Diagnostic value of core needle biopsy and fine-needle aspiration in salivary gland lesions
Diagnostic value of core needle biopsy and fine-needle aspiration in salivary gland lesions
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DOI：
10.1002/hed.23999
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发表时间：
2016-04-01
影响因子：
2.9
通讯作者：
Kraft, Marcel
中科院分区：
文献类型：
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作者：
Novoa, Eva;Guertler, Nicolas;Kraft, Marcel
背景空芯针活检（CNB）作为头颈部的微创手术已被接受。然而，许多人担心这种方法在评估唾液腺病变中的价值和安全性。这项前瞻性研究包括111例唾液腺病变患者。对103例经手术病理证实的乳腺癌患者进行超声引导下CNB检查，并与细针穿刺活检（FNA）结果进行比较。CNB在鉴别真实肿瘤（98% vs 91%）和检测恶性肿瘤（99% vs 87%）方面的准确性高于FNA，在提供特异性诊断方面也上级FNA（93% vs 74%）。两种方法均未发生出血、感染、神经损伤、肿瘤细胞种植等并发症。CNB是一种简单、安全和高度准确的方法，应被视为评估唾液腺病变的额外诊断工具。(C)2015 Wiley Periodicals，Inc.
Background. Core needle biopsy (CNB) has gained acceptance as a minimally invasive procedure in the head and neck. Nevertheless, many concerns arise regarding the value and safety of this method in the assessment of salivary gland lesions.Methods. This prospective study comprises 111 patients with a salivary gland lesion. The results of ultrasound-guided CNB were compared with those of fine-needle aspiration (FNA) in the 103 histologically verified cases.Results. CNB achieved a higher accuracy than FNA in identifying true neoplasms (98% vs 91%) and detecting malignancy (99% vs 87%), and was also superior to FNA providing a specific diagnosis (93% vs 74%). In both methods, no complications, such as bleeding, infection, nerve injury, or tumor-cell seeding, occurred.Conclusion. CNB is a simple, safe, and highly accurate procedure, which should be considered as an additional diagnostic tool in the assessment of salivary gland lesions. (C) 2015 Wiley Periodicals, Inc.