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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 27:1654-1657, September 2006
© 2006 American Society of Neuroradiology

Case Report
HEAD & NECK

Biopsy of Deep-Seated Head and Neck Lesions under Intraoral Ultrasound Guidance

K.T. Wong^a, R.K.Y. Tsang^b, G.M.K. Tse^c, E.H.Y. Yuen^d and A.T. Ahuja^a

^a Department of Diagnostic Radiology & Organ Imaging, The Chinese University of Hong Kong, Hong Kong, China
^b Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China
^c Department of Anatomical & Cellular Pathology, The Chinese University of Hong Kong, Hong Kong, China
^d Department of Radiology, Hong Kong Baptist Hospital, Hong Kong, China

Address correspondence to Dr. Anil T Ahuja, Department of Diagnostic Radiology & Organ Imaging, The Chinese University of Hong Kong, Prince of Wales Hospital, 30-32 Ngan Shing St, Shatin, New Territories, Hong Kong SAR; e-mail: aniltahuja{at}cuhk.edu.hk

SUMMARY: Although transcutaneous ultrasound combined with fine-needle aspiration is often used as initial modality for evaluating superficial neck masses, its role in management of deep-seated neck masses is limited. Intraoral ultrasound and guided biopsy helps in obtaining tissue from deep-seated neck masses for an accurate histologic diagnosis, providing useful information in treatment planning. This article discusses the role of intraoral ultrasound and presents 3 cases in which biopsy of deep-seated neck masses under intraoral ultrasound guidance helped in diagnosis and management.