Clinical application of ultrasound-guided core needle biopsy with multiple punches in the diagnosis of lymphoma

被引：21

作者：

He, Ying ^{[1
]}

Ji, Xiuzhen ^{[1
]}

Xie, Yanggui ^{[2
]}

He, Bosheng ^{[3
]}

Xu, Xiaohong ^{[4
]}

Chen, Xudong ^{[5
]}

Zhang, Qin ^{[1
]}

机构：

[1] Nantong Univ, Canc Hosp, Dept Ultrasound, Nantong 226361, Peoples R China

[2] Nantong Univ, Affiliated Hosp 1, Dept Ultrasound, Nantong 226001, Peoples R China

[3] Nantong Univ, Affiliated Hosp 2, Dept Radiol, Nantong 226001, Jiangsu, Peoples R China

[4] Nantong Univ, Canc Hosp, Dept Oncol, Nantong 226361, Peoples R China

[5] Nantong Univ, Canc Hosp, Dept Pathol, Nantong 226361, Peoples R China

来源：

WORLD JOURNAL OF SURGICAL ONCOLOGY | 2015年 / 13卷

关键词：

Lymphoma; Ultrasound-guided; Core needle biopsy; Multiple punches; Accuracy rate; MALIGNANT-LYMPHOMAS; CERVICAL LYMPHADENOPATHY; MEDIASTINAL LYMPHOMA; INITIAL DIAGNOSIS; NODES; ASPIRATION; SUBCLASSIFICATION; CLASSIFICATION; EXPERIENCE; MANAGEMENT;

D O I：

10.1186/s12957-015-0537-2

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: The purpose of this study is to investigate the feasibility, accuracy, and limitations of ultrasound (US)-guided core needle biopsy (CNB) with multiple punches in the diagnosis of lymphoma in the whole body. Methods: From March 2007 to October 2013, US-guided CNB with multiple punches was performed by well-experienced radiologists in 110 patients (CNB group), and surgical biopsy was carried out in 95 patients (surgical group). The differences of accuracy rate between the two groups in the diagnosis of lymphoma and its subtypes were examined with Fisher's exact test. Results: There were no statistical differences between the CNB group and the surgical group in the diagnostic accuracy rate of lymphoma, as well as its subtypes in superficial and deep masses. In addition, in the CNB group, there were no statistical differences between different lengths of lesions in the diagnosis accuracy rate of lymphoma and its subtypes. Conclusions: US-guided CNB with no less than three punches is an accurate, safe, minimally invasive, non-radiological, fast, and cost-effective method in the evaluation of lymphoma and its subtypes as compared with surgical approach. It should be considered as the acceptable alternative to surgical biopsy to obtain histopathological samples in the patients with suspected lymphoma.

引用

页数：7