摘要
Abstract
Objective To evaluate the clinical value of ultrasound guided fine needle biopsy in the diagnosis of su -perficial lymphadenectasis .Methods From April 2012 to November 2013 , 154 subjects were collected .All of them were treated with ultrasound guided fine needle biopsy of superficial lymph node .Their size, location, pathological types of the su-perficial lymphadenectasis were analyzed and their influence on pathological diagnosis were also studied .Results 154 cases were drawn success sample , with a success rate of 100%.Relationship characteristics and diagnosis of lymph nodes: lymph site, neck in 51 cases, diagnosed in 48 cases (94.1%);63 cases in supraclavicular region , a definite diagnosis in 61 cases (96.8%); armpit in 17 cases, diagnosed in 14 cases (82.3%), groin area of 23 cases, diagnosed in 19 patients (82.6%).Lymph node diameter: <0.5 cm in 2 cases without definite diagnosis , 0.5-1.0 cm in 14 cases with definite di-agnose in 9 cases (64.3%), >1.0 cm were 138 cases and diagnosed in 128 cases (92.7%).Lymph node morphology:morphological abnormalities were found in 124 cases and diagnosed in 115 cases (92.7%).Relationship with the surrounding tissues and organs:the surrounding tissue adhesions in 95 cases, diagnosed in 84 cases (88.4%).Pathological diagnosis:malignant lesions in 81 cases (52.6%), including 55 cases of lymph node metastasis (35.7%), malignant lymphoma of 26 cases (16.9%);inflammatory reactive hyperplasia of lymph nodes in 34 cases (22.1%);lymph node tuberculosis in 22 pa-tients (14.3%);false negative in 5 cases (3.2%);nature uncertain in 12 cases (7.8%).Conclusion Ultrasound guided fine needle biopsy for superficial lymph node is real time imaging .It is a minimally invasive technique .It is also safe and ac-curate.The rate of satisfactory specimens and pathological diagnosis were high .It is one of the best techniques in the diagnosis of superficial lymphadenectasis .关键词
浅表淋巴结/超声引导/细针穿刺活检Key words
Superficial lymph node/Ultrasound guided/Fine needle biopsy
