Department of ENT, Sheffield, UK.
Department of Radiology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals, Sheffield, UK.
J Laryngol Otol. 2021 Sep;135(9):799-803. doi: 10.1017/S0022215121001833. Epub 2021 Jul 16.
Traditionally, fine needle aspiration cytology was the primary diagnostic investigation for head and neck lumps; however, ultrasound-guided core biopsy offers the advantage of preserving tissue architecture with increased tissue yield. This study reviews the diagnostic utility of ultrasound-guided core biopsy for investigating head and neck lumps.
Overall, 287 ultrasound-guided core biopsies were reviewed between May 2017 and April 2019 at a single tertiary site for head and neck cancer.
On initial ultrasound-guided core biopsy, a diagnostic sample was obtained in 94.4 per cent of patients and in 83.7 per cent of patients with lymphoma. Where the initial ultrasound-guided core biopsy was non-diagnostic, 50 per cent of samples were diagnostic on repeat ultrasound-guided core biopsy. Overall, five complications were seen related to ultrasound-guided core biopsy, and all were managed conservatively. No cases of disease recurrence were identified at the biopsy site.
Ultrasound-guided core biopsy is a safe procedure with a high diagnostic yield when investigating head and neck lumps. Patients whose ultrasound-guided core biopsies were non-diagnostic should be considered for excisional biopsy over repeat ultrasound-guided core biopsy.
传统上，细针抽吸细胞学检查是头颈部肿块的主要诊断性检查；然而，超声引导下的核心活检具有保留组织架构和增加组织产量的优势。本研究回顾了超声引导下核心活检对头颈部肿块的诊断价值。
2017 年 5 月至 2019 年 4 月，在一家三级医院对 287 例头颈部癌症患者进行了超声引导下核心活检。
在初次超声引导下核心活检中，94.4%的患者和 83.7%的淋巴瘤患者获得了诊断性样本。初次超声引导下核心活检非诊断性的患者中，50%的样本在重复超声引导下核心活检中具有诊断性。总的来说，有 5 例与超声引导下核心活检相关的并发症，均通过保守治疗进行了管理。在活检部位未发现疾病复发的病例。
超声引导下核心活检是一种安全的检查方法，对头颈部肿块的诊断具有较高的阳性率。对于超声引导下核心活检非诊断性的患者，应考虑进行切除术活检而非重复超声引导下核心活检。
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