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March 4, 1961

Scalene Node Biopsy

JAMA. 1961;175(9):751-756. doi:10.1001/jama.1961.03040090011002

The technique of scalene node biopsy here described involves the excision of a fat pad, en bloc, containing lymph nodes, from the neck. The value of the information so obtained was assessed by a study of 102 cases. In many the biopsy did not lead to the diagnosis, but in many others it did. Its value in sarcoidosis is illustrated by a case history. Three other case histories illustrate its value in recognizing a circumscribed pulmonary carcinoma amenable to surgery, in settling the diagnosis and determining the treatment of pulmonary tuberculosis, and in confirming the inoperability of a malignant lymphoma. In this series of biopsies there were no serious complications, and the authors recommend the procedure as having a definite place in the treatment of intrathoracic disease.