Supraclavicular Lymph Node Excision Biopsy in Patients with Suspected Supraclavicular Lymph Node Metastasis of Lung Cancer: Experience in a Tertiary Hospital
- Author:
Dong Hoon LEE
1
;
Tae Mi YOON
;
Joon Kyoo LEE
;
Sang Chul LIM
Author Information
- Publication Type:Original Article
- Keywords: Neck; Lymph Node Excision; Lung Neoplasms; Lymphatic Metastasis
- MeSH: Anesthesia, Local; Biopsy; Diagnosis; Humans; Lung Neoplasms; Lung; Lymph Node Excision; Lymph Nodes; Lymphatic Metastasis; Neck; Neoplasm Metastasis; Retrospective Studies; Sensitivity and Specificity; Tertiary Care Centers
- From:Chonnam Medical Journal 2017;53(1):69-72
- CountryRepublic of Korea
- Language:English
- Abstract: The aim of this study was to evaluate the usefulness and accuracy of supraclavicular lymph node excision biopsy in the diagnosis of suspected supraclavicular lymph node metastasis of lung cancer. A retrospective review was performed to evaluate patients with suspected supraclavicular lymph node metastasis of lung cancer who underwent supraclavicular lymph node excision biopsy from January 2011 to July 2014. Forty-six patients with suspected supraclavicular lymph node metastasis of lung cancer underwent supraclavicular lymph node excision biopsy, which diagnosed benign diseases in 6 patients and malignant diseases in 40 patients. Supraclavicular lymph node excision biopsy was usually performed on patients during their first clinical visit under local anesthesia. For diagnosing suspected lung cancer, supraclavicular lymph node excision biopsy had a diagnostic sensitivity of 100%, specificity of 97.6%, positive-predictive value of 83.3%, negative-predictive value of 100%, and accuracy of 97.8%. No major complication resulted from surgical intervention. Supraclavicular lymph node excision biopsy is a useful and accurate adjunct for the evaluation of suspected supraclavicular lymph node metastasis of lung cancer in a tertiary hospital.
