Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Ultrasonography-Guided Fine Needle Aspiration Cytology of Cervical Lymphadenopathy: Comparative Study of the Cytological Adequacy Using of 21- and 23- Gauge Needles

경부 림프절 병변에 대한 초음파유도 하 세침흡인세포검사: 21 및 23 게이지 바늘의 사용에 따른 세포학적 적합성에 대한 비교연구

  • Baek, Jin-Wook (Department of Radiology, Busan Paik Hospital, Inje University School of Medicine) ;
  • Kim, Dong-Wook (Department of Radiology, Busan Paik Hospital, Inje University School of Medicine) ;
  • Kim, Bo-Mi (Department of Pathology, Busan Paik Hospital, Inje University School of Medicine)
  • 백진욱 (인제의대 부산백병원 영상의학과학교실) ;
  • 김동욱 (인제의대 부산백병원 영상의학과학교실) ;
  • 김보미 (인제의대 부산백병원 병리의학과학교실)
  • Published : 2011.03.01
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Abstract

Purpose: To assess the difference in the cytological adequacy of ultrasonography (US)-guided fine needle aspiration cytology (US-FNAC) for cervical lymphadenopathy using 21 and 23 gauge needles. Materials and Methods: US-FNACs were separately performed on two cervical lymph nodes and in each patient using 21 gauge (group A) and 23 gauge (group B) needles, respectively. We used 4 grade classifications for the cytological analysis of each slide and compared the cytological adequacy of US-FNAC for cervical lymphadenopathy in the two groups. Results: We performed US-FNACs on 58 cervical lymph nodes from 29 patients, with a cytological adequacy of 69.0%. The number of adequate cytological results was 19 (65.5%) in group A and 21 (72.4%) in group B, and the diagnostic adequacy did not differ significantly between the two groups (Mann-Whitney test, p = 0.574). Conclusion: There was no statistically significant difference in the cytological adequacy of US-FNAC for cervical lymphadenopathy according using of 21 and 23 gauge needles.

목적: 경부 림프절 병변의 초음파유도 하 세침흡인세포검사에서 21 및 23 게이지 바늘의 사용에 따른 세포학적 적합성의 차이를 알아보고자 하였다. 대상과 방법: 각 환자에서 서로 다른 두 개의 경부 림프절 병변에 대해, 하나는 21 게이지 바늘을(A 그룹), 다른 하나는 23 게이지 바늘을(B 그룹) 사용하여 초음파유도 하 세침흡인세포검사를 시행하였다. 각각의 표본에 대한 세포병리 분석을 4등급으로 나누어 두 그룹의 세포학적 적합성의 차이를 비교하였다. 결과: 29명의 환자를 대상으로 58예의 초음파유도 하 세침흡인세포검사를 시행하였으며, 세침흡인세포검사의 세포학적 적합성은 69.0%였다. 적합한 세포병리결과가 나온 경우는, A 그룹에서 19예(65.5%), B 그룹에서는 21예(72.4%) 였으며, 초음파유도 하 세침흡인세포검사의 세포학적 적합성에 있어서는 두 그룹 간에 유의한 차이는 없었다(Mann-Whitney test, p = 0.574). 결론: 경부 림프절 병변의 초음파유도 하 세침흡인세포검사에서 21 게이지와 23 게이지 바늘의 사용에 따른 세포학적 적합성에 대한 유의한 차이는 없었다.

Keywords

References

  1. Amedee RG, Dhurandhar NR. Fine-needle aspiration biopsy. Laryngoscope 2001;111:1551-1557 https://doi.org/10.1097/00005537-200109000-00011
  2. Jandu M, Webster K. The role of operator experience in fine needle aspiration cytology of head and neck masses. Int J Oral Maxillofac Surg 1999;28:441-444 https://doi.org/10.1016/S0901-5027(99)80057-5
  3. van den Brekel MW, Castelijns JA, Stel HV, Luth WJ, Valk J, van der Waal I, et al. Occult metastatic neck disease: detection with US and US-guided fine-needle aspiration cytology. Radiology 1991;180: 457-461 https://doi.org/10.1148/radiology.180.2.2068312
  4. Baatenburg de Jong RJ, Rongen RJ, Verwoerd CD, van Overhagen H, Lameris JS, Knegt P. Ultrasound-guided fine-needle aspiration biopsy of neck nodes. Arch Otolaryngol Head Neck Surg 1991;117: 402-404 https://doi.org/10.1001/archotol.1991.01870160056008
  5. Knappe M, Louw M, Gregor RT. Ultrasonography-guided fine-needle aspiration for the assessment of cervical metastases. Arch Otolaryngol Head Neck Surg 2000;126:1091-1096 https://doi.org/10.1001/archotol.126.9.1091
  6. Altavilla G, Pascale M, Nenci I. Fine needle aspiration cytology of thyroid gland diseases. Acta Cytol 1990;34:251-256
  7. Daltrey IR, Lewis CE, McKee GT, Kissin MW. The effect of needle gauge and local anaesthetic on the diagnostic accuracy of breast fine-needle aspiration cytology. Eur J Surg Oncol 1999;25:30-33 https://doi.org/10.1053/ejso.1998.0595
  8. Daltrey IR, Kissin MW. Randomized clinical trial of the effect of needle gauge and local anaesthetic on the pain of breast fine-needle aspiration cytology. Br J Surg 2000;87:777-779 https://doi.org/10.1046/j.1365-2168.2000.087006777.x
  9. Renshaw AA. Evidence based criteria for adequacy in thyroid fine needle aspiration. Am J Clin Pathol 2002;118:518-521 https://doi.org/10.1309/9XW4-FX2M-QV8H-D6NQ
  10. Amrikachi M, Ramzy I, Rubenfeld S, Wheeler TM. Accuracy of fine-needle aspiration of the thyroid. Arch Pathol Lab Med 2001; 125:484-488
  11. Tao LC, Sanders DE, McLoughlin MJ, Weisbrod GL, Ho CS. Current concepts in fine needle aspiration biopsy cytology. Hum Pathol 1980;11:94-96 https://doi.org/10.1016/S0046-8177(80)80122-5
  12. Brennan PA, Mackenzie N, Oeppen RS, Kulamarva G, Thomas GJ, Spedding AV. Prospective randomized clinical trial of the effect of needle size on pain, sample adequacy and accuracy in head and neck fine-needle aspiration cytology. Head Neck 2007;29:919-922 https://doi.org/10.1002/hed.20601