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Related Experiment Videos

The case against open neck biopsy

S Kleid1, H S Millar

  • 1Department of Otolaryngology and Head and Neck Surgery, Royal Melbourne Hospital, Victoria, Australia.

The Australian and New Zealand Journal of Surgery
|September 1, 1993
PubMed
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Performing an open neck biopsy before cancer treatment can harm patients. Fine needle aspiration cytology and thorough examination can avoid this unnecessary procedure, improving patient outcomes.

Area of Science:

  • Oncology
  • Head and Neck Surgery
  • Diagnostic Cytology

Background:

  • Lateral neck lumps present diagnostic challenges, often requiring differentiation between benign and malignant conditions.
  • Open neck biopsy before definitive cancer treatment can negatively impact patient management and outcomes.
  • Such biopsies can increase morbidity, decrease curability, and potentially induce tumor fungation.

Purpose of the Study:

  • To recommend a protocol for managing lateral neck lumps that avoids open biopsy.
  • To highlight the detrimental effects of unnecessary open neck biopsies in head and neck cancer patients.
  • To suggest optimal treatment strategies for patients who have undergone an open biopsy.

Main Methods:

  • Review of clinical presentations of lateral neck lumps.

Related Experiment Videos

  • Emphasis on fine needle aspiration cytology (FNAC) as a primary diagnostic tool.
  • Recommendation for thorough examination of the upper aerodigestive tract.

    • Main Results:

    • Clinical differentiation of benign and malignant lateral neck lumps can be difficult.
    • Open neck biopsy prior to definitive treatment is associated with significant negative consequences.
    • A protocol utilizing FNAC and comprehensive upper aerodigestive tract examination can effectively avoid open biopsies.

    Conclusions:

    • Fine needle aspiration cytology combined with a thorough upper aerodigestive tract examination is a recommended protocol to avoid open biopsies.
    • Open neck biopsy is deemed needless and harmful when performed without proper indication.
    • For patients who have undergone an open biopsy, combined radical radiotherapy and surgery are recommended.