The efficacy of needle biopsy in the histologic examination of head and neck lesions

  • Ishibashi Hiroaki
    Department of Oral and Maxillofacial Surgery, Shimane University Fuculty of Medicine Oral and Maxillofacial Surgery, Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • Kawano Shintaro
    Oral and Maxillofacial Oncology, Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • Kubota Yasutaka
    Oral and Maxillofacial Surgery, Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • Nakamura Seiji
    Oral and Maxillofacial Oncology, Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • Shirasuna Kanemitsu
    Oral and Maxillofacial Surgery, Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University

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Other Title
  • 頭頸部病変の病理診断における針生検の有効性

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Abstract

This study examined the role of histologic examination using fine needle biopsy (FNB) with the new Monopty biopsy instrument (MBI; Bard Urologic Division ; Covington, GA) and FINCORE (Dr. JAPAN Co., Ltd., Tokyo, Japan) in the diagnosis of head and neck lesions. We performed FNB in 87 lesions of the head with MBI or FINCORE and examined the surgically dissected tissue, including lymph nodes, salivary glands, facial skin, and oral tissue. The tissue samples were subjected to histologic examination using routine methods, and the diagnosis of the lesion determined at FNB was compared with the final diagnosis from the surgically dissected tissue. High-quality histologic specimens were obtained with MBI and FINCORE without using any special techniques. No complications such as abnormal hemorrhage or nerve destruction occurred in any case. The targeted lesion was biopsied by FNB in the 87 cases, and diagnoses could be compared with those of surgically resected lesions. The accuracy rate of FNB diagnosis was 81.6 % (of 71 cases) . This technique is a safe, effective means of obtaining adequate tissue for histologic assessment of head and neck lesions.

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