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Doctor insights on: Ultrasound Guided Needle Biopsy Lymph Nodes

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How accurate is a needle biopsy into the neck lymph nodes for detecting cancer?

How accurate is a needle biopsy into the neck lymph nodes for detecting cancer?

It is very Accurate: It is very accurate if slides are examined by a competent Pathologist

Dr. Michael Gabor
2,266 Doctors shared insights

Sonogram (Definition)

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


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What could cause lymphadenopathy for over a year? I've already had a needle biopsy which only showed that my lymph nodes are reactive.

What could cause lymphadenopathy for over a year? I've already had a needle biopsy which only showed that my lymph nodes are reactive.

In many cases,: A needle biopsy is not adequate for a diagnosis. There are a fair number of infections as well as other things that can do this.

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What to do if I had a mammo ultrasound fine needle aperation now they want me to have a ultrasound guided biopsy I'm scre?

Biopsy: The fine needle aspiration may have been indeterminate. The core biopsy will provide a better specimen for the pathologist to examine. If the fine needle showed a cancer, you would be going for surgical excision.

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What is a needle biopsy of a lymph node like?

What is a needle biopsy of a lymph node like?

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

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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!

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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?

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.

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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.

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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!

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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?

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.

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What happens in a ultrasound guided lymph node fnab? Does it mean a high likelihood of the actual biopsy? Any bandages or scars after? What about rugby?

What happens in a 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.

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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

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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?

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.

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What is the definition or description of: ultrasound-guided fine needle aspiration?

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.

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Is vacuum assisted breast biopsy more accurate than just core needle biopsy? Both u/s guided.

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.

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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.

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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?

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 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.

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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?

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?

Thymus: May be the source of the mass, and it could be invasive ornon-invasive. Thymomais associated with rheumatologic/auto-immune conditions. Lymphoma is another prospect, more rare are germ cell tumors (teratoma) and substernal thyroid. Sarcoid can involve any node bearing areas.

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My ultrasound says I have unusual 12mm axiliary lymph node, it lacks hilum fatty. I'm doing a biopsy. Is this something I should be concerned? Thanks

My ultrasound says I have unusual 12mm axiliary lymph node, it lacks hilum fatty. I'm 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.

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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?

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.

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Dr. Neigatha Graney
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


Dr. Ronald Krauser
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