Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-26T07:41:15.025Z Has data issue: false hasContentIssue false
  • English
  • Français

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: ganlyi@mskcc.org
Get access Rights & Permissions [Opens in a new window]

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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