Featured Research

from universities, journals, and other organizations

Office-based ultrasound-guided fine needle aspiration superior in diagnosing head and neck lesions

Date:
March 1, 2010
Source:
American Academy of Otolaryngology -- Head and Neck Surgery
Summary:
Office-based, surgeon-performed, ultrasound-guided, fine needle aspiration (FNA) of head and neck lesions yields a statistically significant higher diagnostic rate compared to the standard palpation technique, indicates new research.

Office-based, surgeon-performed, ultrasound-guided, fine needle aspiration (FNA) of head and neck lesions yields a statistically significant higher diagnostic rate compared to the standard palpation technique, indicates new research in the March 2010 issue of Otolaryngology -- Head and Neck Surgery.

FNA is a diagnostic procedure used to investigate superficial lumps or masses. In this technique, a thin, hollow needle is inserted into a mass to extract cells for examination. FNA biopsies are a safe minor surgical procedure. Often, a major surgical (excisional or open) biopsy can be avoided by performing a needle aspiration biopsy instead. FNA biopsies in the head and neck have also proven to be an invaluable tool in establishing the diagnosis of lesions and masses from a broad range of sites, including the thyroid, salivary glands, and lymph nodes.

The efficacy of ultrasound-guided FNA has been well documented in many areas of the body, leading to its acceptance as the standard of care among radiologists and many cytopathologists. However, while the utility of ultrasound in the head and neck is widely appreciated and employed by the radiology community, clinicians in the United States have not embraced office-based ultrasound. The study authors sought to provide additional evidence and support for this procedure in order to ensure appropriate use by the clinical community.

In this randomized, controlled trial of 81 adults, researchers divided participants into two groups, using either ultrasound-guided or traditional palpation-guided FNA to evaluate an identified head and neck mass. The researchers then measured variables and outcomes for tissue adequacy rates, tissue type, and operator variability.

Following three passes using either palpation or ultrasound-guidance, a comparative tissue adequacy rate of 84 percent for ultrasound-guidance (versus 58 percent for standard palpation) was established. With regard to tissue type, a statistically significant comparative diagnostic advantage for ultrasound guidance was observed in thyroid tissue, while remaining statistically insignificant for lymphatic and salivary tissues.

The authors write, "With respect to FNA of palpable head and neck masses, ultrasound guidance in the hands of the clinician yields a statistically significant improved specimen adequacy rate after three passes, when compared to traditional palpation technique. This represents a discernable clinical benefit for the patient in terms of reducing the number of passes required, as well as the need and cost for a repeat office FNA or a referral for ultrasound guidance."

Otolaryngology -- Head and Neck Surgery is the official scientific journal of the American Academy of Otolaryngology -- Head and Neck Surgery Foundation (AAO-HNSF). The study's authors are Jon Robitschek, MD, Mary Straub, DO, Eric Wirtz, MD, Christopher Klem, MD, and Joseph Sniezek, MD.


Story Source:

The above story is based on materials provided by American Academy of Otolaryngology -- Head and Neck Surgery. Note: Materials may be edited for content and length.


Journal Reference:

  1. Jon Robitschek, Mary Straub, Eric Wirtz, Christopher Klem, Joseph Sniezek. Diagnostic efficacy of surgeon-performed ultrasound-guided fine needle aspiration: A randomized controlled trial. Otolaryngology - Head and Neck Surgery, 2010; 142 (3): 306 DOI: 10.1016/j.otohns.2009.11.011

Cite This Page:

American Academy of Otolaryngology -- Head and Neck Surgery. "Office-based ultrasound-guided fine needle aspiration superior in diagnosing head and neck lesions." ScienceDaily. ScienceDaily, 1 March 2010. <www.sciencedaily.com/releases/2010/03/100301091304.htm>.
American Academy of Otolaryngology -- Head and Neck Surgery. (2010, March 1). Office-based ultrasound-guided fine needle aspiration superior in diagnosing head and neck lesions. ScienceDaily. Retrieved July 31, 2014 from www.sciencedaily.com/releases/2010/03/100301091304.htm
American Academy of Otolaryngology -- Head and Neck Surgery. "Office-based ultrasound-guided fine needle aspiration superior in diagnosing head and neck lesions." ScienceDaily. www.sciencedaily.com/releases/2010/03/100301091304.htm (accessed July 31, 2014).

Share This




More Health & Medicine News

Thursday, July 31, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Peace Corps Pulls Workers From W. Africa Over Ebola Fears

Peace Corps Pulls Workers From W. Africa Over Ebola Fears

Newsy (July 30, 2014) The Peace Corps is one of several U.S.-based organizations to pull workers out of West Africa because of the Ebola outbreak. Video provided by Newsy
Powered by NewsLook.com
Weather Kills 2K A Year, But Storms Aren't The Main Offender

Weather Kills 2K A Year, But Storms Aren't The Main Offender

Newsy (July 30, 2014) Health officials say 2,000 deaths occur each year in the U.S. due to weather, but it's excessive heat and cold that claim the most lives. Video provided by Newsy
Powered by NewsLook.com
Concern Grows Over Worsening Ebola Crisis

Concern Grows Over Worsening Ebola Crisis

AFP (July 30, 2014) Pan-African airline ASKY has suspended all flights to and from the capitals of Liberia and Sierra Leone amid the worsening Ebola health crisis, which has so far caused 672 deaths in Guinea, Liberia and Sierra Leone. Duration: 00:43 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

    Technology News



    Save/Print:
    Share:

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile: iPhone Android Web
    Follow: Facebook Twitter Google+
    Subscribe: RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins