The diagnostic performance of ultrasound-guided core biopsy in the diagnosis of head and neck lymphoma: results in 226 patients
| Autor: | Z. Chia, T. Cuenca-Jimenez, A.B. Moody, A. Desai, David C. Howlett, Rachael F. Grace, Keith Ramesar |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Image-Guided Biopsy
medicine.medical_specialty Lymphoma 03 medical and health sciences 0302 clinical medicine Fine needle aspiration cytology Biopsy medicine Humans Head and neck Ultrasonography Interventional Retrospective Studies medicine.diagnostic_test business.industry Head and neck cancer 030206 dentistry medicine.disease Ultrasound guided Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis Surgery Histopathology Biopsy Large-Core Needle Radiology Oral Surgery business Core biopsy |
| Zdroj: | International Journal of Oral and Maxillofacial Surgery. 50:431-436 |
| ISSN: | 0901-5027 |
| Popis: | Many clinical guidelines for investigating lymphomas advise that surgical excision biopsy (SEB) should be performed for a confident diagnosis. It is increasingly recognized in clinical practice that ultrasound-guided core needle biopsy (USCNB) is a reliable diagnostic technique. We aimed to investigate the diagnostic efficacy of USCNB in head and neck lymphoma. A retrospective analysis of all diagnosed head and neck lymphomas between 2013 and 2018 was performed. Patient records, radiology and histopathology reports along with the biopsy technique: fine needle aspiration cytology (FNAC), USCNB, and SEB used were reviewed. The technique providing diagnosis and leading to initiation of treatment was identified. Two-hundred and thirty patients and 267 biopsy samples were included. A total of 226 patients underwent USCN. In 215 of 226 (95.1%) USCNB patients were fully diagnostic allowing for initiation of oncological treatment; 11 patients required a subsequent SEB to provide diagnosis. In four patients, SEB was the only investigation performed. Of the USCNB total number of procedures (number of patients n=230 is the same coincidentally as the number of USCNB procedures), 215 of 230 (93.5%) were fully diagnostic samples. In the majority of cases, USCNB provided a definitive diagnosis allowing initiation of oncological treatment, avoiding the need for SEB. USCNB should be considered the first-line diagnostic modality in appropriate cases, as it reduces time to initiate treatment, costs and avoids patients having to undergo unnecessary surgery and possible complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect