The use of ultrasound combined with ultrasound-guided fine-needle aspiration biopsy (UGFAB) of supraclavicular lymph nodes in the pretreatment staging of 37 patients with squamous cell carcinoma of the esophagus is described. All patients underwent computed tomography (CT) scans of the chest and the
Nonpalpable lymph nodes of the neck: Assessment with US and US-guided fine-needle aspiration biopsy
β Scribed by Takashima, Shodayu; Sone, Shusuke; Nomura, Naoko; Tomiyama, Noriyuki; Kobayashi, Tetsuro; Nakamura, Hironobu
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 389 KB
- Volume
- 25
- Category
- Article
- ISSN
- 0091-2751
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β¦ Synopsis
Ultrasound (US) and US-guided fine-needle aspiration biopsy (FNA) were performed in 91 nonpalpable neck nodes of 70 patients, 98% of which had known malignancy. Various sonographic findings were evaluated for predicting malignancy. The accuracy of US-guided FNA for detecting malignancy was 88%, with 96% sensitivity and 94% specificity. The ratio of minimal to maximal axial diameters of a node was most valid for predicting malignancy with US. A ratio of more than 0.55 yielded the highest accuracy (80%) (92% sensitivity, 63% specificity). Addition of any other factors to this criterion did not improve its accuracy. US and US-guided FNA are accurate for the assessment of nonpalpable neck nodes. Lymph nodes with a round configuration should be biopsied in patients with known malignancy.
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