Research Article
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Is scalene lymph node biopsy still effective ?

Year 2024, Volume: 17 Issue: 2, 50 - 53, 01.07.2024

Abstract

Excision of scalene lymph nodes by surgical biopsy technique is a valuable method for the diagnosis and treatment plan of thoracic and extrathoracic malignancies and some granulomatous diseases. In this study, we aimed to investigate the efficacy and safety of scalene lymph node biopsy as a diagnostic tool. Surgical biopsy was performed in 15 patients with palpable scalene lymph nodes and their data were retrospectively analyzed. The material obtained by scalene lymph node biopsy was sufficient for 93.3% of the diagnoses. Of the diagnoses, 33.3% were non-small cell lung carcinoma metastasis, 26.7% were small cell lung carcinoma metastasis, 26.7% were lymphoma and 13.3% were non-cancer pathology. No complications were observed during or after the scalene lymph node biopsy procedure in any of the patients. Scalene lymph node biopsy is a reliable, inexpensive, and effective method for diagnosis.

Ethical Statement

The local ethics committee approval dated 29.12.2022 and decision number 25/370 was obtained from the ethics committee of Süleyman Demirel University

Supporting Institution

none

Thanks

We thank Dr. Edanur Dogan for helping analyze the data.

References

  • 1. Özpolat B, Uygur ER, Şimşek S, Yazkan R, Alper M, Yücel E. Supraklaviküler Bölge Lez-yonlarının Cerrahi Tedavisi. Kırıkkale Uni Med J. 2012;14(2):12-16.
  • 2. Yalçmkaya İ, Kaya ODS, Balkan ODM, Özbay B, Çetin ODG. Skalen Lenf Nodu Biyopsisi. Turkish Journal of thoracic and cardiovascular surgery. 1995;3:113-116.
  • 3. Lee DH, Yonn TM, Lee JK, Lim SG et al. Supraclavicular lymph node excision biopsy in patients with suspected supraclavicular lymph node metastasis of lung cancer: Experience in a Tertiary Hospital. Chonnam Med J. 2017;53(1):69-72.
  • 4. Kenney LJ, Mota C. Scalene lymph node biopsy. Henry Ford Hosp Med Bull. 1956;4(1):36-41.
  • 5. Samancılar Ö, Çakan AN, Turhan K, Çağırcı U, Nart D, Özhan M. Hiler ve mediastinal lenfade-nopatilerde nonpalpabl skalen lenf düğümü bi-yopsisi sonuçları (46 olguluk bir dizi). Turkish Journal of Ecopathology. 2005;11(1):17-20.
  • 6. 6 Ohno K, Utsumi T, Sasaki Y, Suzuki Y. Re-evaluation of non-palpable scalene lymph node biopsy for staging non-small cell lung cancer. Eur J Cardiothorac Surg. 2004;25(4):492-6.
  • 7. Skinner DB. Scalene-lymph-node biopsy. Re-appraisal of risks and indications. N Engl J Med. 1963;268:1324-9. 8. Dong S, Zhao N, Deng W, Sun HW, Niu FY, Yang JJ, et al. Supraclavicular lymph node incisional biopsies have no influence on the prognosis of advanced non-small cell lung cancer patients: a retrospective study. World J Surg Oncol. 2017;15(1):12.
  • 9. Sung YM, Lee KS, Kim BT, Kim S, Kwon OJ, Choi JY, et al. Nonpalpable supraclavicular lymph nodes in lung cancer patients: preoperative characterization with 18F-FDG PET/CT. AJR Am J Roentgenol. 2008 Jan;190(1):246-52.
Year 2024, Volume: 17 Issue: 2, 50 - 53, 01.07.2024

Abstract

References

  • 1. Özpolat B, Uygur ER, Şimşek S, Yazkan R, Alper M, Yücel E. Supraklaviküler Bölge Lez-yonlarının Cerrahi Tedavisi. Kırıkkale Uni Med J. 2012;14(2):12-16.
  • 2. Yalçmkaya İ, Kaya ODS, Balkan ODM, Özbay B, Çetin ODG. Skalen Lenf Nodu Biyopsisi. Turkish Journal of thoracic and cardiovascular surgery. 1995;3:113-116.
  • 3. Lee DH, Yonn TM, Lee JK, Lim SG et al. Supraclavicular lymph node excision biopsy in patients with suspected supraclavicular lymph node metastasis of lung cancer: Experience in a Tertiary Hospital. Chonnam Med J. 2017;53(1):69-72.
  • 4. Kenney LJ, Mota C. Scalene lymph node biopsy. Henry Ford Hosp Med Bull. 1956;4(1):36-41.
  • 5. Samancılar Ö, Çakan AN, Turhan K, Çağırcı U, Nart D, Özhan M. Hiler ve mediastinal lenfade-nopatilerde nonpalpabl skalen lenf düğümü bi-yopsisi sonuçları (46 olguluk bir dizi). Turkish Journal of Ecopathology. 2005;11(1):17-20.
  • 6. 6 Ohno K, Utsumi T, Sasaki Y, Suzuki Y. Re-evaluation of non-palpable scalene lymph node biopsy for staging non-small cell lung cancer. Eur J Cardiothorac Surg. 2004;25(4):492-6.
  • 7. Skinner DB. Scalene-lymph-node biopsy. Re-appraisal of risks and indications. N Engl J Med. 1963;268:1324-9. 8. Dong S, Zhao N, Deng W, Sun HW, Niu FY, Yang JJ, et al. Supraclavicular lymph node incisional biopsies have no influence on the prognosis of advanced non-small cell lung cancer patients: a retrospective study. World J Surg Oncol. 2017;15(1):12.
  • 9. Sung YM, Lee KS, Kim BT, Kim S, Kwon OJ, Choi JY, et al. Nonpalpable supraclavicular lymph nodes in lung cancer patients: preoperative characterization with 18F-FDG PET/CT. AJR Am J Roentgenol. 2008 Jan;190(1):246-52.
There are 8 citations in total.

Details

Primary Language English
Subjects Thoracic Surgery
Journal Section Research Article
Authors

Süleyman Emre Akın 0000-0002-0641-5229

Cem Doğan 0009-0006-6351-2881

Muhammed Samet Özdemir 0009-0001-1622-7977

Hasan Ekrem Çamaş 0000-0003-0212-0439

İsa Döngel 0000-0003-2575-1882

Rasih Yazkan 0000-0002-7369-6710

Publication Date July 1, 2024
Submission Date June 4, 2024
Acceptance Date July 1, 2024
Published in Issue Year 2024 Volume: 17 Issue: 2

Cite

Vancouver Akın SE, Doğan C, Özdemir MS, Çamaş HE, Döngel İ, Yazkan R. Is scalene lymph node biopsy still effective ?. JSurgArts. 2024;17(2):50-3.

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