Diagnosis of paraaortic and pelvic lymph node metastasis of gynecologic malignant tumors by ultrasound-guided percutaneous fine-needle aspiration biopsy

Abstract

Transabdominal ultrasonography was done in patients with gynecologic malignancies to detect paraaortic and pelvic lymphadenopathy. Of the 78 patients who underwent ultrasonic examination of pelvic lymph nodes, pelvic lymphadenopathy was detected in 24, of whom ultrasound‐guided percutaneous fine‐needle aspiration biopsies (FNAB) were done in 16. Of these 16 patients, the results of 13 biopsies were positive. Of the 41 patients who underwent ultrasonographic examination of the paraaortic lymph nodes, 27 had paraaortic lymphadenopathy. Ultrasound‐guided percutaneous FNAB were done in 26 of these 27 patients, with positive findings in 21 of the 26. It was concluded that ultrasoundguided percutaneous FNAB is useful in detecting metastatic lymph nodes in gynecologic malignancies. Cancer 68:2571–2574, 1991.

Sonographically guided lymph node biopsy: Complication rates

“…It served to exclude or confirm the diagnosis in patients with enlarged lymph nodes and is of decisive clinical value in determining therapy and prognosis [3][4][5]. Despite real-time imaging and pre-interventional assessment of the planned puncture path, complications may very infrequently occur.…”

“…No complications were recorded in the present patient collective. In the literature, reported rates are low, ranging from 0 to 2.9% [1][2][3][4][5][6][7][8][9][10] ( Table 1). Major complications were reported in two publications, both secondary to vascular injuries [3,6].…”

“…To date, color Doppler ultrasound examination and routine coagulation screening have yet to be established in the standard pre-interventional work-up [3,5,6,8,10] (Table 1). Based on the current literature, and supported by the findings of the present study, we recommend obtaining a color Doppler ultrasound examination prior to every planned lymph node biopsy: this includes cases of both superficial lymph nodes and nodes that would appear to be easily distinguished from blood vessels.…”

“…In fact, Takashima et al [3] presents data that suggests that ultrasound is superior to CT and MRI. Complication rates for CT-guided punctures are reported in the range of 0.05% -2.5% [13], which is comparable to complication rates reported for sonographically guided punctures (0% -2.9%) [1][2][3][4][5][6][7][8][9][10]. A comparison study reported by Sheafor et al [14] also found no significant difference in the rate of complications between CT-and sonographically guided punctures.…”

Transvaginal Ultrasound‐Guided Core Needle Biopsy of Pelvic Masses

“…Fine-needle aspiration biopsy (FNAB) has been used for verification of the lesion nature since 1921 and has proved to be one of the most valuable tools for the diagnosis of tumors of the female pelvis. [6][7][8] Due to its simplicity and safety, FNAB is frequently used as an alternative to surgical procedures, 9,10 but a major limitation is the small amount of the collected sample. To address this limitation, core needle biopsy (CNB) was developed and has gained substantial popularity in recent years.…”