Fine-needle aspiration in the diagnosis of cervical lymphadenopathy

American Journal of Surgery
A R ShahaJ Marti

Abstract

The extent of workup in patients with cervical adenopathy has always been controversial. Extensive workup in the absence of a histologic diagnosis indicative of a malignant process is unwarranted. Although open biopsy may be necessary for certain benign conditions, its routine application for metastatic nodes is not advised. We have used fine-needle aspiration as a routine procedure in the initial evaluation of cervical adenopathy. Over the past 3 years, 140 needle aspirations have been performed. Adequate specimens were obtained in 97 percent of the patients and the diagnostic accuracy was 96 percent. Overall, 45 percent of the patients had the diagnosis of a malignant tumor established whereas others had benign tumors. Metastatic squamous cell carcinoma was diagnosed accurately in all of the patients. Other malignant tumors reported accurately included lymphoma, adenocarcinoma, and metastatic thyroid carcinoma. Among the benign conditions, accurate diagnoses could be established in patients with tuberculosis, chronic lymphadenitis, and hyperplastic lymph nodes. The findings of fine-needle aspiration are helpful in directing subsequent workup. If the findings do not correlate with the clinical suspicion, greater weight is give...Continue Reading

References

Jan 1, 1985·Current Problems in Surgery·C E SilverP L Esposti
Apr 1, 1985·American Journal of Surgery·T J SmithR B Reinhold
Nov 1, 1970·Postgraduate Medicine·R H Jesse
May 1, 1983·The Laryngoscope·E A WeymullerL G Duckert
Nov 1, 1983·Archives of Otolaryngology·P S FeldmanR W Cantrell
Dec 1, 1982·The Laryngoscope·M A Frable, W J Frable
Oct 1, 1981·American Journal of Surgery·J E YoungK J Shier
Jul 1, 1961·American Journal of Surgery·H MARTIN

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Citations

Jun 1, 1992·Journal of Clinical Ultrasound : JCU·R SiegertG Barreton
Jul 1, 1989·British Journal of Plastic Surgery·N R McLeanP A Trott
Oct 1, 1990·American Journal of Surgery·A R ShahaB M Jaffe
May 9, 2000·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Z WeilerS Oren
Sep 1, 1990·The Journal of Laryngology and Otology·J G BuckleyC D Fletcher
Jan 1, 1990·Diagnostic Cytopathology·M Pérez-Guillermo, J Sola Pérez
Oct 12, 2002·Asian Journal of Surgery·Jeff R Adams, Christopher J O'Brien
Sep 7, 2007·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·J-L RohJ-M Kim
Dec 20, 2007·Oral and Maxillofacial Surgery Clinics of North America·Vishtasb BroumandJesus A Gomez
Mar 1, 1997·Journal of the American Academy of Dermatology·G C BaslerT M Johnson
Sep 30, 2000·The British Journal of Oral & Maxillofacial Surgery·S C HodderK C Silvester
Aug 11, 2016·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Monty KhajanchiNobhojit Roy
Jul 1, 1990·The British Journal of Surgery·J H Shaw, E M Rumball
Aug 1, 1992·The British Journal of Surgery·M M ThompsonP R Bell
May 22, 2010·The Journal of Craniofacial Surgery·Orhan Kemal KahveciFatma Aktepe
Jan 1, 1996·The Journal of Laryngology and Otology·G M Weiner, A L Pahor
Jun 1, 1994·The Journal of Laryngology and Otology·G M Weiner, A L Pahor
Mar 9, 2019·Laryngoscope Investigative Otolaryngology·Sarah R AkkinaCarol R Bradford
Sep 22, 1998·Postgraduate Medicine·W B Armstrong, M F Giglio
Jul 27, 2002·Tropical Doctor·Uma HandaR P S Punia

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