![]() ![]() Supraclavicular lymph node excision biopsy had a higher specificity, positive-predictive value, and accuracy than bronchoscopy and FNAC. In this study, the sensitivity, specificity, positive-predictive value, negative-predictive value, and accuracy of supraclavicular lymph node excision biopsy for diagnosing suspected supraclavicular lymph node metastasis of lung cancer was 100%, 97.6%, 83.3%, 100%, and 97.8%, respectively. 10 Therefore, we hypothesized that supraclavicular lymph node excision biopsy may be a useful and accurate adjunct for the evaluation of patients with suspected supraclavicular lymph node metastasis of lung cancer. 6 Supraclavicular lymph node metastasis from lung cancer was reported in up to 75% of patients at the time of presentation. 2 Most palpable supraclavicular lymph nodes in patients with lung cancer yield a diagnosis of malignancy. 8 9 The assessment of supraclavicular lymph nodes can be valuable in establishing both a diagnosis and a critical stage threshold for defining therapeutic options. ![]() However, cytological or histological confirmation of suspected metastasis is frequently required. 7 8 The latest imaging techniques, such as positron emission tomography (PET), can provide infallible staging. Furthermore, it should only cause minimal patient discomfort and morbidity. In addition, it should provide accurate results that reflect the patient's true clinical state. The ideal staging investigation should be inexpensive and easy to administer, highly sensitive and highly specific. Keywords: Neck, Lymph Node Excision, Lung Neoplasms, Lymphatic Metastasis ![]() Supraclavicular lymph node excision biopsy is a useful and accurate adjunct for the evaluation of suspected supraclavicular lymph node metastasis of lung cancer in a tertiary hospital. No major complication resulted from surgical intervention. For diagnosing suspected lung cancer, supraclavicular lymph node excision biopsy had a diagnostic sensitivity of 100%, specificity of 97.6%, positive-predictive value of 83.3%, negative-predictive value of 100%, and accuracy of 97.8%. Supraclavicular lymph node excision biopsy was usually performed on patients during their first clinical visit under local anesthesia. Forty-six patients with suspected supraclavicular lymph node metastasis of lung cancer underwent supraclavicular lymph node excision biopsy, which diagnosed benign diseases in 6 patients and malignant diseases in 40 patients. A retrospective review was performed to evaluate patients with suspected supraclavicular lymph node metastasis of lung cancer who underwent supraclavicular lymph node excision biopsy from January 2011 to July 2014. The aim of this study was to evaluate the usefulness and accuracy of supraclavicular lymph node excision biopsy in the diagnosis of suspected supraclavicular lymph node metastasis of lung cancer. ![]()
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