ORIGINAL RESEARCH article
Front. Surg.
Sec. Otorhinolaryngology - Head and Neck Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1589238
This article is part of the Research TopicMajor Complications in Interventional Oncology ProceduresView all 5 articles
Analysis of Bleeding after Ultrasound-Guided Core Needle Biopsy of Infected Cervical Lymph Nodes
Provisionally accepted
- Hangzhou Red Cross Hospital, Hangzhou, Zhejiang Province, China
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This study aimed to determine the incidence of bleeding after core needle biopsy (CNB) of infected cervical lymph nodes and analyze the factors associated with bleeding after CNB, and preventive measures of bleeding.We retrospectively analyzed the records of 643 patients with infectious cervical lymphatic ganglionic diseases who underwent CNB at our hospital from December 2015 to February 2022. The number of patients with bleeding after CNB, extent of bleeding, and type of disease were recorded and statistically analyzed.Results: A total of 643 patients with cervical lymph node infection were included in this study. The postoperative and intraoperative bleeding rate of CNB was 23.48% (150/643). Internal lymph node bleeding was most commonly reported (94.0%, 141/150). Lymph nodes containing pus had a higher risk of bleeding than solid lymph nodes (χ²: 12.00, P: 0.001). Lymph node tuberculosis had a significantly higher risk of bleeding than lymph node infection with common bacteria (χ²: 4.10, P: 0.04).2 Conclusion: Following CNB, patients with cervical lymph node infection primarily reported internal lymph node bleeding. Lymph nodes with an internal pus cavity surrounded by blood-rich granulation tissue showed a higher risk of bleeding than solid lymph nodes, with heterogeneous enhancement on preoperative contrast-enhanced ultrasound.
Keywords: ultrasound, Cervical, Lymph Nodes, Infection, Needle biopsy, bleeding
Received: 13 Mar 2025; Accepted: 28 Jul 2025.
Copyright: © 2025 Zhang, Li and Su. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Wen Zhi Zhang, Hangzhou Red Cross Hospital, Hangzhou, 310004, Zhejiang Province, China
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