دورية أكاديمية
The role of ultrasound and ultrasound-guided fine needle aspiration biopsy of lymph nodes in patients with skin tumours
| العنوان: | The role of ultrasound and ultrasound-guided fine needle aspiration biopsy of lymph nodes in patients with skin tumours |
|---|---|
| المؤلفون: | Solivetti, Francesco Maria, Elia, Fulvia, Santaguida, Maria Giulia, Guerrisi, Antonino, Visca, Paolo, Cercato, Maria Cecilia, Di Carlo, Aldo |
| المصدر: | Radiology and Oncology ; volume 48, issue 1, page 29-34 ; ISSN 1581-3207 1318-2099 |
| بيانات النشر: | Walter de Gruyter GmbH |
| سنة النشر: | 2014 |
| الوصف: | Background. The primary aim of this study was to evaluate the diagnostic accuracy of ultrasound (US) in the study of superficial lymph nodes during the follow-up of patients surgically treated for skin tumours. The secondary objective was to compare positive cytological results with histological reports. Patients and methods. From 2004 to 2011, 480 patients (male/female: 285/195; median age 57 years; prevalent skin tumour: melanoma) underwent US-guided fine-needle aspiration biopsy (FNAB) of suspicious recurrent lymph nodes. An expert radiologist first performed US testing of the lymph nodes, expressing either a negative or positive outcome of the test. Subsequently, US-guided FNAB was performed. FNAB positive patients were subjected to lymphadenectomy; the patients who tested negative underwent the follow-up. Results. The size of lymph nodes was ≤ 2 cm in 90% of cases. Out of the 336 (70%) US “positive” patients, 231 (68.8%) were FNAB positives. Out of the 144 (30%) US “negatives”, 132 (91.7%) were FNAB negatives. The sensitivity and specificity of the US were 95% and 55.7%, respectively; the negative predictive value was 91.7% and the positive predictive value was 68.8%. Definitive histological results confirmed FNAB positivity in 97.5% of lymphadenectomies. Conclusions. US is a sensitive method in the evaluation of superficial lymph nodes during the follow-up of patients with skin tumours. High positive predictive value of cytology was confirmed. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| DOI: | 10.2478/raon-2013-0084 |
| الإتاحة: | https://doi.org/10.2478/raon-2013-0084Test http://content.sciendo.com/view/journals/raon/48/1/article-p29.xmlTest https://www.degruyter.com/view/j/raon.2014.48.issue-1/raon-2013-0084/raon-2013-0084.pdfTest |
| رقم الانضمام: | edsbas.8993A99F |
| قاعدة البيانات: | BASE |
| DOI: | 10.2478/raon-2013-0084 |
|---|