دورية أكاديمية
Comparative study of core needle biopsy and fine needle aspiration in the treatment of metastatic lymph nodes guided by contrast-enhanced ultrasound.
العنوان: | Comparative study of core needle biopsy and fine needle aspiration in the treatment of metastatic lymph nodes guided by contrast-enhanced ultrasound. |
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المؤلفون: | Mu WN; Wei-na Mu, Department of Ultrasound, Baoding No.1 Central Hospital, Baoding 071000, Hebei, China, Hebei University, Baoding 071000, Hebei, China., Li JH; Jian-heng Li, Hebei University, Baoding 071000, Hebei, China., Liu Y; Ying Liu, Department of Ultrasound, Baoding Baoshihua Oriental Hospital, Baoding 071051, Hebei, China., Liang HQ; Hui-qing Liang, Department of Ultrasound, Baoding No.1 Central Hospital, Baoding 071000, Hebei, China., Liu X; Xin Liu, Department of Ultrasound, Baoding No.1 Central Hospital, Baoding 071000, Hebei, China. |
المصدر: | Pakistan journal of medical sciences [Pak J Med Sci] 2022 Jul-Aug; Vol. 38 (6), pp. 1477-1482. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Professional Medical Publications Country of Publication: Pakistan NLM ID: 100913117 Publication Model: Print Cited Medium: Print ISSN: 1682-024X (Print) Linking ISSN: 1681715X NLM ISO Abbreviation: Pak J Med Sci Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Karachi, Pakistan : Professional Medical Publications, [2000- |
مستخلص: | Objectives: To compare the diagnostic efficacy of fine needle aspiration (FNA) and core needle biopsy (CNB) for metastatic lymph nodes guided by contrast-enhanced ultrasound (CEUS), and to provide reference for clinical selection of puncture methods. Methods: A total of 168 patients who were admitted to Baoding No.1 Central Hospital from June 2020 to January 2021 and required puncture of the diseased lymph nodes were included. Seventy six patients were guided by conventional ultrasound, of which 37 received FNA and 39 received CNB. 92 patients were guided by CEUS, of which 41 received FNA and 51 received CNB. The diagnostic accuracy of FNA and CNB guided by conventional ultrasound and CEUS was compared, and the sensitivity, specificity, positive predictive value, and negative predictive value of FNA and CNB in the diagnosis of metastatic lymph nodes guided by CEUS were further compared. Results: The diagnostic accuracy of FNA and CNB guided by CEUS were higher than that guided by conventional ultrasound, with a statistically significant difference (P<0.05). The sensitivity, specificity, positive predictive value, and negative predictive value of FNA and CNB in the diagnosis of metastatic lymph nodes were 95.0%, 95.2%, 95.0%, 95.2%, 100%, 100%, 100%, 100%, respectively, with statistically significant differences (P>0.05). Conclusion: CEUS can guide puncture and improve diagnosis accuracy. No statistical difference can be seen in the diagnostic efficacy of CNB and FNA for metastatic lymph nodes, CNB can provide more diagnostic information, while FNA can replace CNB for metastatic lymph nodes adjacent to blood vessels and difficult to operate. Competing Interests: Conflicts of interest: None (Copyright: © Pakistan Journal of Medical Sciences.) |
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فهرسة مساهمة: | Keywords: Contrast-enhanced ultrasound; Lymph node; Needle biopsy |
تواريخ الأحداث: | Date Created: 20220822 Latest Revision: 20220823 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC9378409 |
DOI: | 10.12669/pjms.38.6.5471 |
PMID: | 35991229 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1682-024X |
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DOI: | 10.12669/pjms.38.6.5471 |