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Ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions()
INTRODUCTION: Laryngeal lesions are usually evaluated by microlaryngoscopy/direct laryngoscopy under anaesthesia for disease mapping and tissue diagnosis. However patients with anticipated airway compromise due to laryngeal mass may require either a protective tracheotomy or emergency tracheotomy to...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422434/ https://www.ncbi.nlm.nih.gov/pubmed/30686768 http://dx.doi.org/10.1016/j.bjorl.2018.11.005 |
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author | Parasuraman, Lakshminarasimman Singh, Chirom Amit Sharma, Suresh C. Thakar, Alok |
author_facet | Parasuraman, Lakshminarasimman Singh, Chirom Amit Sharma, Suresh C. Thakar, Alok |
author_sort | Parasuraman, Lakshminarasimman |
collection | PubMed |
description | INTRODUCTION: Laryngeal lesions are usually evaluated by microlaryngoscopy/direct laryngoscopy under anaesthesia for disease mapping and tissue diagnosis. However patients with anticipated airway compromise due to laryngeal mass may require either a protective tracheotomy or emergency tracheotomy to secure the airway. To minimise risk of unplanned tracheotomy and expedite the diagnosis we performed ultrasound-guided transcutaneous fine needle aspiration cytology. OBJECTIVE: To evaluate the feasibility and performance of ultrasound-guided transcutaneous fine needle aspiration cytology of suspicious/recurrent laryngo-hypopharyngeal masses. METHODS: Fine needle aspiration cytology was performed under ultrasound guidance. Twenty- four patients were recruited, of which 17 had a pure laryngeal lesion; 6 patients had laryngo-pharyngeal, and one patient had a base tongue lesion with supra-glottis extension. RESULTS: Out of 24 patients, 21 had positive cytology for squamous cell carcinoma, 2 patients had non-diagnostic cytology (atypical cells) and the other had inadequate tissue for definitive diagnosis. Patients with negative and inconclusive cytology underwent direct laryngoscopy biopsy, which was positive for squamous malignancy. All patients tolerated the procedure well and no adverse events were noted. CONCLUSION: Although direct laryngoscopy remains the standard of care in evaluation of laryngo-hypopharyngeal lesions, this pilot study has shown that ultrasound-guided transcutaneous fine needle aspiration cytology was feasible as an out-patient procedure, employing safe and sensitive technique enabling rapid diagnosis and avoiding the need for direct laryngoscopy under GA for tissue diagnosis. |
format | Online Article Text |
id | pubmed-9422434 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94224342022-08-31 Ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions() Parasuraman, Lakshminarasimman Singh, Chirom Amit Sharma, Suresh C. Thakar, Alok Braz J Otorhinolaryngol Original Article INTRODUCTION: Laryngeal lesions are usually evaluated by microlaryngoscopy/direct laryngoscopy under anaesthesia for disease mapping and tissue diagnosis. However patients with anticipated airway compromise due to laryngeal mass may require either a protective tracheotomy or emergency tracheotomy to secure the airway. To minimise risk of unplanned tracheotomy and expedite the diagnosis we performed ultrasound-guided transcutaneous fine needle aspiration cytology. OBJECTIVE: To evaluate the feasibility and performance of ultrasound-guided transcutaneous fine needle aspiration cytology of suspicious/recurrent laryngo-hypopharyngeal masses. METHODS: Fine needle aspiration cytology was performed under ultrasound guidance. Twenty- four patients were recruited, of which 17 had a pure laryngeal lesion; 6 patients had laryngo-pharyngeal, and one patient had a base tongue lesion with supra-glottis extension. RESULTS: Out of 24 patients, 21 had positive cytology for squamous cell carcinoma, 2 patients had non-diagnostic cytology (atypical cells) and the other had inadequate tissue for definitive diagnosis. Patients with negative and inconclusive cytology underwent direct laryngoscopy biopsy, which was positive for squamous malignancy. All patients tolerated the procedure well and no adverse events were noted. CONCLUSION: Although direct laryngoscopy remains the standard of care in evaluation of laryngo-hypopharyngeal lesions, this pilot study has shown that ultrasound-guided transcutaneous fine needle aspiration cytology was feasible as an out-patient procedure, employing safe and sensitive technique enabling rapid diagnosis and avoiding the need for direct laryngoscopy under GA for tissue diagnosis. Elsevier 2018-12-28 /pmc/articles/PMC9422434/ /pubmed/30686768 http://dx.doi.org/10.1016/j.bjorl.2018.11.005 Text en © 2019 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Original Article Parasuraman, Lakshminarasimman Singh, Chirom Amit Sharma, Suresh C. Thakar, Alok Ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions() |
title | Ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions() |
title_full | Ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions() |
title_fullStr | Ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions() |
title_full_unstemmed | Ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions() |
title_short | Ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions() |
title_sort | ultrasonography guided fine needle aspiration cytology in patients with laryngo-hypopharyngeal lesions() |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422434/ https://www.ncbi.nlm.nih.gov/pubmed/30686768 http://dx.doi.org/10.1016/j.bjorl.2018.11.005 |
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