The Diagnostic Yield of Excisional Biopsy in Cervical Lymphadenopathy: A Retrospective Analysis of 158 Biopsies in Adults

Bassiouni, Mohamed; Kang, Gyeongphill; Dommerich, Steffen; Arens, Philipp

doi:10.1177/01455613211023009

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…Adeyinka and associates, 2016 in their research mentioned that the Improvisation of instruments and techniques could help an operating surgeon to achieve sound outcomes for their procedur 10,11 . Likely, Wistermayer and colleagues also mentioned betterment with modification of existing dissection of cervical lymph nodes 12 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Cervical Lymph Nodes Dissection for Excisional Biopsy “Simple Dissection Technique vs. Improvised Loop Traction Technique”

Mirza¹,

Tahir²,

Latif³

et al. 2023

PJMHS

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Aim: To compare improvised loop traction dissection with simple dissection technique for lymph node excisional biopsy of cervical region Study design: Cohort study. Place: Combined Military Hospital Rawalpindi, Abbottabad, Multan & Peshawar. Duration: September 2013 – January 2022. Methodology: cervical region Lymph nodes with intact architecture more than 1 centimeter were considered for this study while lymph nodes of the cervical region with distorted architecture and size <1cm were not included in this study. Among 530 patients, two dissection techniques (simple and improvised loop) were adopted. The lymph nodes to be removed were detected with palpation or through ultrasound and imaging such as computed tomography (CT). An open biopsy surgical procedure with or without modification was adopted. In the first group-I (n=206), Lymph node dissection was continued with the conventional technique, and in the group (n=324) lymph node was inserted with a silk suture for traction as the loop is adopted. The post-procedural assessment was for the difficulty level of dissection was done. Results: Among 530 Patients (Male=76.03%: Female=23.96%), the mean age in years of the patient was simple dissection technique n=206(range=20-69 mean 39) and loop techniques n=324(mean 41 and range 21-66). On average, 19.30 minutes for loop improvised and structural preservation was 69.75% (226), while rupture with the simple technique was observed in about 18(8.7%). The dissection time was less among patients with improvised loop technique and architectural preservation. Conclusions: Inserting silk suture as a double loop reduces duration and facilitates dissection in preserving architecture of lymph node sample Keywords: improvised loop technique, griping& holding, preserved architecture

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Section: Discussionmentioning

confidence: 99%

Comparison of Cervical Lymph Nodes Dissection for Excisional Biopsy “Simple Dissection Technique vs. Improvised Loop Traction Technique”

Mirza¹,

Tahir²,

Latif³

et al. 2023

PJMHS

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“…Excision biopsy is generally recommended for classification of lymphoma [4][5][6] , while only a needle biopsy is required for other cervical lymphadenopathies 7 . Excision biopsy has a greater risk of trauma-related symptoms and complications than needle biopsy 8 , so patients with enlarged cervical lymph nodes will usually be examined first with non-invasive imaging. If non-invasive imaging reveals benign lesions, patients can avoid the more invasive biopsy procedure.…”

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confidence: 99%

Diagnosis of cervical lymphoma using a YOLO-v7-based model with transfer learning

Wang,

Yang,

Yang

et al. 2024

Sci Rep

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To investigate the ability of an auxiliary diagnostic model based on the YOLO-v7-based model in the classification of cervical lymphadenopathy images and compare its performance against qualitative visual evaluation by experienced radiologists. Three types of lymph nodes were sampled randomly but not uniformly. The dataset was randomly divided into for training, validation, and testing. The model was constructed with PyTorch. It was trained and weighting parameters were tuned on the validation set. Diagnostic performance was compared with that of the radiologists on the testing set. The mAP of the model was 96.4% at the 50% intersection-over-union threshold. The accuracy values of it were 0.962 for benign lymph nodes, 0.982 for lymphomas, and 0.960 for metastatic lymph nodes. The precision values of it were 0.928 for benign lymph nodes, 0.975 for lymphomas, and 0.927 for metastatic lymph nodes. The accuracy values of radiologists were 0.659 for benign lymph nodes, 0.836 for lymphomas, and 0.580 for metastatic lymph nodes. The precision values of radiologists were 0.478 for benign lymph nodes, 0.329 for lymphomas, and 0.596 for metastatic lymph nodes. The model effectively classifies lymphadenopathies from ultrasound images and outperforms qualitative visual evaluation by experienced radiologists in differential diagnosis.

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The Diagnostic Yield of Excisional Biopsy in Cervical Lymphadenopathy: A Retrospective Analysis of 158 Biopsies in Adults

Cited by 2 publications

References 23 publications

Comparison of Cervical Lymph Nodes Dissection for Excisional Biopsy “Simple Dissection Technique vs. Improvised Loop Traction Technique”

Comparison of Cervical Lymph Nodes Dissection for Excisional Biopsy “Simple Dissection Technique vs. Improvised Loop Traction Technique”

Diagnosis of cervical lymphoma using a YOLO-v7-based model with transfer learning

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