Ultrasound guided tru-cut biopsy of difficult areas like floor mouth, base tongue and laryngopharyngeal malignancies

Introduction-Background- Head and neck lump is a common presentation in ENT clinics. In some deep seated lesions open biopsy or punch biopsy may not be feasible. This may need general anesthesia or sometimes may not yield result. In this study we used Ultrasound guided tru-cut biopsy as a diagnostic tool for sampling these lesions.
Method- Ultrasonography was performed using aseptic precaution by trained ultrasonologist. Ultrasound guided tru-cut biopsy was taken in all the cases. Biopsy sample was examined by pathologist.
Results-All tumors were visualized on ultrasonography; 27 samples were taken b from 9 patients. 7 out of 9 patient’stru - cut biopsy were positive for malignancy. One patient’s biopsy was negative for tumor. And one showed fibrosis in a post chemoradiotherapy patient.
Conclusion- Ultrasonography guided biopsy may help in correct diagnosis tru-cut biopsy can be useful tool for deep seated head and neck tumors.