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Ultrasound-guided core-needle biopsy in the diagnosis of head and neck masses: Indications, technique, and results

✍ Scribed by Jens Pfeiffer; Gian Kayser; Katja Technau-Ihling; Carsten Christof Boedeker; Gerd Jürgen Ridder

Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
230 KB
Volume
29
Category
Article
ISSN
1043-3074

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✦ Synopsis

Abstract

Background.

Unclear cervicofacial masses are common presentations that often require tissue sampling to guide therapy. While open biopsy is invasive, fine‐needle aspiration cytology includes a high rate of nondiagnostic samples.

Methods.

A retrospective analysis on 181 core‐needle biopsies in 88 patients was performed to determine the diagnostic efficacy of ultrasound‐guided core‐needle biopsies in the head and neck.

Results.

We experienced 100% success in obtaining high‐quality histopathologic specimens. The target tissue was correctly sampled in 80 of 88 patients. In these patients the sensitivity, specificity, and accuracy rate of core‐needle biopsies in differentiating benign from malignant cervicofacial lesions was 98.1%, 100%, and 98.8%, respectively.

Conclusions.

Ultrasound‐guided core‐needle biopsies can be recommended as a safe and reliable technique in the diagnosis of cervicofacial masses with a high diagnostic yield. It obtains tissue samples of high quality and represents a sufficient alternative to open biopsy even in the diagnosis of lymphoma. © 2007 Wiley Periodicals, Inc. Head Neck 2007

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