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Radiological Imaging in Hematological Malignancies pp 511–525Cite as

Percutaneous Image-Guided Lymph Node Needle Biopsy

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Open surgical biopsy has long been considered the conventional gold standard for obtaining thoracic and abdominal lymph node samples in patients with lymphoma, especially for the original diagnosis. However, this procedure can have significant complications. With advances in cytopathologic diagnostic techniques, percutaneous image-guided needle biopsy with its high overall accuracy has become the procedure of choice, and is taking a prominent place in the management of lymphoma in both adults and children. It is now considered a relatively painless, quick, safe, low cost, and valuable tool for patients with suspected or recurrent lymphomas. A well-planned and executed biopsy provides an accurate diagnosis and facilitates treatment. CT is a widely available imaging modality and allows image-guided needle biopsy in a large majority of patients. US-guided biopsy is an alternative method of guidance and at some institutions is the guidance technique of choice. In this chapter, we will describe the technique and give some alternatives for when the procedure tends to be difficult, especially in posterior and/or deep-seated lymph nodes.

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Author information

Authors and Affiliations

  1. Department of Radiology, University of California San Francisco, 350 Parnassus Avenue, Suite 150, San Francisco, CA, 94117, USA

    Ali Guermazi

  2. Department of Radiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78284, USA

    Gerald D. Dodd III

Authors
  1. Ali Guermazi
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  2. Gerald D. Dodd III
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Editors and Affiliations

  1. Radiographic Laboratory Osteporosis & Arthritis Research Group, University of California, San Francisco, 350 Pernassus Avenue, Suite 150, San Francisco, CA, 94117, USA

    Ali Guermazi MD (Visiting Associate Professor Department of Radiology, Director) (Visiting Associate Professor Department of Radiology, Director)

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© 2004 Springer-Verlag Berlin Heidelberg

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Guermazi, A., D. Dodd, G. (2004). Percutaneous Image-Guided Lymph Node Needle Biopsy. In: Guermazi, A. (eds) Radiological Imaging in Hematological Malignancies. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18832-9_26

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  • DOI: https://doi.org/10.1007/978-3-642-18832-9_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62313-4

  • Online ISBN: 978-3-642-18832-9

  • eBook Packages: Springer Book Archive

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