超声引导下经皮穿刺活检用于颈部淋巴结检查：慢性淋巴细胞白血病和转移性鳞状细胞癌

Ultrasound-guided core biopsy for investigation of cervical lymph node: chronic lymphocytic leukaemia and metastatic squamous cell carcinoma.

作者信息

Hodges Spencer, Williams Mike D, Moody Andrew B, Ramesar Keith, Howlett David C

机构信息

Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital, Eastbourne, East Sussex, United Kingdom.

出版信息

Br J Oral Maxillofac Surg. 2010 Jan;48(1):46-7. doi: 10.1016/j.bjoms.2008.11.004. Epub 2009 Jan 3.

DOI:10.1016/j.bjoms.2008.11.004

PMID:19121879

Abstract

We describe a case in which ultrasound-guided fine needle core biopsy of a cervical lymph node enabled diagnosis of dual disease. Histological examination of the core biopsy confirmed unsuspected chronic lymphocytic leukaemia with an isolated focus of metastatic squamous cell carcinoma (SCC), and enabled optimal preoperative planning of treatment. Such a case is extremely unusual and provides evidence of the accurate diagnosis that can be obtained from nodal investigations using ultrasound-guided core biopsy.

摘要

我们描述了一例通过超声引导下对颈部淋巴结进行细针芯活检得以诊断双重疾病的病例。芯活检的组织学检查证实了未曾怀疑的慢性淋巴细胞白血病，并伴有孤立的转移性鳞状细胞癌灶，从而能够进行最佳的术前治疗规划。这样的病例极为罕见，为通过超声引导下芯活检进行淋巴结检查可获得准确诊断提供了证据。