Ultrasound-guided core biopsy in the diagnosis of lymphoma of the head and neck. A 9 year experience

Burke, Christopher J.; Thomas, Rohit Philip; Inglis, C; Baldwin, Andrew J.; Ramesar, K.; Grace, R.; Howlett, D.C.

doi:10.1259/bjr/60580076

Cited by 69 publications

(62 citation statements)

References 24 publications

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“…Immunofluorescence analysis is particularly useful for haematological malignancies [18,19] . This technique is already well established in other areas of image guided biopsy including breast and abdomen [20] and is now widely accepted by histopathologists and oncologists as a sufficient technique to allow tumour grading and typing [21] . There will be a requirement for a wider pool of trained operators in order to disseminate the technique.…”

Section: Uscbmentioning

confidence: 99%

Biopsy of parotid masses: Review of current techniques

Haldar¹,

Sinnott²,

Tekeli³

et al. 2016

WJR

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Definitive diagnosis of parotid gland masses is required optimal management planning and for prognosis. There is controversy over whether fine needle aspiration cytology (FNAC) or ultrasound guided core biopsy (USCB) should be the standard for obtaining a biopsy. The aim of this review is to assess the current evidence available to assess the benefits of each technique and also to assess the use of intra-operative frozen section (IOFS). Literature searches were performed using pubmed and google scholar. The literature has been reviewed and the evidence is presented. FNAC is an accepted and widely used technique. It has been shown to have variable diagnostic capabilities depending on centres and experience of staff. USCB has a highly consistent diagnostic accuracy and can help with tumour grading and staging. However, the technique is more invasive and there is a question regarding potential for seeding. Furthermore, USCB is less likely to be offered as part of a one-stop clinic. IOFS has no role as a first line diagnostic technique but may be reserved as an adjunct or for lesions not amenable to percutaneous biopsy. On balance, USCB seems to be the method of choice. The current evidence suggests it has superior diagnostic potential and is safe. With time, USCB is likely to supplant FNAC as the biopsy technique of choice, replicating that which has occurred already in other areas of medicine such a breast practice.

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Section: Uscbmentioning

confidence: 99%

Biopsy of parotid masses: Review of current techniques

Haldar¹,

Sinnott²,

Tekeli³

et al. 2016

WJR

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show abstract

“…Even though, Fine needle aspiration cytology (FNAC) has been introduced in the laboratory diagnostics since last two or three decades (Handa et al, 2012); there are still many situation, where excision biopsies is mandatory, especially in suspected cases of lymphoproliferative disorders. Recent literature also cites a study on the role of ultrasound (US) guided core biopsy in the diagnosis and typing of lymphoma in the head and neck region (Burke et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…A case report on Kikuchi disease with review of literature (Deaver et al, 2014) and a literature review on enlarged neck lymph nodes in children (Rajasekaran and Krakovitz, 2013) from USA; and experience of US guided core biopsy on head and neck lymphoma (Burke et al, 2011) from UK are examples of studies from the developed western world.…”

Section: Introductionmentioning

confidence: 99%

Pattern of Lymph Node Pathology in Western Saudi Arabia

Albasri

El-Siddig²,

Hussainy³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: This study aimed to characterize the histopathological pattern of lymph node pathology among Saudi patients and to highlight the age and gender variations of these lesions as base line data. Materials and Methods: We retrospectively analyzed the data from lymph node biopsy specimens received at the Department of Pathology, King Fahad Hospital, Madinah, Saudi Arabia from January 2006 to December 2013. Results: Of the 289 lymph node biopsy specimens received, 154 (53.3%) were from males and 135 (46.7%) from females giving a male: female ratio of 1.14:1. Age of the patients ranged from 2.5 to 96 years with a mean age 33.9 years. The commonest lymph node group affected was the cervical (30.4%) followed by axillary (9.7%) and inguinal (8.7%). Malignant lymphoma [71 Hodgkin's disease (HD), 57 non Hodgkin's lymphoma (NHL)] 128 (44.3%), reactive hyperplasia 68 (23.5%), and tuberculosis 41 (14.2%) were the common causes of lymph node enlargement. While HD, reactive hyperplasia and tuberculosis were commonest in young adult patients (10-29 years old) and rare above the age of 50 years; NHL was the predominant cause of lymph node enlargement above 50 years. Conclusions: Lymph node biopsy plays an important role in establishing the cause of lymphadenopathy. Among the biopsied nodes, lymphomas were the most common (44.3%) followed by non-specific reactive hyperplasia (23.5%) and tuberculous lymphadenitis (14.2%).

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“…For example, US guidance can increase the diagnostic performance of FNA compared with palpation guidance, as evidenced in the diagnosis of thyroid nodules. 9 Core needle biopsy (CNB) under US guidance is used frequently for masses in the head and neck area [10][11][12] and has several advantages over either palpation-guided or US-guided FNA, including the ability to obtain a larger specimen with preserved tissue architecture for possible immunohistochemical staining. This potentially contributes to the low nondiagnostic rate and high average sensitivity (92%) and specificity (100%) of this procedure, with little variation in its ability to detect malignant tumors in salivary glands.…”

mentioning

confidence: 99%

Comparison of Fine-Needle Aspiration and Core Needle Biopsy under Ultrasonographic Guidance for Detecting Malignancy and for the Tissue-Specific Diagnosis of Salivary Gland Tumors

Eom

Lee

Ko³

et al. 2015

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Diagnostic test accuracy studies for ultrasonography-guided fine-needle aspiration and ultrasonography-guided core needle biopsy have shown inconclusive results due to their heterogenous study designs. Our aim was to compare the diagnostic accuracy of ultrasonography-guided fine-needle aspiration versus ultrasonography-guided core needle biopsy for detecting malignant tumors of the salivary gland and for the tissue-specific diagnosis of salivary gland tumors in a single tertiary hospital.

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Ultrasound-guided core biopsy in the diagnosis of lymphoma of the head and neck. A 9 year experience

Abstract: In the majority of cases USCB is adequate for confident histopathological diagnosis avoiding the need for surgical excision biopsy in cases of suspected head and neck lymphoma.

Cited by 69 publications

References 24 publications

Biopsy of parotid masses: Review of current techniques

Biopsy of parotid masses: Review of current techniques

Pattern of Lymph Node Pathology in Western Saudi Arabia

Comparison of Fine-Needle Aspiration and Core Needle Biopsy under Ultrasonographic Guidance for Detecting Malignancy and for the Tissue-Specific Diagnosis of Salivary Gland Tumors

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