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| Usefulness of Ultrasound-guided Core Needle Biopsy in the Diagnosis of Cervical Lymphadenopathy |
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| Eun-Kyung Kim, M.D. Jin-Young Kwak, M.D., Jai-Kyung You, M.D., Cheong Soo Park, M.D.*, Woung Youn Chung, M.D.*, Woo-Ik Yang, M.D.**, Ki Keun Oh, M.D. |
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| Department of Diagnostic Radiology, Research Institute of Radiological Science. Severance Hospital,Yonsei University College of Medicine *Department of Surgery, Severance Hospital, Yonsei University College of Medicine **Department of Pathology, Severan |
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| PURPOSE : To evaluate the efficacy of ultrasound-guided percutaneous core-needle biopsy in establishing
histopathologic diagnoses of cervical lymphadenopathy.
MATERIALS and METHODS : Seventy nine patients with cervical lymphadenopathy without a history of malignancy or
recent infection underwent ultrasound-guided core-needle biopsies. Lymph node tissues were obtained by 2 to 4
times of freehand core-needle biopsy technique using a 7.5-12 MHz ultrasound transducer and a short-excursion
(12 mm), spring-loaded automated gun with an 16-gauge cutting needle. We evaluated diagnostic yields of
biopsies and related complication.
RESULTS : Histologic diagnoses were conclusive in 73 cases (92.4%) including 57 benign causes (24 cases of tuberculous
lymphadenitis, 19 cases of reactive hyperplasia, 14 cases of Kikuchi Disease and 2 cases of nonspecific
lymphadenitis) and 12 malignancies (8 cases of metastatic lymphadenopathy, 7 cases of lymphoma). In 5 of 7
patients with lymphoma, histologic subclassification was established with obtained tissue to guide treatment.
No complications were seen after biopsy.
CONCLUSION : Ultrasound-guided core-needle biopsy of cervical lymphadenopathy is a safe, minimally invasive alternative
to surgical biopsy, enabling a histologic diagnosis for treatment planning in the majority of cases. |
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| Keyword : Lymphatic system, biopsy Lymphatic system, US Ultrasound (US), guidance |
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pdf파일 : 233-238 김은경.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2003 ; 22 (4) : p.233-238
