Have had a total laryngectomee with radical neck dissection last May, 2009. Now I have a small lump between the base of my skull and neck. I was diagnosed with Squamous Cell Carcinoma of the larynx and am worried about metastatic recurrence moving to my lymph nodes. Should I get a needle biopsy or excision? If it is Squamous Cell returning, I am worried that excision might spread it.
I don't have knowledge about your particular condition... however, I have had both a
core/ needle biopsy and an excisional/ surgical biopsy (rt breast). In my personal, non-medical opinion... it would seem that because the excisional biopsy involves the removal of more tissue, it would improve the chances of rendering a more conclusive pathology report. But, that's just my take on it... a medical professional might say otherwise.
To add to this discussion... my mother was diagnosed with Hodgkin's Disease a few years back. When she initially manifested symptoms, she had a needle biopsy on the swollen lymph node situated on the right side of her neck. That pathology report returned with inconclusive findings. Then, a surgical biopsy was recommended and, it returned positive for the disease. So, again, I think that, while invasive as it is, an excisional biopsy offers a more definitive or conclusive analysis than a needle biopsy. As for the possibility of the cells "spreading," I'm not sure how, or even if, that would occur. But, it's an understandable concern that you might want to discuss with your physician. Take care.
Thanks for the input; the possibility of metatastic spread worries me most so I hope a medical pro. chimes in. My E.N.T. surgeon is 320 miles away and I was hoping to get some hard data on the two methods for biopsy. That's a long trip for advice on the matter: i'll try to tackle this locally, but I don't want a general surgeon to make the wrong biopsy decision and possibly speading any recurring cancer if it is spreading.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.