PMID- 17486566 OWN - NLM STAT- MEDLINE DCOM- 20070918 LR - 20071115 IS - 0091-2751 (Print) IS - 0091-2751 (Linking) VI - 35 IP - 6 DP - 2007 Jul-Aug TI - Value of ultrasound-guided core biopsy in the diagnosis of malignant lymphoma. PG - 295-301 AB - PURPOSE: Ultrasound-guided core needle biopsy for the diagnosis and management of malignant lymphomas is controversial and has not been accepted as an alternative to surgical biopsy. We investigate the clinical usefulness of this procedure in a large series of patients. METHODS: Over a 5-year period (2000-2004), ultrasound-guided core needle biopsies were performed in 102 malignant lymphomas. Five diagnostic categories were considered: large B-cell lymphomas (LBCL), small B-cell lymphomas (SBCL), Hodgkin's disease (HD), T cell lymphomas, and miscellaneous. Surgical excisional biopsy of the node was performed in 47 cases (46.1%) for diagnostic confirmation. RESULTS: The overall diagnostic accuracy of ultrasound-guided core needle biopsy was 88.2% (90/102). SBCL (39), LBCL (36), HD (15), T cell lymphomas (5), and miscellaneous (7) [including T cell-rich B cell (2), natural killer cell (1), Burkitt's lymphoma (1), and non-Hodgkin's lymphoma of the B cell type, NOS (3)] were correctly diagnosed. Three HDs, 1 natural killer cell lymphoma, 1 follicular lymphoma, and 1 LBCL were not correctly diagnosed. The core needle biopsy did not yield tumor tissue in 6 cases. CONCLUSIONS: Ultrasound-guided core needle biopsy is effective in the diagnosis of malignant lymphomas and can be used as the first diagnostic approach in selected clinical situations. CI - (c) 2007 Wiley Periodicals, Inc. FAU - de Larrinoa, Aitor Fernandez AU - de Larrinoa AF AD - Department of Anatomic Pathology, Hospital de Basurto, Avda. de Montevideo 18, Bilbao, 48013 Spain. FAU - del Cura, Jose AU - del Cura J FAU - Zabala, Rosa AU - Zabala R FAU - Fuertes, Elena AU - Fuertes E FAU - Bilbao, Francisco AU - Bilbao F FAU - Lopez, Jose I AU - Lopez JI LA - eng PT - Journal Article PL - United States TA - J Clin Ultrasound JT - Journal of clinical ultrasound : JCU JID - 0401663 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Biopsy/*methods MH - Burkitt Lymphoma/diagnosis/pathology MH - Female MH - Hodgkin Disease/diagnosis MH - Humans MH - Killer Cells, Natural/pathology MH - Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis MH - Lymph Nodes/pathology MH - Lymphoma/*diagnosis/pathology MH - Lymphoma, B-Cell/diagnosis MH - Lymphoma, Follicular/diagnosis MH - Lymphoma, Large B-Cell, Diffuse/diagnosis MH - Lymphoma, T-Cell/diagnosis MH - Male MH - Middle Aged MH - Prospective Studies MH - *Ultrasonography, Interventional EDAT- 2007/05/09 09:00 MHDA- 2007/09/19 09:00 CRDT- 2007/05/09 09:00 PHST- 2007/05/09 09:00 [pubmed] PHST- 2007/09/19 09:00 [medline] PHST- 2007/05/09 09:00 [entrez] AID - 10.1002/jcu.20383 [doi] PST - ppublish SO - J Clin Ultrasound. 2007 Jul-Aug;35(6):295-301. doi: 10.1002/jcu.20383.