Ultrasound-guided core biopsy for investigation of cervical lymph node: chronic lymphocytic leukaemia and metastatic squamous cell carcinoma.
We describe a case in which ultrasound-guided fine needle core biopsy of a cervical lymph node enabled diagnosis of dual disease. Histological examination of the core biopsy confirmed unsuspected chronic lymphocytic leukaemia with an isolated focus of metastatic squamous cell carcinoma (SCC), and enabled optimal preoperative planning of treatment. Such a case is extremely unusual and provides evidence of the accurate diagnosis that can be obtained from nodal investigations using ultrasound-guided core biopsy.
Hodges
Spencer
S
Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital, Eastbourne, East Sussex, United Kingdom. spencerhodges@doctors.org.uk
Williams
Mike D
MD
Moody
Andrew B
AB
Ramesar
Keith
K
Howlett
David C
DC
D000368:Aged; D001365:Axilla; D044963:Biopsy, Fine-Needle / Q000379:methods*; D002294:Carcinoma, Squamous Cell / Q000556:secondary*; D006258:Head and Neck Neoplasms / Q000473:pathology; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis / Q000473:pathology*; D008297:Male; D008482:Mediastinum; D009333:Neck; D016609:Neoplasms, Second Primary / Q000473:pathology*; D012535:Scalp / Q000473:pathology; D012878:Skin Neoplasms / Q000473:pathology; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional