Saline-aided ultrasound-guided transoral biopsy of retropharyngeal nodes in head and neck cancer: A feasibility study of five patients.
- Resource Type
- Academic Journal
- Authors
- Ghedia R; Head and Neck Department, Royal Marsden Hospital, London, UK.; Hariri A; Head and Neck Department, Royal Marsden Hospital, London, UK.; Lee YK; Head and Neck Department, Royal Marsden Hospital, London, UK.; Dragan A; Head and Neck Department, Royal Marsden Hospital, London, UK.; Paleri V; Head and Neck Department, Royal Marsden Hospital, London, UK.; Ap Dafydd D; Head and Neck Department, Royal Marsden Hospital, London, UK.
- Source
- Publisher: John Wiley And Sons Country of Publication: United States NLM ID: 8902541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0347 (Electronic) Linking ISSN: 10433074 NLM ISO Abbreviation: Head Neck Subsets: MEDLINE
- Subject
- Language
- English
Background: The purpose of this study was to determine the feasibility of the novel technique of intra-cavitary saline-aided ultrasound (US) guided transoral biopsy or excision of retropharyngeal nodes.
Methods: We followed the IDEAL 2a framework to develop this technique. Procedures were performed between July 2020 and July 2022 at a tertiary head and neck center.
Results: Five patients in total underwent an ultrasound-guided biopsy of a retropharyngeal node. They underwent seven procedures between them: three transoral robotic surgery (TORS) procedures, three fine needle aspirations (FNA) and/or core biopsy procedures, and one US assessment under general anesthetic. The six patients with histology taken (three TORS and three FNA/core biopsies) all had diagnostically adequate samples enabling appropriate treatment planning. There were no significant complications from the procedure.
Conclusion: Saline-aided US-guided biopsy of a retropharyngeal node is a safe and useful tool enabling accurate tissue sampling and tumor excision and ongoing appropriate treatment planning.
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