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Doctor insights on: Fine Needle Biopsy Lymph Node

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What is lymph node excisional biopsy?

What is lymph node excisional biopsy?

Sample lymph node: A surgeon cuts out the entire lymph node for pathological and sometimes microbiological examination. ...Read more

Dr. John Landi
1 doctor shared a insight

Needle Biopsy (Definition)

A needle biopsy (or fine needle aspiration) is a procedure whereby a thin needle (similar to one the is used for drawing blood), is guided into a lesion and cells are obtained and then placed immediately onto a glass slide for evaluation under the microscope. Unlike a biopsy where "chunks" of tissue are obtained, a fna often obtains only several drops of fluid that ...Read more


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Bilateral axillary lymph nodes swollen+ fibroadenoms & cysts,arm pain +numbness,no body infectio.Dr said nothing to worry.Lymph nodes biopsy needed?

Bilateral axillary lymph nodes swollen+ fibroadenoms & cysts,arm pain +numbness,no body infectio.Dr said nothing to  worry.Lymph nodes biopsy needed?

Impossible to say: That is impossible to say without knowing the entire clinical picture, being able to examine the area and not having access to the results of imaging studies. If you are concerned, get a 2nd opinion. ...Read more

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Should axillary sentinel node biopsy be done after chemotherapy?

Should axillary sentinel node biopsy be done after chemotherapy?

Usually before.: Sentinel lymph node biopsy is usually done at the time of lumpectomy for breast cancer. The information gained is used in the decision making as to whether adjuvant chemotherapy should be given to increase the likelihood of cure. Rarely, it might be done after chemotherapy if the initial role of chemo was to shrink the tumor to allow surgery (neoadjuvant chemotherapy). ...Read more

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Egg sized lymph node removed from armpit- is it lymphoma or reactive lymph node?

Egg sized lymph node removed from armpit- is it lymphoma or reactive lymph node?

Answer with: Pathology & flow cytometry & full history, physical & other pertinent tests based on clinical signs & symptoms. ...Read more

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Are antibiotics required after a sentinel lymph node biopsy?

Are antibiotics required after a sentinel lymph node biopsy?

No: Often, patients will receive IV antibiotics in the or prior to the procedure, but a prescription for antibiotics afterwards is not necessary. ...Read more

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Lymph node biopsy? What should one expect when results of a lymph node biopsy are "abnormal"?

Lymph node biopsy? What should one expect when results of a lymph node biopsy are "abnormal"?

Expect more.: Biopsy results will not be "abnormal." they will be quite specific as to the abnormailty if any is found. Diagnosis and treatment will be based upon biopsy results so there is no room for generic "abnormal.". ...Read more

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How is a popliteal lymph node biopsy performed?

The popliteal: Space is the pocket behind the knee. There are lymph nodes in this area. A surgeon would numb the skin and tissue and remove the lymph node for pathologic study. ...Read more

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22yrs old mammogram normal enlarged right axillary lymph node 7mm left axillary lymph node 3mm waiting biopsy results. Family history breast cancer?

22yrs old mammogram normal enlarged right axillary lymph node 7mm left axillary lymph node 3mm waiting biopsy results. Family history breast cancer?

Be patient: Even with a family history of breast cancer, it would be very rare for a 22 yo to have the disease. You only have about a 14-15% chance of developing breast cancer, unless there are multiple family members who have the disease. There are many reasons for lymph nodes to enlarge, many benign, so just wait for the results. Good luck. ...Read more

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Does a lymph node biopsy require the lymph node to be removed entirely?

No: Lymph nodes can be biopsied using fna (fine needle aspiration), but it is easier to take the entire node out, subtotal or wedge biopies may not heal and leave larger scars. ...Read more

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What is sentinal node biopsy?

What is sentinal node biopsy?

A surgical procedure: This is a surgical procedure to identify the first node that receives drainage from the site of the cancer, and is thus the node most likely to have cancer if cancer has spread. It is done routinely for breast cancer and melanoma. Thenode is removed and examined under the microscope for cancer. The results will help determine what additional treatments may be needed. ...Read more

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Do all thyroid nodules require a fine needle aspiration biopsy?

Do all thyroid nodules require a fine needle aspiration biopsy?

No, but: That's a very complicated question. The short answer is no, but the nuances of which thyroid nodule to biopsy and when are complex and beyond the context of this forum. ...Read more

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Does a fine needle aspiration biopsy hurt much?

Does a fine needle aspiration biopsy hurt much?

No: If done well, for superficial sites it is generally less uncomfortable than a blood draw. For deeper sites, local anesthetic is used ( about a s bad as getting "numbed" for the dentist. Soreness afterward is generally minimal. ...Read more

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Multiple swollen neck lymph nodes. Excisional biopsy came back normal. Called them reactive nodes. Why is this?

Multiple swollen neck lymph nodes. Excisional biopsy came back normal. Called them reactive nodes. Why is this?

Not known: The pathologist will call enlarged nodes for which a cause can not be ascertained, "reactive". The good news is that there is no cancer. You may need to watch and wait. Do see your doctor again if the nodes get larger or nodes in other areas of the body get larger. ...Read more

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Does lung needle biopsy hurt?

Does  lung needle biopsy hurt?

Not if done right: Lungs have very few nerve endings within the lung. If done by a skilled doctor biopsy thru the skin (ie guide by a scanner) can cause pressure and a feeling of fullness but minimal pain. The level of discomfort relates to how accessible the nodule or mass is for the biopsy needle. ...Read more

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I've had a fine needle biopsy of a lymph node behind my jaw. I was told preliminary results are normal but staining is still required. What is stain 4?

Special tests: Routine processing of tissues and cells is generally completed in about 2 days. However, sometimes additional investigation is needed. A general term is special stains. It is a routine and usually needed process for some tissues, especially lymph nodes. ...Read more

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What is a benign fine needle biopsy of the thyroid?

What is a benign fine needle biopsy of the thyroid?

Not cancer: A fine needle biopsy is a procedure in which needles are inserted through the skin and into the thyroid to obtain samples of cells of a nodule to look for cancer cells. Benign means no cancer. ...Read more

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What is the meaning of a benign fine needle biopsy of the thyroid?

What is the meaning of a benign fine needle biopsy of the thyroid?

Thyroid FNA: Assuming the fna sample was adequate and representative of the lesion, a diagnosis of a benign nodule means that it is very likely that your thyroid nodule is not cancerous. It should still be periodically evaluated by your doctor, just to make sure that there are no significant changes. ...Read more

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What does fine needle biopsy of the breast tell you?

What does fine needle biopsy of the breast tell you?

Cancer or not: A fine needle biopsy of the breast is done when there is a lump or bump the surgeon can feel. A hollow needle is put into the lump to get some cells, which are then looked at under the microscope. If there is a cancer, the fine needle biopsy might diagnose it, but it's not 100%. Other things such as fibrocystic breast disease or fibroadenoma (benign lump) can be diagnosed this way. ...Read more

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How accurate is a fine needle biopsy?

How accurate is a fine needle biopsy?

Very Accurate: An article from baylor in 2000 looked at more than 6000 patients who underwent thyroid fna biopsy. Sensitivity and specificity values of thyroid fna were 93% and 96%. The current nci classification: 1) nondiagnostic fna samples, 2) benign lesions, 3) malignant lesions, 4 atypia/follicular lesion of undetermined significance, 5) suspicious for a follicular lesion. Most common result benign. ...Read more

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Has anyone had a fine needle biopsy of a nodule?

Yes: It is a relatively painless technique for diagnosing a nodule. Depending upon the location of the nodule, it is often combined with a radiologic method to confirm correct needle placement, ie, ultrasound, ct. The main drawback is that it only yields cells for evaluation; core needle biopsy will obtain tissue but some nodules are too vascular to permit a core biopsy, ie, thyroid nodules. ...Read more

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What to expect with a fine needle biopsy of my thyroid?

What to expect with a fine needle biopsy of my thyroid?

Screening test: A fine needle aspirate is usually done if there is a nodule in the gland. It provides a limited sample but can be diagnostic depending on the cause of the nodule. It may show just fluid, if the nodule is a cyst to showing cancer cells if the nodule is cancer. A negative test does not rule out disease due to limited sampling. ...Read more

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Whats invovled during a fine needle biopsy of the thyroid?

Whats invovled during a  fine needle biopsy of the thyroid?

This is how I do it: After local anesthesia is given (an injection just under the skin), a very fine needle is guided into the thyroid nodule through ultrasound visualization. I repeat the needle pass 4 times. Each pass only lasts for a few seconds. It is very well tolerated and it takes 20 minutes or so in all. There are no special precautions after the biopsy, other than wearing a band-aid for 2-3 hours. ...Read more

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What should I expect with a fine needle biopsy of my thyroid? What are the possible tumors or results?

What should I expect with a fine needle biopsy of my thyroid?  What are the possible tumors or results?

Well tolerated: Many times we biopsy nodules seen on ultrasound. Most are benign. If a cancer is seen, most of the time it is papillary, and treatable with thyroidectomy and lymph node removal. There can be follicular cells seen, which usually results in removal of one side of the thyroid, as you can't tell for sure if its noncancerous follicular cells on fna. Rarely, they dont get enough cells to tell. ...Read more

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What does a breast fine needle biopsy feel like?

What does a breast fine needle biopsy feel like?

Minimal pain: A fine needle biopsy is performed with a needle about the same size as is used to draw blood and it hurts only a little bit more. Many surgeons, such as myself, will use local anesthesia to decrease this pain further. Nowadays, it is much more common to have a core needle biopsy, which will give us a lot more information with only a little more discomfort. ...Read more

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I would like fine needle biopsy on thyroid nodule-- help?

If doctor recommends: Thyroid nodules are very common and don't necessarily have to be biopsied, especially if small and dont have concerning ultrasound features. The issue of which nodules to biopsy is a controversial one, best left up to your doctor. The fna of a nodule is a common procedure and done with only a tiny needle, so do not worry if you have to have this done. ...Read more

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What does a fine needle biopsy feel like?

A pin prick: Most fnaers numb the area on the skin above a thyroid nodule with xylocaine (lidocaine) using a very fine grade needle so that the larger needle will not be felt. ...Read more

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What should I expect with a fine needle biopsy ?

What should I expect with a fine needle biopsy ?

Benign or malignant: An fna of a thyroid nodule can tell with great accuracy whether the nodule is cancerous and what type of cancer it is. ...Read more

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How much time does it take to receive results from fine needle biopsy?

1-2 days, typically: This answer is dependent on the kind of needle biopsy being performed. For instance, if it is a needle biopsy yielding cores of tissue (histology), then it usually takes 1-2 working days to get a final diagnosis. If it is a fine needle aspiration biopsy yielding fluid (cytology), the turnaround time may be shorter since fewer steps are necessary to prepare slides for microscopic examination. ...Read more

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I need a fine needle biopsy on thyroid nodule. What can I expect from the procedure?

Usually ultrasound: Image-guided, minimally invasive procedures of thyroid most often performed by trained radiologist with experience in needle aspirations and ultrasound.Needle biopsies are usually done on an outpatient.May or may not numb area.Transducer over skin. Soreness for 1- 2 days.Physician inserts fine gauge needle through the skin and advances it into the thyroid nodule. Samples of cells are obtained. ...Read more

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Does anyone know how much a fine needle biopsy on a thyroid gland will hurt?

I DO!!!: I have performed many thyroid fine-needle biopsies and have had more than a few biopsies of my own thyroid. To be honest, it hurt more than i expected when i had my first biopsy because i didn't anticipate that the thyroid has pain fibers (it does). However, the pain is very short-lasting and, as a typical low-pain threshold man/doctor, if i can handle it... ...Read more

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Is is usually not needed to continue to monitor an unchanged thryoid nodule found a few years ago if fine needle biopsy looked normal then & now?

Monitor needed: I would space out the frequency of monitoring but it should continued to be monitored, even if it was negative in biopsy in the past. I would not biopsy it again if it doesn't in size but the only way to know that is to follow it with serial ultrasound. ...Read more

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I have a dominant nodule seen in the medial inferior left thyroid measuring 1.5cm percutanous fine needle biopsy recommended. What does this mean?

I have a dominant nodule seen in the medial inferior left thyroid measuring 1.5cm percutanous fine needle biopsy recommended. What does this mean?

FNA: FNA - fine needle aspiration, is a procedure where a thin needle is inserted directly into the thyroid nodule. Cells from the nodule are aspirated and put on glass slides and stained. The slides are looked at under the microscope and a diagnosis is given. The procedure is usually done after the skin has been numbed up with local anesthesia. Depending on the diagnosis, surgery may be necessary. ...Read more

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Being dominant nodule seen in the medial inferior left thyroid measuring 1.5cm percutanous fine needle biopsy recommended. Can you explain what this means?

Thyroid nodule: The likelihood of any thyroid nodule being a cancer is low, but like any cancer it is important to recognize early and get treatment. A thyroid fine needle biopsy may be needed to get a sample of the nodule to see what it is. Presumably, you had a thyroid image (ultrasound, ct). It is important not just to get a test, but to see a doctor who knows about these things (an endocrinologist). ...Read more

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Should my mom take us-guided fine needle biopsy for detection of a possible suspected gallbladder cancer?

Should my mom take us-guided fine needle biopsy for detection of a possible suspected gallbladder cancer?

Ask ?: I would always follow the advice of your doctors. But you may want to ask if their suspicion is high enough to just warrant a cholecystectomy. ...Read more

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Dr. Arthur Balin
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more