PMID: 8458291Jan 1, 1993Paper

Skeletal structures that clinically simulate lymph nodes: encounters during fine-needle aspiration

Diagnostic Cytopathology
M W Stanley, J P Knoedler

Abstract

We report eight patients in whom bones of the cervical spine or cervical ribs were clinically mistaken for jugular chain or supraclavicular lymphadenopathy, respectively. Each was referred for fine-needle aspiration by an experienced surgeon, oncologist, rheumatologist, or otolaryngologist. In the neck, the bony nature of the pseudo-lymph nodes was apparent when the needle contacted bone. Bone was not contacted by the needle in the supraclavicular fossa. Aspiration smears showed normal soft tissues in all cases. Radiographs showed cervical ribs in both of the patients with supraclavicular pseudo-lymphadenopathy. One of these was surgically explored and no adenopathy was detected. Radiographically, one patient with jugular chain findings had unilateral enlargement of a transverse vertebral bone process, another showed scoliosis, and a third had a normal cervical spine study. During follow-up of 1-33 mo (median = 14 mo), no patient developed adenopathy at any additional site. All are alive and well.

References

Jan 1, 1990·Diagnostic Cytopathology·M W Stanley
Jan 1, 1983·Human Pathology·W J Frable

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Citations

Mar 1, 1997·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·S E Zrada, J M Finkelstein
Jul 11, 1998·Journal of Periodontology·C C DavisG E Lilly
Mar 20, 2014·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Seon Hyeong ChoiJin Young Kwak

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