Percutaneous CT-Guided Core Needle Biopsies of Head and Neck Masses: Review of 184 Cases at a Single Academic Institution, Common and Special Techniques, Diagnostic Yield, and Safety

2021 ◽  
Author(s):  
R.W. Jordan ◽  
D.P. Shlapak ◽  
J.C. Benson ◽  
F.E. Diehn ◽  
D.K. Kim ◽  
...  
Keyword(s):  
Head And Neck ◽  
Diagnostic Yield ◽  
Academic Institution ◽  
Ct Guided ◽  
Core Needle ◽  
Neck Masses ◽  
Head And Neck Masses

scholarly journals Computed tomography-guided percutaneous biopsy of head and neck masses: techniques, outcomes, and complications

2021 ◽  
Vol 54 (5) ◽  
pp. 295-302
Author(s):  
Mauricio Kauark Amoedo ◽  
Chiang Jeng Tyng ◽  
Paula Nicole Vieira Pinto Barbosa ◽  
Rayssa Araruna Bezerra de Melo ◽  
Maria Fernanda Arruda Almeida ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Head And Neck ◽  
Histological Analysis ◽  
False Negative ◽  
Maximum Diameter ◽  
Related Factor ◽  
Ct Guided ◽  
Core Needle ◽  
Neck Masses ◽  
Head And Neck Masses

Abstract Objective: To assess the technique, efficacy, and safety of computed tomography (CT)-guided percutaneous biopsies of head and neck masses. Materials and Methods: This was a retrospective, single-center study of CT-guided percutaneous core-needle biopsies of head and neck masses. For the analysis of diagnostic accuracy, biopsy results were compared with the final diagnosis, which was determined by histological examination and clinical follow-up. Results: We evaluated 74 biopsies performed in 68 patients. The mean age of the patients was 55.6 years. Most of the lesions (79.7%) were located in the suprahyoid region, and the maximum diameter ranged from 11 mm to 128 mm. The most common approaches were paramaxillary (in 32.4%), retromandibular (in 21.6%), and periorbital (in 14.9%). Five patients (6.8%) developed minor complications. The presence of a complication did not show a statistically significant association with any clinical, radiological, or procedure-related factor. Sufficient material for histological analysis was obtained in all procedures. Thirty-eight biopsies (51.4%) yielded a histological diagnosis of malignancy. There was a false-negative result in three cases (8.3%), and there were no false-positive results. The procedure had a sensitivity of 92.7%, a specificity of 100%, and an accuracy of 96.0%. Conclusion: Our results demonstrate that CT-guided percutaneous core-needle biopsy of head and neck lesions is a safe, effective procedure for obtaining biological material for histological analysis.

Diagnostic utility of freehand core-needle biopsy in head and neck masses

2012 ◽  
Vol 127 (2) ◽  
pp. 175-180 ◽  
Author(s):  
D J Bowyer ◽  
I Smillie ◽  
I Ganly
Keyword(s):  
Head And Neck ◽  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Definitive Treatment ◽  
Histopathological Diagnosis ◽  
Diagnostic Utility ◽  
Target Tissue ◽  
Core Needle ◽  
Neck Masses ◽  
Head And Neck Masses

AbstractObjective:To review our experience with freehand core-needle biopsy in the assessment of unexplained head and neck masses.Methods:A total of 770 patients with head and neck masses (referred over a 22-month period) were evaluated. A retrospective chart review was performed on 53 of those patients who underwent core-needle biopsy for an unexplained mass.Results:Correct sampling of the target tissue was achieved in all 53 patients (100 per cent) using a freehand core-needle biopsy technique. The diagnostic accuracy for providing adequate tissue samples for histopathological diagnosis was 96 per cent; the test sensitivity was 92 per cent. Four patients (7 per cent) required open surgical biopsy prior to commencing definitive treatment.Conclusion:Out-patient freehand core-needle biopsy can be carried out safely on select patients with head and neck masses, and provides high quality histopathology specimens with high diagnostic utility.

Ultrasound-guided core-needle biopsy in the diagnosis of head and neck masses: Indications, technique, and results

Head & Neck ◽  
2007 ◽  
Vol 29 (11) ◽  
pp. 1033-1040 ◽  
Author(s):  
Jens Pfeiffer ◽  
Gian Kayser ◽  
Katja Technau-Ihling ◽  
Carsten Christof Boedeker ◽  
Gerd Jürgen Ridder
Keyword(s):  
Head And Neck ◽  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Ultrasound Guided ◽  
Core Needle ◽  
Neck Masses ◽  
Head And Neck Masses

CT-guided percutaneous biopsies of head and neck masses.

Radiology ◽  
1983 ◽  
Vol 146 (3) ◽  
pp. 717-719 ◽  
Author(s):  
R A Gatenby ◽  
C B Mulhern ◽  
J Strawitz
Keyword(s):  
Head And Neck ◽  
Ct Guided ◽  
Neck Masses ◽  
Head And Neck Masses

Accessible or Inaccessible? Diagnostic Efficacy of CT-Guided Core Biopsies of Head and Neck Masses

2014 ◽  
Vol 38 (2) ◽  
pp. 422-429 ◽  
Author(s):  
Jane D. Cunningham ◽  
Mark W. McCusker ◽  
Sarah Power ◽  
Joanna PearlyTi ◽  
John Thornton ◽  
...  
Keyword(s):  
Head And Neck ◽  
Diagnostic Efficacy ◽  
Ct Guided ◽  
Neck Masses ◽  
Head And Neck Masses

scholarly journals Multiple b values of diffusion-weighted magnetic resonance imaging in evaluation of solid head and neck masses

2019 ◽  
Vol 50 (1) ◽  
Author(s):  
Rania Sobhy Abou khadrah ◽  
Haytham Haroon Imam
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Head And Neck ◽  
Resonance Imaging ◽  
Adc Value ◽  
Neck Masses ◽  
Adc Values ◽  
Weighted Magnetic Resonance Imaging ◽  
The Mean ◽  
Head And Neck Masses

Abstract Background Differentiation between malignant and benign masses is essential for treatment planning and helps in improving the prognosis of malignant tumors; the aim of this work is to determine the role of diffusion-weighted magnetic resonance imaging (DW-MRI) and the apparent diffusion coefficient (ADC) in the differentiation between benign and malignant solid head and neck masses by comparing diagnostic performance of low b values (0.50 and 400 s/mm2) versus high b values (800 and 1000 s/mm2) and comparing the result with histopathological finding. Results The study included 60 patients (34 male and 26 female) with solid head and neck masses > 1 cm who referred to radiodiagnosis department for MRI evaluation. Multiple b values were used 50, 400, 800, and 1000 s/mm2 (at least 2 b values). DWI and ADC value of all 60 patients were acquired. Mean ADC values of both malignant and benign masses were statistically measured and compared, and cut off value was determined. Solid head and neck masses in our study DWI with the use of high b value 800 and 1000 s/mm2 were of higher significance (P value 0.001*). There was a significant difference in the mean ADC value between benign and malignant masses (P < 0.01); solid masses were divided into 2 categories: (a) malignant lesions 46.7% (n = 28) with mean ADC value (0.82 ± 0.19) × 10−3 s/mm2 and (b) benign lesions 53.3% (n = 32) with mean ADC value (2.05 ± 0.46) × 10−3 s/mm2) with ADC cutoff value of 1.0 × 10−3 s/mm2 and 94% sensitivity, 93% specificity, negative predictive value (NPV) = 94%, positive predictive value (PPV) 93%, and an accuracy of 93.5%. Conclusion The DWI with ADC mapping were valuable as non-invasive tools in differentiating between benign and malignant solid head and neck masses. The use of high b value 800 and 1000 s/mm2 was of higher significance (P value 0.001*) in differentiation between benign and malignant lesion than that with low b values 0, 50, and 400 s/mm2 (0.01). The mean ADC values were significantly lower in malignant solid masses. Attention had to be paid to the choice of b values in MRI-DWI in the head and neck region.

Fine-needle aspiration of head and neck masses in children

1997 ◽  
Vol 18 (6) ◽  
pp. 400-404 ◽  
Author(s):  
Hassan H. Ramadan ◽  
Mark K. Wax ◽  
Carole B. Boyd
Keyword(s):  
Head And Neck ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Fine Needle ◽  
Neck Masses ◽  
Head And Neck Masses
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