Assessment of Neck Masses Using Ultrasonography: An Institutional Based Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 5
Abstract
Background: Ultrasound is a relatively inexpensive, widely available noninvasive method of investigation. Although there is extensive documentation on the use of ultrasound in abdominal lesions, it appears to have been underutilized in the evaluation of neck masses. Hence; we planned the present study to assess the spectrum of neck masses using ultrasonography. Materials & Methods: The present study included assessment of diagnostic accuracy of ultrasound in diagnosing neck masses. A total of 50 cases of neck swellings were randomly selected and were analyzed. Careful inspection and palpation of all the swellings was done. Division of all the swellings was done broadly into four categories; Inflammatory, Benign, Malignant and cystic. Separate experienced and certified Radiologists assessed the obtained sonographic images. Surgical therapy was carried out after obtaining the Ultrasonographic findings and biopsy specimen was obtained. By analyzing the histopathologic findings, final diagnosis was obtained. All the results were recorded in Microsoft excel sheet and were analyzed by SPSS software. Results: In the present study, a total of 50 aptients with neck swellings were analyzed. After performing the ultrasonogprhy and surgiccal innervention, all the patients were broraldy divided into four study groups, depening upon the type of swelling- Inflammtory (54 percent patients), cystic (12 percent patients), bengin (14 percent patients) and malignant (20 perccent patients). Sensitivity of ultrasonography in diagnosing cystic lesions, inflammatory lesions, benign lesions and malignant lesions was 100%, 97%, 100% and 100% respectively. Specificity of ultrasonography in diagnosing cystic lesions, inflammatory lesions, benign lesions and malignant lesions was 98%, 100%, 98% and 98% respectively. Conclusion: Use of ultrasonography in the field of radio-diagnosis can significantly improve the assessment the neck masses.
Authors and Affiliations
Subahash Baliyan, Amrit Paul Singh
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