Fine-needle Aspiration Biopsy. Perceptions of Physicians at an Academic Medical Center

In an earlier survey, we asked private practitioners in San Francisco about their perceptions of fine-needle aspiration biopsy (FNAB). In the present study we sent the same survey to clinicians in our hospital, a tertiary medical center. Although the response rate to this survey was lower, it appears that FNAB is used more often in our hospital than it is among private practitioners for the evaluation of palpable masses (53% vs 24%), and that it is most often performed by pathologists. Seventy percent of the FNAB at this institution were performed by pathologists; a small percentage (7%) of cases (nonpalpable) were performed by a radiologist for the evaluation of intra-thoracic and intra-abdominal lesions. Fifty-nine percent of private practitioners performed the FNAB themselves, and the remainder (39%) were referred to pathologists, radiologists, and surgeons. That there are differences in perceptions concerning the use of FNAB in a variety of specific clinical settings was also illustrated by this survey.