British Journal of Oral and Maxillofacial Surgery
Volume 48, Issue 1 , Pages 46-47, January 2010

Ultrasound-guided core biopsy for investigation of cervical lymph node: chronic lymphocytic leukaemia and metastatic squamous cell carcinoma

  • Spencer Hodges

      Affiliations

    • Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex, BN21 2UD, United Kingdom
    • Corresponding Author InformationCorresponding author. Mobile:+ 44 07973431270.
    • ,
  • Mike D. Williams

      Affiliations

    • Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex, BN21 2UD, United Kingdom
    • Tel.: +44 1323 417400.
    • ,
  • Andrew B. Moody

      Affiliations

    • Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex, BN21 2UD, United Kingdom
    • Tel.: +44 1323 417400.
    • ,
  • Keith Ramesar

      Affiliations

    • Department of Histopathology, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex, BN21 2UD, United Kingdom
    • Tel.: +44 1323 417400.
    • ,
  • David C. Howlett

      Affiliations

    • Department of Radiology, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex, BN21 2UD, United Kingdom
    • Tel.: +44 1323 417400.

Accepted 15 November 2008. published online 05 January 2009.

Abstract 

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.

Keywords: Cervical lymphadenopathy, Ultrasound, Fine Needle Core Biopsy

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PII: S0266-4356(08)00568-8

doi:10.1016/j.bjoms.2008.11.004

British Journal of Oral and Maxillofacial Surgery
Volume 48, Issue 1 , Pages 46-47, January 2010

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