Introduction: Fine-needle aspiration (FNA) is a simple technique used in the preoperative diagnosis of head and neck lumps. It has limitations as cellular aspirates may be inadequate or equivocal for diagnosis. FNA performance can be optimised through image guidance, availability of on-site pathologists or ancillary techniques – though it is operator-experience dependent. There is little in the literature to inform on the optimal follow up management of non-diagnostic samples.
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