Ultrasound‐guided core‐needle biopsy: Is it effective in the diagnosis of suspected lymphomas presenting in the head and neck?

Carbone, Antonino; Ferlito, Alfio; Devaney, Kenneth O.; Rinaldo, Alessandra

doi:10.1002/jso.21003

Cited by 11 publications

(11 citation statements)

References 9 publications

(5 reference statements)

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“…The detection rate of 91% in our series of 58 lymphomas is in accordance with 81% to 95% reported by others . Complete subclassification of lymphoma according to WHO criteria obtained in 91% of detected cases and in 81% when including inadequate samples is comparable to 52%–90% overall detection rate obtained in three similar studies, each including more than 50 cases of lymphoma , and to 65% to 95% in seven smaller studies, including 7–31 lymphomas . In lymph nodes located elsewhere in the body the detection rate has been 75%–96% .…”

Section: Discussionsupporting

confidence: 91%

“…The CNB samples in HL enabled both detection and full subclassification in 87% compared with 28%-100% reported by others in five studies of CNB of cervical lymph nodes, including 2-18 cases (7,10,12,17,25) and 29%-89% in lymph nodes located elsewhere (8,9,26,(33)(34)(35)(36).…”

Section: Discussionmentioning

confidence: 80%

“…Although the use of CNB for lymphoma diagnostics is increasing, there are still centers which are reluctant to let small needle samples replace the much larger excisional biopsies, especially in the establishment of a primary diagnosis of lymphoma where the small core samples may miss architectural patterns necessary to reach the highest level of subclassification .…”

mentioning

confidence: 99%

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Diagnostic yield of biopsies of cervical lymph nodes using a large (14‐gauge) core biopsy needle

Pedersen

Aarstad

Løkeland

et al. 2013

APMIS

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The purpose of this study was to assess retrospectively complications and diagnostic yield of core needle biopsy (CNB) of cervical lymph nodes using 14-gauge as sole needle bore. During a 10-year period ultrasound (US)-guided CNB, using a 14-gauge Tru-Cut needle (non-advancing), was performed in 140 consecutive cases (135 patients, aged 8-88 years) when a detailed histological diagnosis was required to guide therapy. CNB findings were consistent with the final diagnosis in 129 of the 140 cases, comprising 36 benign lesions, 40 metastases, and 53 lymphomas (40 NHL and 13 HL) of which subclassification (WHO criteria) was partial in 5NHL, and complete in 35 (87.5%) NHL and 13 HL (100%), including all 7 lymphomatous nodes with short-axis diameter ≤1.0 cm. Two lymphomas were falsely interpreted as reactive hyperplasia. Nine samples (6.4%) were inadequate for histopathological analysis. One patient experienced pain in an arm lasting 3-4 days. No other immediate or delayed complications were diagnosed. A 14-gauge may be used safely as the sole needle bore in US-guided CNB of cervical lymph nodes, rendering samples sufficient for full subtyping in lymphoma, even in the smallest nodes.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 80%

mentioning

confidence: 99%

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Diagnostic yield of biopsies of cervical lymph nodes using a large (14‐gauge) core biopsy needle

Pedersen

Aarstad

Løkeland

et al. 2013

APMIS

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“…Concerns have been raised regarding the routine use of USCBs, specifically in lymphomas of the head and neck, as much of the current classification of lymphomas hinges on the detection of particular architectural patterns that may not be well represented in tiny needle biopsy specimens. Moreover, partial involvement of a lymph node by lymphoma makes sampling error possible, in which the needle biopsy may reach only the uninvolved portion of the node [19]. However, there remains a growing body of evidence to support its use.…”

Section: Discussionmentioning

confidence: 99%

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

Burke¹,

Thomas²,

Inglis³

et al. 2011

BJR

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“…It is possible for USCB to achieve a higher specificity in detecting malignancy, and a higher sensitivity in confirming lymphoma [12]. Accordingly, USCB is a promising alternative to OB for cervical diseases [13], [14].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of Kikuchi-Fujimoto Disease: A Comparison between Open Biopsy and Minimally Invasive Ultrasound-Guided Core Biopsy

Chen

Huang

et al. 2014

PLoS ONE

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Kikuchi-Fujimoto disease (KFD) is a self-limited disease without any need of surgical treatments. Sampling of tissue is the only invasive procedure during the clinical course. However, the standard sampling procedure with accuracy, minimal invasiveness, and esthetic maintenance has not been established yet. In this study, a retrospective review of clinical utility and pathological presentations of the ultrasound-guided core biopsy (USCB) and the open biopsy (OB) in consecutive KFD patients. From 2010 to 2012, 34 consecutive patients were enrolled. USCB was performed in 11 patients, and OB was done in 26 patients. KFD was confirmed in 82% cases by USCB. Similar pathological presentations were found both in the specimens of USCB and OB. In the three patients who had received both USCB and OB, KFD was confirmed by USCB in one case, while two by OB. Sampling errors were found both in USCB and OB. For diagnosing KFD, USCB can serve as the first-line diagnostic tool. OB can be applied only in the failed cases of USCB.

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Ultrasound‐guided core‐needle biopsy: Is it effective in the diagnosis of suspected lymphomas presenting in the head and neck?

Cited by 11 publications

References 9 publications

Diagnostic yield of biopsies of cervical lymph nodes using a large (14‐gauge) core biopsy needle

Diagnostic yield of biopsies of cervical lymph nodes using a large (14‐gauge) core biopsy needle

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

Diagnosis of Kikuchi-Fujimoto Disease: A Comparison between Open Biopsy and Minimally Invasive Ultrasound-Guided Core Biopsy

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