AI Article Synopsis
- This study assessed pain levels during ultrasound-guided fine-needle aspiration biopsy (FNAB) of neck masses without local anesthesia.
- Evaluations showed that the pain score significantly decreased from immediately after the procedure to five minutes later, with lymph node aspirations causing more pain than thyroid nodule aspirations.
- Most patients experienced only mild and temporary pain, though a few required local anesthesia for more intense discomfort.
Article Abstract
Background: The purpose of this study was to evaluate the pain levels associated with ultrasound-guided fine-needle aspiration biopsy (FNAB) of neck masses.
Methods: The pain immediately and 5 minutes after the procedure without use of local anesthesia was evaluated via 100-mm visual analog scale (VAS), 11-point numeric rating scale (NRS), and 4-category verbal rating scale (VRS) in 154 patients.
Results: The mean scores (SDs) for VAS, NRS, and VRS immediately versus 5 minutes after the procedure were 30.5 (24.4) versus 7.3 (13.7), 3.3 (2.2) versus 0.8 (1.6), and 1.3 (0.6) versus 0.3 (0.6), respectively (all ps < .001). Immediately after ultrasound-guided FNAB, the pain scores associated with lymph node aspiration (VAS, 36.7 [25.5]; NRS, 3.9 [2.1]) were significantly higher (both ps < .05) than those associated with thyroid nodule aspiration (VAS, 25.0 [21.2]; NRS, 2.8 [2.0]).
Conclusion: Ultrasound-guided FNAB of thyroid nodules was less painful than that of cervical lymphadenopathy. Most patients tolerated mild transient pain after the procedure without use of local anesthesia. Nevertheless, local anesthesia was necessary for the small subgroup of patients who experienced significant pain.
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| http://dx.doi.org/10.1002/hed.23303 | DOI Listing |
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