Ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions

Parasuraman, Lakshminarasimman; Singh, Chirom Amit; Sharma, Suresh C.; Thakar, Alok

doi:10.1016/j.bjorl.2018.11.005

Cited by 4 publications

(17 citation statements)

References 10 publications

(7 reference statements)

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“…4. Cirurgia de Citorredução: Em cânceres abdominais, como ovarianos, a citorredução busca reduzir o volume tumoral para melhorar a eficácia de tratamentos subsequentes 3,7 .…”

Section: Metodologiaunclassified

“…7. Colostomia/Ileostomia: Em alguns cânceres colorretais, a criação de uma abertura no abdômen (colostomia ou ileostomia) pode ser necessária 4,7 .…”

Section: Metodologiaunclassified

“…Além disso, a realização de uma biópsia durante a cirurgia proporciona um diagnóstico preciso, oferecendo informações detalhadas sobre o tipo de câncer, sua agressividade e características específicas. Esses dados são essenciais para orientar um plano de tratamento personalizado e eficaz 5,7,9 .…”

Section: Introductionunclassified

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Desafios e Soluções: Abordagem Anestésica em Cirurgias Gerais para Pacientes Oncológicos

Basuino,

Marques,

Coimbra

et al. 2024

Braz. J. Implantol. Health Sci.

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Introdução: A abordagem anestésica em cirurgias gerais para pacientes oncológicos é uma área complexa e desafiadora da medicina, que envolve a interação entre a anestesia e o tratamento do câncer. Pacientes com câncer frequentemente requerem intervenções cirúrgicas para diagnóstico, estadiamento ou tratamento da doença, mas a presença do tumor e os efeitos do tratamento podem complicar a administração da anestesia. Nesse contexto, surgem desafios únicos que exigem uma abordagem cuidadosa e personalizada. Objetivo: Apresentar os desafios e soluções em uma abordagem anestésica nas cirurgias gerais em pacientes oncológicos. Metodologia: Foram utilizadas as bases de dados Scielo, Medline e Science Direct, com artigos publicados entre os anos 2019 e 2024, disponíveis em inglês ou português. Considerações Finais: A abordagem anestésica em cirurgias gerais para pacientes oncológicos é crucial para garantir o sucesso da intervenção cirúrgica, bem como a qualidade de vida e a sobrevida desses pacientes. Os desafios são diversos, desde a necessidade de avaliar cuidadosamente a condição clínica do paciente até a escolha dos fármacos e técnicas anestésicas mais adequados para cada caso.

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“…4. Cirurgia de Citorredução: Em cânceres abdominais, como ovarianos, a citorredução busca reduzir o volume tumoral para melhorar a eficácia de tratamentos subsequentes 3,7 .…”

Section: Metodologiaunclassified

“…7. Colostomia/Ileostomia: Em alguns cânceres colorretais, a criação de uma abertura no abdômen (colostomia ou ileostomia) pode ser necessária 4,7 .…”

Section: Metodologiaunclassified

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Desafios e Soluções: Abordagem Anestésica em Cirurgias Gerais para Pacientes Oncológicos

Basuino,

Marques,

Coimbra

et al. 2024

Braz. J. Implantol. Health Sci.

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“…In cases of thyroid cartilage sclerosis, sampling from the paraglottic space with Ultrasound Guidance is found to be difficult. Very rarely Tumour cell implantation along the needle tract has been documented [7,8].…”

Section: Introductionmentioning

confidence: 99%

Incorporation of Core Biopsy and FNAB in the Diagnostic Algorithm for Endophytic and Submucosal Laryngeal Malignancies: A Technical Note

Joy

Subhash

Puthiyottil

et al. 2022

Indian J Otolaryngol Head Neck Surg

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Aim to determine the effectiveness of Endolaryngeal Core Biopsy and Fine Needle aspiration Cytology in endophytic or submucosal laryngeal malignancies. Background: Endophytic and submucosal laryngeal tumours pose as diagnostic as well as management challenges to the head and neck surgeon. Identifying the tumour location and extent of disease is crucial for the surgeon to determine the treatment options and the potential outcomes. Persistent laryngeal edema following radiotherapy also presents with a diagnostic dilemma, as distinguishing between recurrent laryngeal carcinoma and radiotherapy sequels; which include fibrosis, oedema and soft tissue and cartilage necrosis, can be confusing and punch biopsies performed in such cases would more than often yield inadequate or superficial tissue. Using a core biopsy gun for acquiring biopsy specimen is known to have more cellular material, less damage to the surrounding structure depth control, immediate analysis with higher accuracy rates. Technique: Patients with suspected laryngeal malignancy are initially evaluated with flexible endoscopy with Narrow band imaging (NBI) and appropriate imaging. These patients are subjected to Microlaryngoscopic under general anaesthesia. A core biopsy gun is used to obtain samples from the suspicious area. Simultaneously, with the aid of microlaryngeal forceps, an FNAC is also done and sent for rapid processing. Conclusion: Trucut biopsy is a novel diagnostic tool that can be commonly used in early laryngeal malignancies especially in those cases where there is strong suspicion of malignancy and the lesion is found to be submucosal. Clinical significance: we noted that a routine DL scopy and Biopsy in submucoal disease often results in a acquiring a non-representative sample as well as causing inadvertent trauma to the surrounding mucosa. We encourage Laryngeal surgeons to routinely use Core biopsies and FNAC during routine microlaryngeal Examination for better yield, faster diagnosis and faster planning of treatment protocols.

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“…Although ultrasound (US) examination has been conventionally considered to have limited capacity for evaluation of the larynx and pharynx, several studies have shown the diagnostic utility of US examination and US-guided diagnostic procedures in LHSCC. [11][12][13][14] In previous studies involving 10 to 68 patients with new and recurrent laryngeal and hypopharyngeal malignancies, percutaneous US-guided fineneedle aspiration biopsy/core-needle biopsy (US-FNAB/ CNB) yielded a sensitivity of 91.9% to 92.5% and specificity of 100%. [11][12][13] Although these studies showed excellent results in terms of diagnostic accuracy, no study has evaluated the time-and cost-effectiveness of US-FNAB/CNB for LHSCC diagnosis.…”

mentioning

confidence: 99%

Time and Cost of Ultrasound‐Guided Fine‐Needle Aspiration Biopsy/Core‐Needle Biopsy for Primary Laryngohypopharyngeal Squamous Cell Carcinoma

Ahn

Lee

Sohn

2020

Otolaryngol.--head neck surg.

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Objectives This study aimed to evaluate benefits in terms of time and cost of percutaneous ultrasound-guided fine-needle aspiration biopsy/core-needle biopsy (US-FNAB/CNB) for the diagnosis of primary laryngeal and hypopharyngeal squamous cell carcinoma (LHSCC) in comparison with direct laryngoscopic biopsy (DLB) under general anesthesia. Study Design Retrospective case-control study. Setting Single operator of a single center. Subjects and Methods From 2018 to 2019, 28 patients who underwent percutaneous US-FNAB/CNB for the diagnosis of untreated LHSCC were enrolled. All US-FNAB/CNBs were performed in the outpatient department by a single head and neck surgeon. Their results were compared with those of 27 patients who underwent DLB under general anesthesia. Results No major complications occurred in the US-FNAB/CNB and DLB groups. Time to biopsy, time to pathologic diagnosis, and time to treatment initiation in the US-FNAB/CNB and DLB groups were 0 and 14 days ( P < .001), 7 and 20 days ( P < .001), and 24 and 35 days ( P = .001), respectively. Procedure-related costs were $368.5 and $981.0 in the US-FNAB/CNB and DLB groups ( P < .001). Conclusions US-FNAB/CNB offers true benefits in terms of time and cost over those given by conventional DLB for diagnosis of LHSCC in indicated patients.

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Ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions

Cited by 4 publications

References 10 publications

Desafios e Soluções: Abordagem Anestésica em Cirurgias Gerais para Pacientes Oncológicos

Desafios e Soluções: Abordagem Anestésica em Cirurgias Gerais para Pacientes Oncológicos

Incorporation of Core Biopsy and FNAB in the Diagnostic Algorithm for Endophytic and Submucosal Laryngeal Malignancies: A Technical Note

Time and Cost of Ultrasound‐Guided Fine‐Needle Aspiration Biopsy/Core‐Needle Biopsy for Primary Laryngohypopharyngeal Squamous Cell Carcinoma

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