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Updated: Mar 30, 2026
Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
Feasibility of surgeon-performed ultrasound-guided core needle biopsy in the thyroid and lymph nodes
Dongbin Ahn1, Jin Ho Sohn1, Chang Ki Yeo2
1Department of Otolaryngology - Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
Background:
The purpose of this study was to evaluate the feasibility of ultrasound-guided core needle biopsy (CNB) performed by a surgeon for mass lesions in the thyroid and lymph nodes.
Methods:
A single surgeon performed 30 office-based ultrasound-guided CNB procedures for mass lesions in the thyroid and lymph nodes that were previously biopsied by ultrasound-guided fine-needle aspiration cytology (FNAC). The procedure time, targeting success, pathological diagnosis, and complications were evaluated.
Results:
The mean procedure time for ultrasound-guided CNB was 6.7 minutes, and it reached a plateau of 4 to 7 minutes after the first 5 procedures. The overall unsatisfactory sampling rate was 3.3% (1 of 30). Specific pathological diagnoses that permitted the surgeon to establish an appropriate treatment plan were provided in 93.3% of the patients (28 of 30). There were no major complications.
Conclusion:
Ultrasound-guided CNB is technically feasible for a head and neck surgeon and a useful adjunct technique when ultrasound-guided FNAC is inadequate for mass lesions in the thyroid and lymph nodes. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1413-E1418, 2016.
