Application of ultrasound-guided core biopsy to minimize the non-diagnostic results and the requirement of diagnostic surgery in extrapulmonary tuberculosis of the head and neck.
Purpose: Head and neck extrapulmonary tuberculosis (ETB) presenting as lymphadenopathy poses a great threat by potentially increasing the deterioration of clinical outcomes. Tissue sampling for diagnostic confirmation of ETB is the only invasive procedure during the entire clinical course. It is, th...
| Publicado en: | European Radiology Vol. 26; no. 9; pp. 2999 - 3006 |
|---|---|
| Autores principales: | , , , , , , , , , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2016
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117171309&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117171309 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Sep2016 vid: 26 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 117171309 117171309 NLM26747256 117171309 10.1007/s00330-015-4159-4 NLM26747256 117171309 ppf: 2999 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Application of ultrasound-guided core biopsy to minimize the non-diagnostic results and the requirement of diagnostic surgery in extrapulmonary tuberculosis of the head and neck. aug: au: Ho, Ue-Cheung Chen, Chun-Nan Lin, Che-Yi Hsu, Ya-Ching Chi, Fan-Hsiang Chou, Chen-Han Chen, Tseng-Cheng Wang, Cheng-Ping Lou, Pei-Jen Ko, Jenq-Yuh Hsiao, Tzu-Yu Yang, Tsung-Lin affil: Department of Otolaryngology , National Taiwan University Hospital and National Taiwan University College of Medicine , #1, Sec. 1 Jen-Ai Road Taipei 100 Taiwan sug: subj: Tuberculosis Pathology Ultrasonography Methods Biopsy, Needle Methods Reproducibility of Results Male Biopsy Methods Middle Age Sensitivity and Specificity Tuberculosis Adult Female Neck Head Pathology Neck Pathology Head Human Middle Aged: 45-64 years Adult: 19-44 years Male Female ab: Purpose: Head and neck extrapulmonary tuberculosis (ETB) presenting as lymphadenopathy poses a great threat by potentially increasing the deterioration of clinical outcomes. Tissue sampling for diagnostic confirmation of ETB is the only invasive procedure during the entire clinical course. It is, therefore, necessary to establish ETB sampling methods with accuracy and minimal invasiveness.Methods: From 2009 to 2014, consecutive patients suspected of ETB receiving ultrasound-guided core biopsy (USCB), fine needle aspiration (FNA), and open biopsy (OB) were enrolled for comparison.Results: There were 52 cases in the USCB group, 58 cases in the FNA group, and 78 cases in the OB group. For USCB, FNA, and OB groups, the diagnostic rates were 84.6 %, 8.6 %, and 100 % and the positive rates of acid-fast stain were 28.6 %, 0 %, and 37.5 %, respectively. The diagnostic rates of culture were 9.6 %, 0 %, and 50 %, respectively. For head and neck ETB, USCB procedure is timesaving, without leaving poor-healing wounds, scars, and the need for general anaesthesia and hospitalization.Conclusions: This study helps to optimize the ETB sampling method in head and neck based on diagnostic accuracy and minimal invasiveness. USCB can serve as the first-line diagnostic tool for ETB by reducing non-diagnostic results and the need for diagnostic surgery.Key Points: • USCB shows higher diagnostic accuracy of ETB than FNA (84.6 % vs. 8.6 %). • USCB diminishes wound complications caused by surgical intervention for ETB. • USCB avoids general anaesthesia and hospitalization for diagnosing ETB. • USCB saves time and reduces the medical costs of diagnosing ETB. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|