دورية أكاديمية
Should Core Needle Lymph Node Biopsy be a Relevant Alternative to Surgical Excisional Biopsy in Diagnostic Work Up of Lymphomas?
| العنوان: | Should Core Needle Lymph Node Biopsy be a Relevant Alternative to Surgical Excisional Biopsy in Diagnostic Work Up of Lymphomas? |
|---|---|
| المؤلفون: | Mutlu YG; Department of Hematology, Istanbul Medipol University, Istanbul, Turkey., Balık Aydın B; Department of Hematology, Istanbul Medipol University, Istanbul, Turkey., Çakır A; Department of Pathology, Istanbul Medipol University, Istanbul, Turkey., Canöz Ö; Department of Pathology, Erciyes University, Kayseri, Turkey., Erol C; Department of Radiology, Istanbul Medipol University, Istanbul, Turkey., Gökmen Sevindik Ö; Department of Hematology, Istanbul Medipol University, Istanbul, Turkey. |
| المصدر: | The Eurasian journal of medicine [Eurasian J Med] 2023 Jun; Vol. 55 (2), pp. 114-119. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: AVES Country of Publication: Turkey NLM ID: 101557701 Publication Model: Print Cited Medium: Print ISSN: 1308-8734 (Print) Linking ISSN: 13088734 NLM ISO Abbreviation: Eurasian J Med Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Istanbul, Turkey : AVES |
| مستخلص: | Objective: Surgical excisional biopsy is accepted as the standard of care approach in the diagnosis of lympho- mas. Financial issues related to the increased cost and the invasive nature of the procedure forced physicians to use some alternative diagnostic methods. Percutaneous core needle biopsy, which gained a reputation for the diagnosis of lymphomas with the advent of improved pathological, immunohistochemical, and molecular analysis, made it possible to have an accurate diagnosis with limited tissue samples. In this retrospective study, we aimed to compare the diagnostic yield of surgical excisional biopsy and core needle biopsy. Materials and Methods: This study included 131 patients who were diagnosed with lymphoma with a nodal biopsy which was acquired via surgical excisional biopsy or core needle biopsy between 2014 and 2020 in our center. Around 68 patients underwent surgical excisional biopsy and the remaining 63 underwent core needle biopsy. Samples that allowed to the identification of the exact tumor type and/or subtype were accepted as fully diagnostic. Sufficient amount of tissue that the pathologist could have any suspicious findings considering malignant lymphoma was classified as partial diagnostic group. Inadequate samples were the ones who were not enough to report any final diagnosis. Results: The patients who underwent a core needle biopsy were significantly older than the patients who underwent to surgical excisional biopsy (56.8 vs. 47.6, P = .003). Despite the full diagnostic ability of surgical excisional biopsy outperformed core needle biopsy (95.2 % vs. 83.8 %, P=.035), in 92.6% of the patients whose tissue samples were obtained via core needle biopsy were accepted to have a sufficient diagnosis to initiate the treatment and not required a second biopsy, which was comparable with the ones achieved by surgical excisional biopsy (92.6% vs. 95.2%, P = .720). Conclusion: According to the results obtained in our study, we may conclude that core needle biopsy is a viable and comparable alternative to surgical excisional biopsy, offering a less invasive and less-expansive approach. |
| References: | Ann Oncol. 2018 Oct 1;29(Suppl 4):iv19-iv29. (PMID: 29796651) J Comput Assist Tomogr. 2005 May-Jun;29(3):369-72. (PMID: 15891509) Ann Oncol. 2017 Dec 1;28(12):3109. (PMID: 28327933) Clin Lymphoma Myeloma Leuk. 2020 Aug;20(8):e455-e460. (PMID: 32461041) Eur J Haematol. 2021 Feb;106(2):139-147. (PMID: 33080089) J Ultrasound Med. 2020 Mar;39(3):559-567. (PMID: 31584214) Eur Radiol. 2007 Mar;17(3):843-9. (PMID: 17021708) Ann Hematol. 2016 Aug;95(8):1281-6. (PMID: 27236576) Arch Pathol Lab Med. 2015 Feb;139(2):245-51. (PMID: 25611108) J Clin Oncol. 1996 Sep;14(9):2431-4. (PMID: 8926505) Ann Oncol. 2017 Jul 1;28(suppl_4):iv62-iv71. (PMID: 28881919) Eur J Surg Oncol. 2015 Jul;41(7):852-8. (PMID: 25980745) Ann R Coll Surg Engl. 2017 Mar;99(3):242-244. (PMID: 27917669) World J Gastroenterol. 2005 Aug 21;11(31):4843-7. (PMID: 16097055) Turk Patoloji Derg. 2017;1(1):235-239. (PMID: 28832072) Eur J Haematol. 2016 Oct;97(4):379-86. (PMID: 26833691) Br J Radiol. 2011 Aug;84(1004):727-32. (PMID: 21427181) Diagn Cytopathol. 1999 Sep;21(3):159-62. (PMID: 10450098) |
| تواريخ الأحداث: | Date Created: 20230705 Latest Revision: 20230823 |
| رمز التحديث: | 20230823 |
| مُعرف محوري في PubMed: | PMC10440969 |
| DOI: | 10.5152/eurasianjmed.2023.0060 |
| PMID: | 37403909 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1308-8734 |
|---|---|
| DOI: | 10.5152/eurasianjmed.2023.0060 |