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The Diagnostic Yield of Lymph Node Biopsy
Raymond C. Doberneck, MD, PhD
Arch Surg. 1983;118(10):1203-1205.
Abstract
A series of 169 patients having biopsies of palpable lymph nodes was critically reviewed to increase the diagnostic yield. The overall yield was 70.4%. The yield in patients suspected of having neoplasms was 80.6%, in patients in whom differential diagnosis involved neoplasm and infection, 60%, and in patients suspected of having infection or disease with lymphadenopathy as a prominent part of the picture, 27.2%. High yields were found in patients with palpable cervical nodes (76.4%), female patients (74%), and patients older than 40 years (85.5%). Supraclavicular nodes produced the highest yield in any group (90%). Axillary and inguinal nodes produced yields of 62.5% and 38.5%, respectively. The size of lymph nodes was not related to yield, and only eight of 79 (10.9%) nodes produced growth on culture.
(Arch Surg 1983;118:1203-1205)
Author Affiliations
From the Department of Surgery, University of New Mexico School of Medicine, Albuquerque.
Footnotes
Accepted for publication March 30, 1983.
Reprint requests to Department of Surgery, University of New Mexico School of Medicine, Albuquerque, NM 87131 (Dr Doberneck).
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