Endoscopic Ultrasonography-Guided Fine-Needle Aspiration Biopsy of Lymph Nodes
Abstract The recent introduction of convex linear array echoendoscopes equipped with a biopsy channel has made fine-needle aspiration biopsy (FNAB) under direct endosonographic guidance possible. Because the imaging and instrumentation planes overlap, the operator can visualize a biopsy needle lengt...
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| Veröffentlicht in: | Endoscopy 1994-11, Vol.26 (9), p.780-783 |
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| container_title | Endoscopy |
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| creator | Binmoeller, K. F. Seifert, H. Soehendra, N. |
| description | Abstract
The recent introduction of convex linear array echoendoscopes equipped with a biopsy channel has made fine-needle aspiration biopsy (FNAB) under direct endosonographic guidance possible. Because the imaging and instrumentation planes overlap, the operator can visualize a biopsy needle lengthwise as it enters the sector-shaped sound field. We performed EUS-guided FNAB of lymph nodes in seven patients who met the following criteria: (1) Lymph node size over > 1 cm; (2) no endoscopic or endosonographic evidence for tumor involvement of bowel wall interposed between the lymph node and the transducer; and (3) absence of coagulopathy or thrombocytopenia. A positive tissue yield was obtained in six patients, of whom five had malignant cells identified on cytology. The patient with an inadequate yield had a dry aspirate, possibly related to prior irradiation treatment for esophageal carcinoma. No procedure-related complications were observed. We conclude that EUS-guided FNAB of lymph nodes is technically feasible, provides a high diagnostic yield, and appears to be safe. Further studies to determine the sensitivity and specificity of this novel procedure are warranted. |
| doi_str_mv | 10.1055/s-2007-1009105 |
| format | Article |
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The recent introduction of convex linear array echoendoscopes equipped with a biopsy channel has made fine-needle aspiration biopsy (FNAB) under direct endosonographic guidance possible. Because the imaging and instrumentation planes overlap, the operator can visualize a biopsy needle lengthwise as it enters the sector-shaped sound field. We performed EUS-guided FNAB of lymph nodes in seven patients who met the following criteria: (1) Lymph node size over > 1 cm; (2) no endoscopic or endosonographic evidence for tumor involvement of bowel wall interposed between the lymph node and the transducer; and (3) absence of coagulopathy or thrombocytopenia. A positive tissue yield was obtained in six patients, of whom five had malignant cells identified on cytology. The patient with an inadequate yield had a dry aspirate, possibly related to prior irradiation treatment for esophageal carcinoma. No procedure-related complications were observed. We conclude that EUS-guided FNAB of lymph nodes is technically feasible, provides a high diagnostic yield, and appears to be safe. Further studies to determine the sensitivity and specificity of this novel procedure are warranted.</description><identifier>ISSN: 0013-726X</identifier><identifier>EISSN: 1438-8812</identifier><identifier>DOI: 10.1055/s-2007-1009105</identifier><identifier>PMID: 7712988</identifier><identifier>CODEN: ENDCAM</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biopsy, Needle - instrumentation ; Biopsy, Needle - methods ; Diseases of the digestive system ; Endoscopy ; Equipment Design ; Female ; Humans ; Lymph Nodes - diagnostic imaging ; Lymph Nodes - pathology ; Lymphatic Diseases - diagnosis ; Lymphatic Metastasis - diagnosis ; Male ; Medical sciences ; Middle Aged ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Ultrasonography, Interventional</subject><ispartof>Endoscopy, 1994-11, Vol.26 (9), p.780-783</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-d868defcc7297ada649ee507e985fded2118f51ca970917fa35846cfc135fad63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-1009105.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>309,310,314,778,782,787,788,3006,3007,23913,23914,25123,27907,27908,54542</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3371332$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7712988$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Binmoeller, K. F.</creatorcontrib><creatorcontrib>Seifert, H.</creatorcontrib><creatorcontrib>Soehendra, N.</creatorcontrib><title>Endoscopic Ultrasonography-Guided Fine-Needle Aspiration Biopsy of Lymph Nodes</title><title>Endoscopy</title><addtitle>Endoscopy</addtitle><description>Abstract
The recent introduction of convex linear array echoendoscopes equipped with a biopsy channel has made fine-needle aspiration biopsy (FNAB) under direct endosonographic guidance possible. Because the imaging and instrumentation planes overlap, the operator can visualize a biopsy needle lengthwise as it enters the sector-shaped sound field. We performed EUS-guided FNAB of lymph nodes in seven patients who met the following criteria: (1) Lymph node size over > 1 cm; (2) no endoscopic or endosonographic evidence for tumor involvement of bowel wall interposed between the lymph node and the transducer; and (3) absence of coagulopathy or thrombocytopenia. A positive tissue yield was obtained in six patients, of whom five had malignant cells identified on cytology. The patient with an inadequate yield had a dry aspirate, possibly related to prior irradiation treatment for esophageal carcinoma. No procedure-related complications were observed. We conclude that EUS-guided FNAB of lymph nodes is technically feasible, provides a high diagnostic yield, and appears to be safe. Further studies to determine the sensitivity and specificity of this novel procedure are warranted.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle - instrumentation</subject><subject>Biopsy, Needle - methods</subject><subject>Diseases of the digestive system</subject><subject>Endoscopy</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Humans</subject><subject>Lymph Nodes - diagnostic imaging</subject><subject>Lymph Nodes - pathology</subject><subject>Lymphatic Diseases - diagnosis</subject><subject>Lymphatic Metastasis - diagnosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Ultrasonography, Interventional</subject><issn>0013-726X</issn><issn>1438-8812</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAQhi0EglJY2ZAyIDYXO25iZwTEl1SVBSQ2y9hnapTEwZcM_fekasTGdDrdc_fqHkIuOFtwVhQ3SHPGJOWMVWN_QGZ8KRRViueHZMYYF1Tm5ccJOUX83rWMFcfkWEqeV0rNyPqhdRFt7ILN3us-GYxt_Eqm22zp0xAcuOwxtEDXAK6G7Ba7kEwfYpvdhdjhNos-W22bbpOtowM8I0fe1AjnU52T98eHt_tnunp9erm_XVErVNlTp0rlwFsr80oaZ8plBVAwCZUq_JiZc658wa2p5PiW9EYUallab7kovHGlmJPr_d0uxZ8BsNdNQAt1bVqIA2opFV8ylo_gYg_aFBETeN2l0Ji01ZzpnUCNeidQTwLHhcvp8vDZgPvDJ2Pj_GqaG7Sm9sm0NuAfJoTkQuxy6R7rNwEa0N9xSO1o5L_YX2w1hlY</recordid><startdate>19941101</startdate><enddate>19941101</enddate><creator>Binmoeller, K. F.</creator><creator>Seifert, H.</creator><creator>Soehendra, N.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19941101</creationdate><title>Endoscopic Ultrasonography-Guided Fine-Needle Aspiration Biopsy of Lymph Nodes</title><author>Binmoeller, K. F. ; Seifert, H. ; Soehendra, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-d868defcc7297ada649ee507e985fded2118f51ca970917fa35846cfc135fad63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle - instrumentation</topic><topic>Biopsy, Needle - methods</topic><topic>Diseases of the digestive system</topic><topic>Endoscopy</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Humans</topic><topic>Lymph Nodes - diagnostic imaging</topic><topic>Lymph Nodes - pathology</topic><topic>Lymphatic Diseases - diagnosis</topic><topic>Lymphatic Metastasis - diagnosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Binmoeller, K. F.</creatorcontrib><creatorcontrib>Seifert, H.</creatorcontrib><creatorcontrib>Soehendra, N.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Binmoeller, K. F.</au><au>Seifert, H.</au><au>Soehendra, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic Ultrasonography-Guided Fine-Needle Aspiration Biopsy of Lymph Nodes</atitle><jtitle>Endoscopy</jtitle><addtitle>Endoscopy</addtitle><date>1994-11-01</date><risdate>1994</risdate><volume>26</volume><issue>9</issue><spage>780</spage><epage>783</epage><pages>780-783</pages><issn>0013-726X</issn><eissn>1438-8812</eissn><coden>ENDCAM</coden><abstract>Abstract
The recent introduction of convex linear array echoendoscopes equipped with a biopsy channel has made fine-needle aspiration biopsy (FNAB) under direct endosonographic guidance possible. Because the imaging and instrumentation planes overlap, the operator can visualize a biopsy needle lengthwise as it enters the sector-shaped sound field. We performed EUS-guided FNAB of lymph nodes in seven patients who met the following criteria: (1) Lymph node size over > 1 cm; (2) no endoscopic or endosonographic evidence for tumor involvement of bowel wall interposed between the lymph node and the transducer; and (3) absence of coagulopathy or thrombocytopenia. A positive tissue yield was obtained in six patients, of whom five had malignant cells identified on cytology. The patient with an inadequate yield had a dry aspirate, possibly related to prior irradiation treatment for esophageal carcinoma. No procedure-related complications were observed. We conclude that EUS-guided FNAB of lymph nodes is technically feasible, provides a high diagnostic yield, and appears to be safe. Further studies to determine the sensitivity and specificity of this novel procedure are warranted.</abstract><cop>Stuttgart</cop><cop>New York, NY</cop><pub>Thieme</pub><pmid>7712988</pmid><doi>10.1055/s-2007-1009105</doi><tpages>4</tpages></addata></record> |
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| language | eng |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Biopsy, Needle - instrumentation Biopsy, Needle - methods Diseases of the digestive system Endoscopy Equipment Design Female Humans Lymph Nodes - diagnostic imaging Lymph Nodes - pathology Lymphatic Diseases - diagnosis Lymphatic Metastasis - diagnosis Male Medical sciences Middle Aged Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Ultrasonography, Interventional |
| title | Endoscopic Ultrasonography-Guided Fine-Needle Aspiration Biopsy of Lymph Nodes |
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