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Sonographically guided core needle biopsy of cervical lymphadenopathy in patients without known malignancy

Authors
 Byung Moon Kim  ;  Eun-Kyung Kim  ;  Sung Il Park  ;  Cheong Soo Park  ;  Woo-Ik Yang  ;  Min Jung Kim 
Citation
 JOURNAL OF ULTRASOUND IN MEDICINE, Vol.26(5) : 585-591, 2007 
Journal Title
JOURNAL OF ULTRASOUND IN MEDICINE
ISSN
 0278-4297 
Issue Date
2007
MeSH
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biopsy, Needle/methods* ; Female ; Humans ; Lymph Nodes/diagnostic imaging* ; Lymph Nodes/pathology* ; Lymphadenitis/diagnostic imaging* ; Lymphadenitis/pathology* ; Lymphatic Metastasis ; Male ; Middle Aged ; Neck ; Retrospective Studies ; Surgery, Computer-Assisted/methods* ; Ultrasonography, Interventional/methods*
Abstract
OBJECTIVE:
The purpose of this study was to retrospectively evaluate the efficacy of sonographically guided core needle biopsy (core biopsy) for diagnosing the causes of cervical lymphadenopathy in patients without known malignancy.
METHODS:
One hundred fifty-five sonographically guided core biopsies performed in 155 patients with cervical lymphadenopathy were retrospectively evaluated. None of the 155 patients had any known primary malignancy. Final diagnoses were determined by the histologic examination from excision biopsy when performed or by the clinical and sonographic follow-up for more than 12 months. When a lymph node diagnosed as benign by sonographically guided core biopsy regressed spontaneously or by subsequent management, the diagnosis made by the sonographically guided core biopsy was considered correct. When a lymph node diagnosed as benign by sonographically guided core biopsy was unchanged or increased in size with subsequent management, excision biopsy was performed. Diagnostic yield, sensitivity, specificity, accuracy, and complications of core biopsy were evaluated.
RESULTS:
Histologic diagnosis could be made by sonographically guided core biopsy in 146 (94%) of the 155 patients. The histologic diagnoses were reactive hyperplasia in 44 patients, tuberculosis in 37, Kikuchi disease in 25, metastasis in 16, lymphoma in 16, normal in 7, and toxoplasmosis in 1. Sensitivity, specificity, and accuracy of sonographically guided core biopsy were 97.9%, 99.1%, and 97.9%, respectively. There were no procedure-related complications.
CONCLUSIONS:
Sonographically guided core biopsy is a safe and efficient tool for diagnosing the cause of cervical lymphadenopathy in patients without known malignancy and may obviate unnecessary excisional biopsy.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Park, Sung Il(박성일)
Park, Cheong Soo(박정수)
Yang, Woo Ick(양우익) ORCID logo https://orcid.org/0000-0002-6084-5019
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96711
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