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Diagnostic utility of freehand core-needle biopsy in head and neck masses

Published online by Cambridge University Press:  18 December 2012

D J Bowyer ,
I Smillie  and
I Ganly
D J Bowyer
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Edinburgh Royal Infirmary, UK
I Smillie
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Edinburgh Royal Infirmary, UK
I Ganly*
Affiliation:
Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA
*
Address for correspondence: Dr I Ganly, Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 1233 York Avenue, New York, NY 10065, USA Fax: 001 212 396 5560, E-mail: [email protected]
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Abstract

Objective:

To review our experience with freehand core-needle biopsy in the assessment of unexplained head and neck masses.

Methods:

A total of 770 patients with head and neck masses (referred over a 22-month period) were evaluated. A retrospective chart review was performed on 53 of those patients who underwent core-needle biopsy for an unexplained mass.

Results:

Correct sampling of the target tissue was achieved in all 53 patients (100 per cent) using a freehand core-needle biopsy technique. The diagnostic accuracy for providing adequate tissue samples for histopathological diagnosis was 96 per cent; the test sensitivity was 92 per cent. Four patients (7 per cent) required open surgical biopsy prior to commencing definitive treatment.

Conclusion:

Out-patient freehand core-needle biopsy can be carried out safely on select patients with head and neck masses, and provides high quality histopathology specimens with high diagnostic utility.

Keywords

OtolaryngologyNeoplasmsDiagnosisBiopsyCarcinomaSarcoidosisPathology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 2 , February 2013 , pp. 175 - 180
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Kleid, S, Millar, HS. The case against open neck biopsy. Aust N Z J Surg 1993;63:678–81CrossRefGoogle ScholarPubMed
2Bearcroft, PW, Berman, LH, Grant, J. The use of ultrasound-guided cutting-needle biopsy in the neck. Clin Radiol 1995;50:690–5CrossRefGoogle ScholarPubMed
3Bain, G, Bearcroft, PW, Berman, LH, Grant, JW. The use of ultrasound-guided cutting-needle biopsy in paediatric neck masses. Eur Radiol 2000;10:512–15CrossRefGoogle ScholarPubMed
4Ridder, GJ, Technau-Ihling, K, Boedeker, CC. Ultrasound-guided cutting needle biopsy in the diagnosis of head and neck masses. Laryngoscope 2005;115:376–7CrossRefGoogle ScholarPubMed
5Howlett, DC, Menezes, L, Bell, DJ, Ahmed, I, Witcher, T, Bhatti, N et al. Ultrasound-guided core biopsy for the diagnosis of lumps in the neck: results in 82 patients. Br J Oral Maxillofac Surg 2006;44:34–7CrossRefGoogle ScholarPubMed
6Pfeiffer, J, Kayser, G, Technau-Ihling, K, Boedeker, CC, Ridder, GJ. Ultrasound-guided core-needle biopsy in the diagnosis of head and neck masses: indications, technique, and results. Head Neck 2007;29:1033–40CrossRefGoogle ScholarPubMed
7Harris, NL, Jaffe, ES, Diebold, J, Flandrin, G, Muller-Hermelink, HK, Vardiman, J et al. The World Health Organization classification of neoplastic diseases of the haematopoietic and lymphoid tissues: Report of the Clinical Advisory Committee Meeting, Airlie House, Virginia, November 1997. Histopathology 2000;36:69–86CrossRefGoogle ScholarPubMed
8Schmidt, RL, Hall, BJ, Layfield, LJ. A systematic review and meta-analysis of the diagnostic accuracy of ultrasound-guided core needle biopsy for salivary gland lesions. Am J Clin Pathol 2011;136:516–26CrossRefGoogle ScholarPubMed
9Hoppe, RT, Advani, RH, Bierman, PJ, Bloomfield, CD, Buadi, F, Djulgegovic, B et al. Hodgkin disease/lymphoma. Clinical practice guidelines in oncology. J Natl Compr Canc Netw 2006;4:210–30Google ScholarPubMed
10Ben-Yehuda, D, Polliack, A, Okon, E, Sherman, Y, Fields, S, Lebenshart, P et al. Image-guided core-needle biopsy in malignant lymphoma: experience with 100 patients that suggests the technique is reliable. J Clin Oncol 1996;14:2431–4CrossRefGoogle ScholarPubMed
11Demharter, J, Muller, P, Wagner, T, Schlimok, G, Haude, K, Bohndorf, K et al. Percutaneous core-needle biopsy of enlarged lymph nodes in the diagnosis and subclassification of malignant lymphomas. Eur Radiol 2001;11:276–83CrossRefGoogle ScholarPubMed
12Agid, R, Sklair-Levy, M, Bloom, AI, Lieberman, S, Polliack, A, Ben-Yehuda, D et al. CT-guided biopsy with cutting-edge needle for the diagnosis of malignant lymphoma: experience of 267 biopsies. Clin Radiol 2003;58:143–7CrossRefGoogle ScholarPubMed
13Sklair-Levy, M, Amir, G, Spectre, G, Lebensart, P, Applbaum, Y, Agid, R et al. Image-guided cutting-edge-needle biopsy of peripheral lymph nodes and superficial masses for the diagnosis of lymphoma. J Comput Assist Tomogr 2005;29:369–72CrossRefGoogle ScholarPubMed
14Kim, BM, Kim, EK, Kim, MJ, Yang, WI, Park, CS, Park, SI et al. Sonographically guided core needle biopsy of cervical lymphadenopathy in patients without known malignancy. J Ultrasound Med 2007;26:585–91CrossRefGoogle ScholarPubMed
15Fukuda, H, Ibukuro, K, Tsukiyama, T, Ishii, R. CT-guided transthoracic core biopsy for pulmonary tuberculosis: diagnostic value of the histopathological findings in the specimen. Cardiovas Intervent Radiol 2004;27:226–30CrossRefGoogle ScholarPubMed
16Morita, K, Numata, K, Tanaka, K, Mitsui, K, Matsumoto, S, Kitamura, T et al. Sonographically guided core-needle biopsy of focal splenic lesions: report of four cases. J Clin Ultrasound 2000;28:417–243.0.CO;2-L>CrossRefGoogle ScholarPubMed