Street
Richmond, VA 23298 Phone: (804) 828-9740 (8 a.m. to 4:30 p.m.)

Parking and Directions: https://www.vcuhealth.org/patients-and-visitors/parking-and-directions/

Our Mission, Vision and Values

To deliver the highest-quality, personalized cytopathology consultation services, including fine-needle aspiration, as an integral part of the interdisciplinary team approach to the health care of our referred patients and to become a leader in all facets of fine-needle aspiration education.

In the course of our daily work as health care professionals and as we conduct our unique medical practice of cytopathology, our Cytodiagnosis Center is guided by the following values:

Educational Opportunities

Fine-Needle Aspiration (FNA): Palpation and Ultrasound-Guided Methods
Individual, practical, hands-on training in all aspects of Palpation and Ultrasound-Guided Fine-Needle Aspiration and FNA procedure assistance.
Educational opportunities can be tailored to meet the individual needs of practicing physicians, residents, fellows or other medical professionals that may be interested.

Contact Us

Cytodiagnosis Center
1200 East Marshall Street
Gateway Building
6th Floor, Room 6-224 
Richmond, VA 23298

Phone: (804) 828-9740 (8 a.m. to 4:30 p.m.) 
Fax: (804) 628-4661