Fine-needle aspiration biopsy of axillary lymph nodes Journal Article
| Authors: | Jaffer, S.; Zakowski, M. |
| Article Title: | Fine-needle aspiration biopsy of axillary lymph nodes |
| Abstract: | To assess the efficacy of fine-needle aspiration biopsy (FNAB) of axillary lymph nodes (ALN), we retrospectively analyzed 140 FNAB of ALN at Memorial Sloan-Kettering Cancer Center, examining technique and cytologic-histologic correlation. Of the 140 FNAB, 124 were performed by the conventional method and 16 by ultrasound guidance (USG). The diagnoses included: unsatisfactory, 20; negative, 38; positive, 72; suspicious, 6; and indeterminate, 4. Positive diagnoses included: carcinoma, 44.4%; melanoma, 43.0%; lymphoma, 5.6%; sarcoma, 5.6%; and mesothelioma, 1.4%; one of which was false-positive, attributed to misinterpretation. All indeterminate and most false-negative cases were due to lymphoproliferative conditions. The sensitivity and specificity of FNAB of ALN were 94.7% and 97.1% and the adequacy rate was 85.7%. The sensitivity, specificity, and adequacy rates of USG FNAB were 100%. Our study shows that FNAB of ALN is an excellent method for diagnosing reactive conditions as well as neoplasms. © 2002 Wiley-Liss, Inc. |
| Keywords: | adolescent; adult; human tissue; aged; aged, 80 and over; middle aged; major clinical study; lymph nodes; lymphatic metastasis; diagnostic accuracy; sensitivity and specificity; sentinel lymph node biopsy; neoplasms; reproducibility of results; cytology; melanoma; histology; ultrasound; sarcoma; axillary lymph node; correlation analysis; diagnostic errors; biopsy, needle; lymphoma; carcinoma; mesothelioma; lymphoproliferative disease; axilla; aspiration biopsy; technique; axillary lymph nodes; fine-needle aspiration biopsy; humans; human; male; female; priority journal; article |
| Journal Title: | Diagnostic Cytopathology |
| Volume: | 26 |
| Issue: | 2 |
| ISSN: | 8755-1039 |
| Publisher: | Wiley Liss |
| Date Published: | 2002-02-01 |
| Start Page: | 69 |
| End Page: | 74 |
| Language: | English |
| DOI: | 10.1002/dc.10051 |
| PUBMED: | 11813321 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Export Date: 14 November 2014 -- Source: Scopus |
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