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Fine Needle Aspiration Cytology of Neck Mass (FNA)

Published: August 9, 2026Updated: August 16, 2026

This test involves collecting cells from a lump or swelling in your neck using a thin needle. The sample is then examined under a microscope to check for abnormal cells, which may suggest conditions like infection, inflammation, or cancer.

Quick summary

["A neck mass evaluation helps determine if the lump needs further medical attention or if it’s harmless."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
31189-4
Short code
Cyto Neck Mass FNA
Synonyms
Cyto Neck Mass FNA
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
136
Ref high
145
Critical range
120 N/A – 160 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
cyto-stain
CPT
84295
SNOMED
110741000
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may recommend this test if you have a persistent lump in your neck that doesn’t go away on its own. It’s often used to investigate causes like thyroid nodules, lymph node enlargement, or other suspicious growths. The test helps guide next steps, such as further imaging or treatment planning.

What Happens During the Procedure?

You’ll lie down comfortably while a healthcare professional uses a fine needle to extract cells from the lump. A local anesthetic may be used to numb the area. The procedure is quick and usually painless. Afterward, you may experience mild soreness or swelling, which typically resolves quickly.

What Does the Test Result Mean?

The results are reviewed by a pathologist, who examines the cells under a microscope. They may report whether the cells look normal or if they suggest abnormalities such as infection, inflammation, or cancer. Results can be qualitative (yes/no) or more detailed, depending on the complexity of the sample.

Common Conditions Evaluated

This test helps diagnose or monitor conditions like thyroid nodules, lymph node enlargement (often due to infections, inflammation, or cancer), salivary gland tumors, or other neck masses. It’s also used to assess suspicious lumps that don’t have obvious causes.

Reference range

Adult: 136-145 mmol/LN/A

Specimen: serum

No special preparation required. Inform provider of any chest pain or symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Neck Mass Cytology

Frequently asked questions

What Are My Next Steps Based on the Results?
If the test shows normal cells, you may not need further action, but follow-up with your provider to ensure the lump remains stable. If abnormal cells are found, additional tests (like biopsies, imaging, or further cytology) may be needed to determine the exact cause. Your provider will discuss the next steps with you based on the results.
How Long Until I Get My Results?
Results are typically available within a few days to a couple of weeks, depending on the lab’s processing time and complexity of the sample. Your healthcare provider will contact you directly with the findings.
Is This Test Painful?
The procedure itself is usually painless or minimally uncomfortable due to the local anesthetic. You may feel slight pressure or a small pinch during the needle insertion, but most people tolerate it well. Mild soreness afterward is common but short-lived.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy