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Small lymph nodes of the abdomen, pelvis, and retroperitoneum: usefulness of sonographically guided biopsy.

Publication ,  Journal Article
Fisher, AJ; Paulson, EK; Sheafor, DH; Simmons, CM; Nelson, RC
Published in: Radiology
October 1997

PURPOSE: To evaluate the usefulness of sonographically guided percutaneous biopsy of small lymph nodes in the abdomen, retroperitoneum, and pelvis. MATERIALS AND METHODS: From May 1995 through January 1997, 35 sonographically guided lymph node biopsies were performed in 34 patients. All biopsies were performed with a 20- (n = 18) or 22-gauge (n = 10) self-aspirating needle alone or in combination (n = 7). To determine the amount of compression achieved with the transducer, the skin-to-lesion distance on reference computed tomographic (CT) scans was compared with that on sonograms. A biopsy was considered successful if a specific benign or malignant diagnosis was rendered by the pathologist. RESULTS: Of 35 sonographically guided biopsies, 30 (86%) were successful. Diagnoses included 26 (74%) cases of carcinoma, three (9%) cases of benign reactive lymphocytosis confirmed at open biopsy, and one (3%) case of a lymph node with a positive acid-fast bacilli stain. The average lymph node diameter was 2.1 cm (range, 0.9-4.3 cm). With sonography, a mean of 2.5 needle passes (range, 1-5) were made per biopsy. Transducer compression reduced the skin-to-lesion distance from an average of 8.8 cm (at CT) to 4.5 cm. CONCLUSION: Sonographic guidance seems to provide a reasonable alternative to CT in biopsy of small abdominal, pelvic and retroperitoneal lymph nodes.

Duke Scholars

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

October 1997

Volume

205

Issue

1

Start / End Page

185 / 190

Location

United States

Related Subject Headings

  • Ultrasonography, Interventional
  • Retroperitoneal Space
  • Pelvis
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Lymph Nodes
  • Humans
  • Female
  • Biopsy, Needle
 

Citation

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Fisher, A. J., Paulson, E. K., Sheafor, D. H., Simmons, C. M., & Nelson, R. C. (1997). Small lymph nodes of the abdomen, pelvis, and retroperitoneum: usefulness of sonographically guided biopsy. Radiology, 205(1), 185–190. https://doi.org/10.1148/radiology.205.1.9314983
Fisher, A. J., E. K. Paulson, D. H. Sheafor, C. M. Simmons, and R. C. Nelson. “Small lymph nodes of the abdomen, pelvis, and retroperitoneum: usefulness of sonographically guided biopsy.Radiology 205, no. 1 (October 1997): 185–90. https://doi.org/10.1148/radiology.205.1.9314983.
Fisher AJ, Paulson EK, Sheafor DH, Simmons CM, Nelson RC. Small lymph nodes of the abdomen, pelvis, and retroperitoneum: usefulness of sonographically guided biopsy. Radiology. 1997 Oct;205(1):185–90.
Fisher, A. J., et al. “Small lymph nodes of the abdomen, pelvis, and retroperitoneum: usefulness of sonographically guided biopsy.Radiology, vol. 205, no. 1, Oct. 1997, pp. 185–90. Pubmed, doi:10.1148/radiology.205.1.9314983.
Fisher AJ, Paulson EK, Sheafor DH, Simmons CM, Nelson RC. Small lymph nodes of the abdomen, pelvis, and retroperitoneum: usefulness of sonographically guided biopsy. Radiology. 1997 Oct;205(1):185–190.
Journal cover image

Published In

Radiology

DOI

ISSN

0033-8419

Publication Date

October 1997

Volume

205

Issue

1

Start / End Page

185 / 190

Location

United States

Related Subject Headings

  • Ultrasonography, Interventional
  • Retroperitoneal Space
  • Pelvis
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Lymph Nodes
  • Humans
  • Female
  • Biopsy, Needle