Ultrasound Guided Fine-needle Aspiration Biopsy of Metastases in Nonpalpable Supraclavicular Lymph Nodes in Lung Cancer Patients

Overview

Journal Multidiscip Respir Med

Specialty Pulmonary Medicine

Date 2012 Sep 11

PMID 22958429

Citations 7

Authors

Resat Kendirlinan

Gulcihan Ozkan

Mehmet Bayram

Nur Dilek Bakan

Mehmet Tutar

Aygun Gur

Gungor Camsari

Affiliations

Soon will be listed here.

Abstract

Background And Objectives: To assess frequency and significance of enlarged nonpalpable supraclavicular lymph nodes with routine ultrasound (US) evaluation and US-guided fineneedle aspiration biopsy (FNAB) for the diagnosis and staging of patients with lung cancer.

Materials And Methods: 106 consecutive patients with lung cancer and nonpalpable supraclavicular lymph nodes were evaluated with cervical US for the presence of pathological lymph nodes. FNAB was performed in patients with nodes with short-axis > 5 mm, rounded shape and missing echogenic hilum.

Results: 27 (25.5%) patients had enlarged supraclavicular lymph nodes on US. Fourteen patients (13.2%) had cytologically proven lymph node involvement. Supraclavicular lymph node metastasis was more frequent in patients with mediastinal invasion (p = 0.0001) and patients with enlarged lymph nodes on upper paratracheal stations on thorax CT (p = 0.0001). No relation was found between supraclavicular lymph node involvement and T stage (p = 0.27), distant metastasis (p = 0.50) or histological type (p = 0.80). Three patients were upstaged from IIIA to IIIB status. US-guided FNAB was the only diagnostic method in 2 patients.

Conclusion: US-guided FNAB is a simple and safe procedure which can document N3 stage of disease in lung cancer patients. Thereby more invasive and expensive diagnostic procedures can be avoided in selected lung cancer patients.

Citing Articles

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Conformity of Fine Needle Aspiration Biopsy (FNAB) and Core Needle Biopsy (CNB) in peripheral lung tumor patients: A cross-sectional study.

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Diagnostic value of NSE factor combined with ultrasound hemodynamic indexes in cervical lymph node metastasis of lung cancer.

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Ultrasound-Guided Cervical Lymph Node Sampling Performed by Respiratory Physicians.

Ahmed M, Daneshvar C, Breen D Biomed Hub. 2020; 4(2):1-6.

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The value of ultrasound-guided biopsy of fluorodeoxy-glucose positron emission tomography (FDG-PET)-positive supraclavicular lymph nodes in patients with suspected lung cancer.

Werner L, Keller F, Bhure U, Roos J, Tornquist K, Del Sol Perez-Lago M BMC Med Imaging. 2017; 17(1):41.

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