Core needle biopsy is a safe and accurate initial diagnostic procedure for suspected lymphoma

Am J Surg. 2014 Dec;208(6):1003-8; discussion 1007-8. doi: 10.1016/j.amjsurg.2014.09.001. Epub 2014 Sep 20.

Abstract

Background: Excisional biopsy is currently recommended for the analysis of lymphadenopathy suspicious for lymphoma. This study aims to evaluate the efficacy and safety of image-guided core needle biopsy (IGCNB) for the diagnosis of lymphoma using a standard protocol for tissue acquisition and analysis.

Methods: All IGCNBs from 2008 to 2014 performed under the study protocol were included in analysis. Demographics, pathology results, additional studies, and follow-up information were recorded.

Results: Seventy-three IGCNBs were performed in 71 consecutive patients. Lymphoma was diagnosed in 37 patients (51%). All 37 patients (100%) were subtyped and treated based on IGCNB results. The remaining 36 IGCNBs in 34 patients did not have subsequent diagnosis of lymphoma in a mean follow-up of 15 months (range, 0 to 54 months). There were no complications.

Conclusions: IGCNB performed under a standard protocol is effective and safe and should be considered as an initial diagnostic tool for the evaluation of lymphadenopathy suspicious for lymphoma.

Keywords: Core biopsy; Core needle biopsy; Diagnosis; Lymphoma; Ultrasound; Ultrasound-guided biopsy.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Biopsy, Large-Core Needle*
  • Diagnosis, Differential
  • Female
  • Humans
  • Lymphoma / diagnosis*
  • Lymphoma / pathology
  • Male
  • Middle Aged
  • Ultrasonography, Interventional