This article is a US Government work and, as such, is in the public domain in the United States of America.
Ultrasound-guided fine needle aspiration diagnosis of supraglottic laryngeal cancer†
Article first published online: 8 AUG 2011
Copyright © 2011 Wiley Periodicals, Inc.
Head & Neck
Volume 35, Issue 2, pages E31–E35, February 2013
How to Cite
Lopchinsky, R. A., Amog-Jones, G. F., Pathi, R. (2013), Ultrasound-guided fine needle aspiration diagnosis of supraglottic laryngeal cancer. Head Neck, 35: E31–E35. doi: 10.1002/hed.21839
- Issue published online: 22 JAN 2013
- Article first published online: 8 AUG 2011
- Manuscript Accepted: 28 APR 2011
Background.Although intraoperative laryngoscopic examination and biopsy of patients who present with locally advanced supraglottic carcinomas remains the standard of care, there are occasions when a more expedited biopsy can be helpful.
Methods and Results.We describe a quick diagnostic technique of ultrasound-guided fine needle aspiration of endolaryngeal advanced supraglottic carcinomas, which can be performed in the clinic without any preparation. Ultrasound scanning is performed through the thyrohyoid membrane. The tumor is visualized as an irregular hypoechoic mass. While continuing to visualize the mass, a 21-gange needle attached to a syringe is passed through the contralateral thyrohyoid membrane into the mass. Suction is applied, and the aspirate is sent for cytologic study.
Conclusions.When formal intraoperative laryngoscopy and biopsy is not feasible or timely, ultrasound-guided fine-needle aspiration biopsy enables a rapid diagnosis and eliminates the cost, side effects, and risks of a direct laryngoscopy. © 2011 Wiley Periodicals, Inc.† Head Neck, 2013