Application of ultrasound‐guided core biopsy as a novel diagnostic tool for base of tongue cancer: Our experiences with ten patients

Chen, Chun‐Nan; Lin, Cherng‐Yuan; Ko, Jenq‐Yuh; Lou, Pei‐Jen; Wang, Cheng‐Ping; Chen, Tseng‐Cheng; Hsiao, Tzu-Chien; Yang, Tsung‐Lin

doi:10.1111/coa.12458

Cited by 8 publications

(8 citation statements)

References 10 publications

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“…Only 1 of 8 cases required core biopsy because of an inadequate fine‐needle aspirate. Although both our study and the study by Chen et al 4 found no major complications, the fine‐needle aspiration technique uses a smaller needle without a cutting mechanism and, therefore, has a theoretically lower risk of complications. A disadvantage of fine‐needle aspiration is that less tissue is collected than with core biopsy, and a pathologist with expertise in cytopathology is required for accurate interpretation.…”

Section: Discussioncontrasting

confidence: 68%

“…Chen et al 4 recently reported a series of 10 patients with tumors in the base of the tongue that were successfully biopsied by transcutaneous ultrasound‐guided core biopsy. In our series, all patients initially had fine‐needle aspiration, which was considered diagnostic on preliminary cytopathologic review in 7 of 8 cases.…”

Section: Discussionmentioning

confidence: 99%

“…When faced with this situation, we have performed ultrasound‐guided transcutaneous needle biopsy using a submental approach. There are limited data available regarding the feasibility and safety of this biopsy approach 3 , 4 . The purpose of this study was to review our experience with transcutaneous biopsy of lesions in the base of the tongue and floor of the mouth using a submental approach.…”

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confidence: 99%

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Ultrasound‐Guided Transcutaneous Needle Biopsy of the Base of the Tongue and Floor of the Mouth From a Submental Approach

Wagner

Conrad

Cannon

et al. 2016

J of Ultrasound Medicine

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Limited data exist regarding the feasibility of ultrasound-guided transcutaneous biopsy of the base of the tongue and floor of the mouth. This retrospective study reviewed 8 cases with lesions in the base of the tongue or floor of the mouth that were biopsied by fine-needle aspiration. Core biopsy was also needed in 1 case. All biopsies were technically successful, and all yielded squamous cell carcinoma. One biopsy yielded a false-positive result, as subsequent resection yielded high-grade dysplasia with no invasion. The other biopsy results were considered true-positive based on subsequent pathologic examinations (2 cases) or clinical/imaging follow-up (5 cases). There were no significant complications associated with the biopsies.

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Section: Discussioncontrasting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Ultrasound‐Guided Transcutaneous Needle Biopsy of the Base of the Tongue and Floor of the Mouth From a Submental Approach

Wagner

Conrad

Cannon

et al. 2016

J of Ultrasound Medicine

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“…transcervical approach 78% of the time with ultrasound guidance. 3 Chen et al 4 described the use of TCUS-guided core-needle biopsy in 10 patients with BOT lesions, 60% of whom had a history of BOT malignancy status post radiation. The fibrosis found in patients after radiation can obscure recurrent lesions, making it difficult to obtain a good sample with endoscopic techniques.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of In‐office Fine‐Needle Aspiration for Base of Tongue Tumors

Reeder

Aulet

Sajisevi

et al. 2020

Otolaryngol.--head neck surg.

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We aim to demonstrate the feasibility of in-office transcervical ultrasound (TCUS)–guided fine-needle aspiration (FNA) of base of tongue (BOT) tumors in a single-institution. Retrospective chart review was performed and 3 patients met criteria, with BOT tumors ≥3 cm . Two patients had no cervical adenopathy, while FNA of a cervical lymph node was inconclusive in patient 3. Two patients had multiple medical comorbidities rendering them high risk for general anesthesia, and 1 patient had a BOT tumor obscuring visualization of the glottis, which would have precluded intubation and potentially required tracheostomy to proceed. All patients underwent successful in-office TCUS-guided FNA, with results showing squamous cell carcinoma. There were no related complications. In-office TCUS-guided FNA can be used for diagnosis of BOT lesions that are evident on ultrasound. This is beneficial in cases where general anesthesia is considered high risk. Additionally, 1 patient safely continued anticoagulation, and another was able to avoid tracheostomy. This technique is cost-effective as it avoids the expenses associated with operative intervention.

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“…USCB is a useful diagnostic tool because of minimal invasiveness, preciseness, real-time monitoring, and an office-based procedure, which benefits both patients and physicians by reducing labor and cost of diagnoses. 5 – 8 Application of USCB can reduce the need of diagnostic surgery, particularly useful for the patients who are vulnerable or contraindicated for invasive surgical procedure. 7 , 9 , 10 Even for the cases with deep-seated SC tumors, which are usually clinical challenges for OB, tumor sampling can be easily and successfully approached by USCB without the need of general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Application of Ultrasound-Guided Core Biopsy to Minimal-Invasively Diagnose Supraclavicular Fossa Tumors and Minimize the Requirement of Invasive Diagnostic Surgery

et al. 2016

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Tumors of the supraclavicular fossa (SC) is clinically challenging because of anatomical complexity and tumor pathological diversity. Because of varied diseases entities and treatment choices of SC tumors, making the accurate decision among numerous differential diagnoses is imperative. Sampling by open biopsy (OB) remains the standard procedure for pathological confirmation. However, complicated anatomical structures of SC always render surgical intervention difficult to perform. Ultrasound-guided core biopsy (USCB) is a minimally invasive and office-based procedure for tissue sampling widely applied in many diseases of head and neck. This study aims to evaluate the clinical efficacy and utility of using USCB as the sampling method of SC tumors. From 2009 to 2014, consecutive patients who presented clinical symptoms and signs of supraclavicular tumors and were scheduled to receive sampling procedures for diagnostic confirmation were recruited. The patients received USCB or OB respectively in the initial tissue sampling. The accurate diagnostic rate based on pathological results was 90.2% for USCB, and 93.6% for OB. No significant difference was noted between USCB and OB groups in terms of diagnostic accuracy and the percentage of inadequate specimens. All cases in the USCB group had the sampling procedure completed within 10 minutes, but not in the OB group. No scars larger than 1 cm were found in USCB. Only patients in the OB groups had the need to receive general anesthesia and hospitalization and had scars postoperatively. Accordingly, USCB can serve as the first-line sampling tool for SC tumors with high diagnostic accuracy, minimal invasiveness, and low medical cost.

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Application of ultrasound‐guided core biopsy as a novel diagnostic tool for base of tongue cancer: Our experiences with ten patients

Cited by 8 publications

References 10 publications

Ultrasound‐Guided Transcutaneous Needle Biopsy of the Base of the Tongue and Floor of the Mouth From a Submental Approach

Ultrasound‐Guided Transcutaneous Needle Biopsy of the Base of the Tongue and Floor of the Mouth From a Submental Approach

Feasibility of In‐office Fine‐Needle Aspiration for Base of Tongue Tumors

Application of Ultrasound-Guided Core Biopsy to Minimal-Invasively Diagnose Supraclavicular Fossa Tumors and Minimize the Requirement of Invasive Diagnostic Surgery

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