Scalene-Lymph-Node Biopsy

Skinner, David B.

doi:10.1056/nejm196306132682402

Cited by 57 publications

(3 citation statements)

References 15 publications

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“…A scalene lymph node biopsy is the removal of lymph nodes from an area within the posterior triangle [7]. This region is bounded by the omohyoid muscle, the subclavian and internal jugular veins and lies deep to the omohyoid fascia with the nodes on the anterior scalene muscle.…”

Section: Discussionmentioning

confidence: 99%

“…In a classic paper, Skinner classified the complications of scalene lymph node biopsy into two groups, major and minor [7]. Major complications included pneumothorax, phrenic nerve injury, axillary nerve injury, temporary vocal cord paralysis, myocardial infarction, adult respiratory distress syndrome, and (on the left side) chlyothorax and lymph fistula (4.8%).…”

Section: Discussionmentioning

confidence: 99%

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Supracervical Lymph Node Biopsy under Local Anesthesia: A Cautionary Tale!

Boggs¹,

Frost²

2015

OJAnes

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A middle aged woman was scheduled for supracervical lymph node biopsy under local anesthesia. A scheduling conflict caused a significant operating room delay and she became very nervous. A surgical resident asked for anesthetic assistance in calming the patient. Assured that the case was under local anesthesia only, the anesthesiologist gave the patient soda to drink. In the operating room, the lady could not tolerate the procedure but as she now was at risk for aspiration, the anesthesiologist suggested the case be terminated and rescheduled. The surgeon disagreed and continued but was confronted with substantial bleeding. Emergency induction of general anesthesia was required. Postoperatively bleeding continued requiring re-exploration and intensive care unit admission. The patient developed a compressive left brachial plexopathy. The anatomy of the area indicated that general anesthesia was the preferred technique. The importance of team work and communication is underscored. Complications are more frequent when perioperative changes are made.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Supracervical Lymph Node Biopsy under Local Anesthesia: A Cautionary Tale!

Boggs¹,

Frost²

2015

OJAnes

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“…But this is a region crowded with important anatomical structures. Skinner (1963) has reviewed the experience at the Massachusetts General Hospital over a five-year period during which 260 biopsies were performed through supraclavicular incisions. Of these 260 biopsies, 186 were classified as scalene.…”

Section: The Excision During Lifementioning

confidence: 99%

The Value and Limitations of Biopsy Examinations

Gault¹

1966

Australian and New Zealand Journal of Surgery

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Summary A biopsy involves close co‐operation between a surgeon and a pathologist if a representative piece of tissue is to be obtained, and diagnosed. The surgeon must appreciate the limitations placed on the pathologist as he examines many tissues at an early stage of disease. The pathologist must seize every opportunity of correlating his histological evidence with the clinical history, X‐ray appearance, other laboratory investigations, and the ultimate course of the disease. Only in these ways can the patient benefit to the full from a biopsy.

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Selection of Biopsy Procedures for Sarcoidosis Diagnosis

Israel¹,

Sones²

1964

Arch Intern Med

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Scalene-Lymph-Node Biopsy

Cited by 57 publications

References 15 publications

Supracervical Lymph Node Biopsy under Local Anesthesia: A Cautionary Tale!

Supracervical Lymph Node Biopsy under Local Anesthesia: A Cautionary Tale!

The Value and Limitations of Biopsy Examinations

Selection of Biopsy Procedures for Sarcoidosis Diagnosis

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