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Core needle biopsy is a safe and accurate initial diagnostic procedure for suspected lymphoma
Authors:Brian M. Nguyen  Chelsea Halprin  Yuliya Olimpiadi  Peter Traum  James J. Yeh  Christine Dauphine
Affiliation:1. Division of Surgical Oncology, Department of Surgery, Harbor-UCLA Medical Center, 1000 West Carson Box 25, Torrance, CA 90502, USA;2. Department of Pathology, Harbor-UCLA Medical Center, 1000 West Carson Box 25, Torrance, CA 90502, USA;3. Division of Hematology and Medical Oncology, Department of Medicine, Harbor-UCLA Medical Center, 1000 West Carson Box 25, Torrance, CA 90502, USA
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   Lymphoma   Diagnosis   Ultrasound   Ultrasound-guided biopsy
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