ULTRASOUND-GUIDED CORE NEEDLE BIOPSY OF CERVICAL LYMPHADENOPATHY IN PATIENTS WITH LYMPHOMA: THE CLINICAL EFFICACYAND FACTORS ASSOCIATED WITH UNSUCCESSFUL DIAGNOSIS

被引：31
作者：
Huang, Pei Ching [1 ]
Liu, Chia Yee [4 ]
Chuang, Wen Yu [2 ]
Shih, Lee Yung [3 ]
Wan, Yung Liang [1 ]
机构：
[1] Chang Gung Univ, Chang Gung Mem Hosp Linkou, Coll Med, Dept Med Imaging & Intervent, Tao Yuan 333, Taiwan
[2] Chang Gung Univ, Chang Gung Mem Hosp Linkou, Coll Med, Dept Pathol, Tao Yuan 333, Taiwan
[3] Chang Gung Univ, Chang Gung Mem Hosp Linkou, Coll Med, Div Hematol Oncol,Dept Internal Med, Tao Yuan 333, Taiwan
[4] Tunghai Univ, Dept Stat, Taichung 40704, Taiwan
来源：
ULTRASOUND IN MEDICINE AND BIOLOGY | 2010年 / 36卷 / 09期
关键词：
Accuracy and failure of ultrasound-guided core biopsy; Cervical lymphadenopathy; Lymphoma; Subtyping; NON-HODGKINS-LYMPHOMA; CUTTING-EDGE-NEEDLE; MALIGNANT-LYMPHOMA; NODE INFARCTION; NECK; HEAD; EXPERIENCE; UTILITY;
D O I：
10.1016/j.ultrasmedbio.2010.05.018
中图分类号：
O42 [声学];
学科分类号：
070206 ; 082403 ;
摘要：
This study attempts to identify factors that influence the success or failure of subclassifying 154 cases of neck lymphoma by ultrasound-guided core needle biopsy (UGCNB). Variables including age, gender, nodal size, cutting needle bore, number of core tissues obtained, presence of nodal necrosis or infarct, fragmentation of the specimens and subclassification of lymphoma were reviewed and statistically analyzed to check if they were related to the success of UGCNB. UGCNB was successful in subclassifying lymphoma in 138 (89.7%) cases, in diagnosing lymphoma in 11 (7.1%) and unsuccessful in diagnosing lymphomain five (3.2%) cases. No complications were encountered. The factors leading to failure in subclassification included the presence of composite lymphoma (p - 0.001), nodal necrosis or infarct (p = 0.001) and insufficiency or fragmentation of the specimens (p < 0.001). UGCNB is a safe and efficient procedure in subclassifying lymphoma. It may obviate surgical biopsy in 89.7% of cases. (E-mail: ylw0518@adm.cgmh.org.tw) (C) 2010 World Federation for Ultrasound in Medicine & Biology.
引用
收藏
页码：1431 / 1436
页数：6
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