Doctor insights on:
Ultrasound Guided Needle Biopsy Lymph Nodes
It is very Accurate: It is very accurate if slides are examined by a competent Pathologist ...Read more
An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more
What could cause lymphadenopathy for over a year? I've already had a needle biopsy which only showed that my lymph nodes are reactive.
Simple: A fine needle aspiration biopsy means using a thin needle (like the ones used to draw blood) to draw a very small tissue or cell sample from the lymph node. The sample is examined under microscope by a pathologist who can often make a diagnosis without the need for a surgical procedure to remove an entire node ...Read more
I'm having open biopsy of neck lymph node diagnosed with atypical by previous needle biopsy. Is cancer likely to be found?
Not necessarily: More history would be helpful such as is there a past history of cancer anywhere or a current mass in your thyroid or any other part of your body? "Atypical" findings on a fine needle biopsy can be secondary to inflammation and not malignancy. However, excisional biopsy of the node is critical to rule out malignancy. Good luck! ...Read more
Can all fibroadenomas (detected w/ultrasound) be confirmed w/needle biopsy, or do some need to be removed completely for biopsy if it's too small?
Breast Fibroadenoma?: Breast Fibroadenoma is a benign condition and can be monitored without biopsy or removal unless it shows growth in size. You should check your breast once monthly for any change in size and also have your doctor do a breast examination every 6 to 12 months. Most fibroadenoma do not grow or may regress on their own as you grow older. ...Read more
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
I had to have my implants removed due to a needle biopsy rupture should they have used an ultra sound? Please help me
Not necessarily : While an ultrasound can help guide the needle, it does not prevent the needle from going too far. It is very difficult to keep the tip of needle in view continuously during passage of the needle. You need to focus on what were the results of the biopsy? Also, implants do not last forever, they usually only last 7 to 10 years. Replace them with whatever size you like! ...Read more
I have lymph nodes appearing in neck which is under 1cm after ultra sound, all test neg HIV-mono-ebv, elevated lymphocytes do I need bone morrow biops?
Probably not: Such small lymph nodes often are normal, and if the nodes are not enlarging, that's additional evidence against a serious condition. If any sort of biopsy is needed, it would be to remove one of the nodes, not a distant site like bone marrow. May also depend on how elevated your lymphocytes are. Probably nothing more need be done now, but discuss with your doctor. ...Read more
What happens in an ultrasound guided lymph node fnab? Does it mean a high likelihood of the actual biopsy? Any bandages or scars after? What about rugby?
Needle aspiration: Fnab usually involves aspirating some cells through a thin needle. You may need a bandage, but as there is no incision, you should not have a scar. It is not the fnab that may interfere with rugby but the reason why you are having the procedure. Need for biopsy or other procedure would be determined based on the results of fnab. ...Read more
What should I expect at my ultrasound guided FNA biopsy of my lymph node behind my jaw? Why can't I eat or drink after midnight the day before?
Pretty easy: If you are going to have any sedation for a procedure we usually don't want you to eat or drink beforehand. This decreases risk associated with vomiting and being groggy. The procedure should be easy. The area will be numbed up and the ultrasound rolled over the neck. You probably won't feel the actual biopsy. Good luck ...Read more
Suspicious area on u/s came back 'benign lactational changes', so I'm worried the dr biopsied the wrong area(it was ultrasound guided). What do I do?
Ask the radiologist: It's very likely that the radiographic area was adequately biopsied. This siri I may be a focus of lactation hyperplasia. If you have a few are radiologist review the film and biopsy report he will be able to confirm that. ...Read more
Gets tissue sample: This technique uses a non-invasive ultrasound machine to see where the needle is traveling in the body in order to obtain a sample of tissue. Aspiration usually refers to obtaining fluid from a joint or a mass (cyst) in the body. ...Read more
Accuracy: Both are highly accurate, 97-99%, in experienced hands. Vacuum assisted may provide a better sample for the pathologist, but standard core can make up for it with more samples. One may be preferred over another in certain particular circumstances. ...Read more
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
They found a spot or scar on my left lung. After 6 months they want to do a CT guided needle biopsy. What is this?
CT guided biopsy: When a spot is close enough to the chest wall, interventional radiologists are able to use ct scan pictures to guide a small needle into a spot. Normally, when a spot is found, we follow it with ct scans. It looks like it's getting bigger, we plan for a ct guided biopsy to find out what it is. When the spot is away from the chest wall we consider bronchoscopy vs surgical removal. ...Read more
I have ra, I had a mass on my chest, so they did ct-guided needle biopsy where the thymus is! Doc has told me its not sarcoid, but could be lymphoma?
My ultrasound says I have unusual 12mm axiliary lymph node, it lacks hilum fatty.im doing a biopsy. Is this something I should be concerned? Thanks
Yes: I am assuming you are feeling well. This is most likely due to a minor skin problem on your arm or hand, past or present. At your age, it is very likely that this will simply be a big lymph node. The chance of Hodgkin's / malignant lymphoma is quite small, and of some other illness even less. The decision to biopsy reflects only the reasonable concern that treatable disease might be found early. ...Read more
I have 3 supraclavicular lymph nodes 1cm in size for a year. Can just an ultrasound detect lymphoma or should I push for a biopsy?
Bx needed: Unchanged glands for 1 yr probably not lymphoma. More likely inflammatory yet certain low grade malignancies can remain unchanged without enlargement or progression for more than 1 yr. Ultrasound of no value making histologic dx. Final diagnosis can only be defined by histologic exam after formal bx. ...Read more
Some are: Depends on location.Get a more detailed answer ›
Hard fixed lymph node confirmed by ultrasound, no pain, been there for a month, gp has me waiting 3 months then biopsy, could this be just normal?
Yes: Much watch carefully--if gets bigger or more nodes develop do biopsy sooner. ...Read more
Would a doctor only request a biopsy if something looked suspicious on ultrasound? Never had 2nd usound to check if shrink/grow (lymph node and cyst)
Precaution: Sometimes a doctor requests a repeat study in radiology or a biopsy just as a precaution to be sure the condition is benign. Many cysts are a benign condition, but I do not know where your lymph node & cyst are located. The Best thing is for you to ask your doctor WHY are these being ordered for you. ...Read more
Biopsy on prominent lymph node about 3 inches below armpit ultrasound showed no tumour or mass. Should i be worried?
Monitoring Centers: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more
Firm lymph node on neck below ear and dr said I need to get a biopsy and that ultrasound wouldn't help. Why? Said location is difficult to evaluate.?
Will doctor most likely do a biopsy if a 1.4x1.5cm lymph node and 1.4cm cyst doesn't shrink after follow up ultrasound? Even if its not growing? Im 18
Biopsy: Yes, your doctor will most likely do a biopsy ...Read more
Ace levels high, liver enzymes high, possible sarcoidosis dx, can sarcoidosis cause fatty liver on ultrasound. Dr scheduling liver& lymph biopsy.
Sarcoidosis - Liver: The most common radiographic finding of hepatic sarcoidosis is hepatomegaly. Ultrasound can show diffuse increased homogeneous or heterogeneous echogenicity in hepatic sarcoidosis appearing similar to fatty liver. Focal liver nodules (thought to represent coalescence of small granulomas) can also be seen in hepatic sarcoidosis. Liver involvement by sarcoidosis typically responds well to steroids. ...Read more
Are persistent lymph nodes/cyst always cancer? I've had a cyst near prominent node for five yearsNo growth U/S looks normalbut doc ordered biopsy I'm 18
Yes: Most neck or cervical nodes can be visualized by ultrasound with characterization of texture, determination of size, and vasculature or hyperemia. Many times simple benign nodes are differentiated from infected and metastatic nodes. ...Read more
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
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