title: Ultrasound-guided fine needle aspiration diagnosis of supraglottic laryngeal cancer.
abstract: BACKGROUND
  Although intraoperative laryngoscopic examination and biopsy of patients who present with locally advanced supraglottic carcinomas remains the standard of care, there are occasions when a more expedited biopsy can be helpful.
  
  
  RESULTS
  We describe a quick diagnostic technique of ultrasound-guided fine needle aspiration of endolaryngeal advanced supraglottic carcinomas, which can be performed in the clinic without any preparation. Ultrasound scanning is performed through the thyrohyoid membrane. The tumor is visualized as an irregular hypoechoic mass. While continuing to visualize the mass, a 21-gange needle attached to a syringe is passed through the contralateral thyrohyoid membrane into the mass. Suction is applied, and the aspirate is sent for cytologic study.
  
  
  CONCLUSIONS
  When formal intraoperative laryngoscopy and biopsy is not feasible or timely, ultrasound-guided fine-needle aspiration biopsy enables a rapid diagnosis and eliminates the cost, side effects, and risks of a direct laryngoscopy.
authors.affiliation: ENT/Head & Neck Service, Carl T. Hayden VA Medical Center, Phoenix, AZ, USA. Richard.lopchinsky@va.gov
authors.forename: Richard A
authors.initials: RA
authors.lastname: Lopchinsky
authors.forename: Glenda F
authors.initials: GF
authors.lastname: Amog-Jones
authors.forename: Renuka
authors.initials: R
authors.lastname: Pathi
mesh_terms: D000368:Aged; D044963:Biopsy, Fine-Needle; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D059248:Chemoradiotherapy; D005500:Follow-Up Studies; D005931:Glottis / Q000000981:diagnostic imaging / Q000473:pathology*; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D006801:Humans; D061705:Image-Guided Biopsy / Q000379:methods*; D007150:Immunohistochemistry; D007822:Laryngeal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D000077195:Squamous Cell Carcinoma of Head and Neck; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*