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경부 림프절 비대의 진단에 있어서 초음파 유도하의 핵 생검의 유용성

Other Titles
 Usefulness of Ultrasound-guided Core Needle Biopsy in the Diagnosis of Cervical Lymphadenopathy 
 김은경  ;  곽진영  ;  오기근  ;  양우익  ;  정웅윤  ;  박정수  ;  유재경 
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지), Vol.22(4) : 233-238, 2003 
Journal Title
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지) 
Issue Date
Lymphatic system ; biopsy ; Lymphatic system ; US ; Ultrasound (US) ; guidance
Lymphatic system ; biopsy ; Lymphatic system ; US ; Ultrasound (US) ; guidance
PURPOSE : To evaluate the efficacy of ultrasound-guided percutaneous core-needle biopsy in establishing histopathologic diagnoses of cervical lymphadenopathy. MATERIALS and METHODS : Seventy nine patients with cervical lymphadenopathy without a history of malignancy or recent infection underwent ultrasound-guided core-needle biopsies. Lymph node tissues were obtained by 2 to 4 times of freehand core-needle biopsy technique using a 7.5-12 MHz ultrasound transducer and a short-excursion (12 mm), spring-loaded automated gun with an 16-gauge cutting needle. We evaluated diagnostic yields of biopsies and related complication. RESULTS : Histologic diagnoses were conclusive in 73 cases (92.4%) including 57 benign causes (24 cases of tuberculous lymphadenitis, 19 cases of reactive hyperplasia, 14 cases of Kikuchi Disease and 2 cases of nonspecific lymphadenitis) and 12 malignancies (8 cases of metastatic lymphadenopathy, 7 cases of lymphoma). In 5 of 7 patients with lymphoma, histologic subclassification was established with obtained tissue to guide treatment. No complications were seen after biopsy. CONCLUSION : Ultrasound-guided core-needle biopsy of cervical lymphadenopathy is a safe, minimally invasive alternative to surgical biopsy, enabling a histologic diagnosis for treatment planning in the majority of cases.
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1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Jin Young(곽진영) ORCID logo https://orcid.org/0000-0002-6212-1495
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Park, Cheong Soo(박정수)
Yang, Woo Ick(양우익) ORCID logo https://orcid.org/0000-0002-6084-5019
Oh, Ki Keun(오기근)
You, Jai Kyung(유재경)
Chung, Woung Youn(정웅윤)
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