Lymph node biopsy
A lymph node biopsy is the removal of lymph node tissue for examination under a microscope.
The lymph nodes are small glands that make white blood cells (lymphocytes), which fight infection. Lymph nodes may trap the germs that are causing an infection. Cancer often spreads to lymph nodes.
Biopsy - lymph nodes; Open lymph node biopsy; Fine needle aspiration biopsy; Sentinel lymph node biopsy
How the Test is Performed
A lymph node biopsy is done in an operating room in a hospital, or at an outpatient surgical center. The biopsy may be done in different ways.
An open biopsy is surgery to remove all or part of the lymph node.
For some cancers, a special way of finding the best lymph node to biopsy is used. This is called sentinal lymph node biopsy, and it involves:
The sample is then sent to the laboratory for examination.
A needle biopsy involves inserting a needle into a lymph node. This type of biopsy is done less often because the results are not as helpful as with an open biopsy.
How to Prepare for the Test
Tell your health care provider:
Your doctor may ask you to:
You must sign a consent form.
How the Test Will Feel
When the local anesthetic is injected, you will feel a prick and a mild stinging sensation. The biopsy site will be sore for a few days after the test.
After an open biopsy, the pain is mild and you can easily control it with an over-the-counter pain medication. You may also notice some bruising or fluid leaking for a few days. The wound should heal in 10 - 14 days. During this time, avoid any type of intense exercise or heavy lifting.
Why the Test is Performed
The test is used to diagnose cancer, sarcoidosis, or an infection (such as tuberculosis):
The results of the biopsy help your doctor decide on further tests and treatments.
If a lymph node biopsy does not show any signs of cancer, it is more likely that other lymph nodes nearby are also cancer-free. This information can help the health care provider decide about further tests and treatments.
What Abnormal Results Mean
Abnormal results may be due to many different conditions, from very mild infections to cancer.
For example, enlarged lymph nodes may be due to:
Hunt KK, Green MC, Buchholz TA. Diseases of the breast. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, Pa: Sauners Elsevier; 2012:36.
McMasters KM, Urist MM. Melanoma and cutaneous malignancies. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, Pa: Sauners Elsevier; 2012:32.
Review Date: 7/10/2012
Reviewed By: Shabir Bhimji, MD, PhD, Specializing in Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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