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

Published online by Cambridge University Press:  18 December 2012

D J Bowyer ,
I Smillie  and
I Ganly
D J Bowyer
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Edinburgh Royal Infirmary, UK
I Smillie
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Edinburgh Royal Infirmary, UK
I Ganly*
Affiliation:
Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA
*
Address for correspondence: Dr I Ganly, Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 1233 York Avenue, New York, NY 10065, USA Fax: 001 212 396 5560, E-mail: ganlyi@mskcc.org
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Abstract

Objective:

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.

Keywords

OtolaryngologyNeoplasmsDiagnosisBiopsyCarcinomaSarcoidosisPathology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 2 , February 2013 , pp. 175 - 180
Copyright
Copyright © JLO (1984) Limited 2012

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