Surveillance CT and the prompt use of CT-guided fine-needle aspiration in patients with head and neck cancer who have undergone surgery
| Autor: | Adam Silvers, Peter M. Som, Mark L. Urken |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Sensitivity and Specificity Diagnosis Differential Thyroid carcinoma Cicatrix Mucoepidermoid carcinoma Biopsy medicine Carcinoma Humans Radiology Nuclear Medicine and imaging Prospective Studies Aged medicine.diagnostic_test business.industry Biopsy Needle Head and neck cancer General Medicine Middle Aged medicine.disease Surgery Fine-needle aspiration Head and Neck Neoplasms Carcinoma Squamous Cell Granulation Tissue Adenocarcinoma Female Radiology Neoplasm Recurrence Local Differential diagnosis Tomography X-Ray Computed business Neck Follow-Up Studies |
| Zdroj: | American Journal of Roentgenology. 173:1505-1508 |
| ISSN: | 1546-3141 0361-803X |
| DOI: | 10.2214/ajr.173.6.10584792 |
| Popis: | The purpose of this study was to assess the usefulness of prompt CT-guided fine-needle aspiration in the evaluation of suspected tumor recurrence seen on surveillance images of patients who had undergone surgery for head and neck cancer.We reviewed 32 patients who had undergone CT-guided fine-needle aspiration after surgery for head and neck cancer. CT-guided fine-needle aspiration was performed with a 22-gauge spinal needle and a cytopathologist was present to assess the adequacy of the biopsy sample. As many as five needle passes were made.Of the 32 cases, pathologic findings revealed squamous cell carcinoma (n = 27), mucoepidermoid carcinoma (n = 2), neuroendocrine carcinoma (n = 1), papillary thyroid carcinoma (n = 1), and adenocarcinoma (n = 1). In 20 cases (62.5%) the results of CT-guided fine-needle aspiration were positive for tumor recurrence, whereas in 11 cases (34.4%) the results were negative. In one case (3.1%) the results were nondiagnostic. Of the 11 patients with negative findings on CT-guided fine-needle aspiration, two patients had a subsequent recurrence that was not at the biopsy site. There were no complications from the procedure.When a radiologist who is trained in head and neck imaging identifies with CT a possible early recurrence of tumor, the prompt use of CT-guided fine-needle aspiration is an effective way to diagnose these tumors so that appropriate treatment can be initiated. |
| Databáze: | OpenAIRE |
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