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European Radiology
Erschienen in: European Radiology 12/2010

01.12.2010 | Head and Neck

How safe is the use of ultrasound-guided cutting needle biopsy in the head and neck?

verfasst von: Jens Pfeiffer, Gerd J. Ridder

Erschienen in: European Radiology | Ausgabe 12/2010

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Abstract

Objectives

To analyse the risks and potential complications of cutting needle biopsy (CNB) for head and neck lesions, which have not been fully discussed previously.

Materials and methods

We performed a systematic clinicopathological quality assessment study of 200 patients with cervicofacial lesions who underwent 444 CNB procedures with a semiautomatic biopsy gun.

Results

Adequate target tissue was obtained in 181 patients and revealed malignancy in 127 patients (70.2%). Follow-up uncovered 2 (1.1%) false-negative results. Emphasis was placed on the analysis of 4 minor and 2 major complications that were recorded. One patient suffered from a cerebrovascular event and died after dissection of a distinctively kinked carotid artery. The risks of CNB are discussed and compared to fine-needle aspiration cytology (FNAC) and open biopsy and related to series of parameters.

Conclusion

CNB is a safe and reliable technique in the majority of cases but its risks in the head and neck are not negligible due to the proximity of major neurovascular structures and airways. We recommend special attention after neck surgery and radiotherapy and when the target is not clearly circumscribed and is close to major vessels.
Literatur
1.
Nyquist GG, Tom WD, Mui S (2008) Automatic core needle biopsy: a diagnostic option for head and neck masses. Arch Otolaryngol Head Neck Surg 134:184–189CrossRefPubMed
2.
Savage SA, Wotherspoon HA, Fitzsimons EJ, MacKenzie K (2008) Cervical lymphadenopathy resulting in a diagnosis of lymphoma. Scott Med J 53:13–16PubMed
3.
Kim BM, Kim EK, Kim MJ, Yang WI, Park CS, Park SI (2007) Sonographically guided core needle biopsy of cervical lymphadenopathy in patients without known malignancy. J Ultrasound Med 26:585–591PubMed
4.
Song JY, Cheong HJ, Kee SY, Lee J, Sohn JW, Kim MJ et al (2007) Disease spectrum of cervical lymphadenitis: analysis based on ultrasound-guided core-needle gun biopsy. J Infect 55:310–316CrossRefPubMed
5.
Bain G, Bearcroft PW, Berman LH, Grant JW (2000) The use of ultrasound-guided cutting-needle biopsy in paediatric neck masses. Eur Radiol 10:512–515CrossRefPubMed
6.
Screaton NJ, Berman LH, Grant JW (2002) Head and neck lymphadenopathy: evaluation with US-guided cutting-needle biopsy. Radiology 224:75–81CrossRefPubMed
7.
Demharter J, Muller P, Wagner T, Schlimok G, Haude K, Bohndorf K (2001) Percutaneous core-needle biopsy of enlarged lymph nodes in the diagnosis and subclassification of malignant lymphomas. Eur Radiol 11:276–283CrossRefPubMed
8.
Yamashita Y, Kurokawa H, Takeda S, Fukuyama H, Takahashi T (2002) Preoperative histologic assessment of head and neck lesions using cutting needle biopsy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:528–533CrossRefPubMed
9.
Connor S, Dyer J, Guest P (2000) Image-guided automated needle biopsy of 106 thoracic lesions: a retrospective review of diagnostic accuracy and complication rates. Eur Radiol 10:490–494CrossRefPubMed
10.
Bandyopadhyay S, Pansare V, Feng J, Ali-Fehmi R, Bhan R, Husain M et al (2007) Frequency and rationale of fine needle aspiration biopsy conversion to core biopsy as a result of onsite evaluation. Acta Cytol 51:161–167PubMed
11.
Lindgren PG (1982) Percutaneous needle biopsy. A new technique. Acta Radiol Diagn (Stockh) 23:653–656
12.
Hopper KD, Abendroth CS, Sturtz KW, Matthews YL, Stevens LA, Shirk SJ (1993) Automated biopsy devices: a blinded evaluation. Radiology 187:653–660PubMed
13.
Buchberger W, Niehoff A, Obrist P, Rettl G, Dünser M (2002) Sonographically guided core needle biopsy of the breast: technique, accuracy and indications. Radiologe 42:25–32CrossRefPubMed
14.
Parker SH, Lovin JD, Jobe WE, Luethke JM, Hopper KD, Yakes WF et al (1990) Stereotactic breast biopsy with a biopsy gun. Radiology 176:741–747PubMed
15.
Pfeiffer J, Kayser G, Technau-Ihling K, Boedeker CC, Ridder GJ (2007) Ultrasound-guided core-needle biopsy in the diagnosis of head and neck masses: indications, technique, and results. Head Neck 29:1033–1040CrossRefPubMed
16.
Howlett DC, Menezes L, Bell DJ, Ahmed I, Witcher T, Bhatti N et al (2006) Ultrasound-guided core biopsy for the diagnosis of lumps in the neck: results in 82 patients. Br J Oral Maxillofac Surg 44:34–37CrossRefPubMed
17.
Robbins KT, Clayman G, Levine PA, Medina J, Sessions R, Shaha A et al (2002) Neck dissection classification update: revisions proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery. Arch Otolaryngol Head Neck Surg 128:751–758PubMed
18.
Sklair-Levy M, Amir G, Spectre G, Lebensart P, Applbaum Y, Agid R et al (2005) Image-guided cutting-edge-needle biopsy of peripheral lymph nodes and superficial masses for the diagnosis of lymphoma. J Comput Assist Tomogr 29:369–372CrossRefPubMed
19.
Ridder GJ, Technau-Ihling K, Boedeker CC (2005) Ultrasound-guided cutting needle biopsy in the diagnosis of head and neck masses. Laryngoscope 115:376–377CrossRefPubMed
20.
Padia SA, Baker ME, Schaeffer CJ, Remer EM, Obuchowski NA, Winans C et al (2009) Safety and efficacy of sonographic-guided random real-time core needle biopsy of the liver. J Clin Ultrasound 37:138–143CrossRefPubMed
21.
Burbank F, Kaye K, Belville J, Ekuan J, Blumenfeld M (1994) Image-guided automated core biopsies of the breast, chest, abdomen, and pelvis. Radiology 191:165–171PubMed
22.
Somerville P, Seifert PJ, Destounis SV, Murphy PF, Young W (2008) Anticoagulation and bleeding risk after core needle biopsy. AJR Am J Roentgenol 191:1194–1197CrossRefPubMed
23.
Giovanni S, Sighinolfi MC, Francesco F, de Stefano S, Salvatore M, Paterlini M et al (2009) Does needle calibre affect pain and complication rates in patients undergoing transperineal prostate biopsy? A prospective, randomized trial. Asian J Androl 11:678–682CrossRefPubMed
24.
Steil S, Zerwas S, Moos G, Bittinger F, Hansen T, Mergenthaler U et al (2009) CT-guided percutaneous core needle biopsy in oncology outpatients: sensitivity, specificity, complications. Onkologie 32:254–258CrossRefPubMed
25.
Domanski HA, Akerman M, Carlen B, Engellau J, Gustafson P, Jonsson K et al (2005) Core-needle biopsy performed by the cytopathologist: a technique to complement fine-needle aspiration of soft tissue and bone lesions. Cancer 105:229–239CrossRefPubMed
26.
Pfeiffer J, Ridder GJ (2008) A clinical classification system for abberant internal carotid arteries. Laryngoscope 118:1931–1936CrossRefPubMed
27.
Cohen J, Rad I (2004) Contemporary management of carotid blowout. Curr Opin Otolaryngol Head Neck Surg 12:110–115CrossRefPubMed
28.
Chang FC, Lirng JF, Luo CB, Wang SJ, Wu HM, Guo WY et al (2008) Patients with head and neck cancers and associated postirradiated carotid blowout syndrome: endovascular therapeutic methods and outcomes. J Vasc Surg 47:936–945CrossRefPubMed
Metadaten
Titel
How safe is the use of ultrasound-guided cutting needle biopsy in the head and neck?
verfasst von
Jens Pfeiffer
Gerd J. Ridder
Publikationsdatum
01.12.2010
Verlag
Springer-Verlag
Erschienen in
European Radiology / Ausgabe 12/2010
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-010-1871-y

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