CLINICAL STUDY OF PREOPERATIVE NECK MASSES WITH COMPUTED TOMOGRAPHY (CT)/ MAGNETIC RESONANCE IMAGING (MRI) FINDINGS AND FINE NEEDLE ASPIRATION CYTOLOGY (FNAC) FOR APPROPRIATE SURGICAL MANAGEMENT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 18
Abstract
BACKGROUND The head and neck are the regions that present both high anatomical and functional difficulties, making the precise diagnosis a challenging task. Meticulous clinical history and physical examination may suggest the clinical diagnosis. Imaging is increasingly performed to assess the anatomical extent of involvement before any form of treatment and also helps in the differential diagnosis. Fine needle aspiration cytology (FNAC) is gold standard for diagnosis of any neck mass. Aims and Objectives- The objective was to assess the accuracy of CT/ MRI scan and FNAC in prediction of neck masses, so that a suitable surgical neck dissection can be carried out. MATERIALS AND METHODS Data for the study was collected from patients presenting to Department of ENT at Rajarajeswari Medical College and Hospital, Bangalore with complaints of non-thyroidal swelling in neck region from 1st October 2013 - 30th September 2015. Patients consenting for the study and meeting the selection criteria were included in the study. FNAC and CT/ MRI of the swelling were done on an OPD basis for the patients. RESULTS A total of 96 patients presented in our OPD with complaints related to non-thyroidal neck swellings. CT/ MRI scan was done for all cases. 85 patients came for follow-up and they underwent FNAC. 11 were unsatisfactory aspirates consisting of blood or inadequate aspirate. Thus, a total of 74 cases were included in this study. Age group of the patients referred for aspirations ranged from 12 years to 73 years with mean age of 45.62 years. In this study, provisional diagnosis based on CT/ MRI was correlated with FNAC. Correlation was present in the 61.5% of non-thyroidal neck swelling. CONCLUSION Contrast enhanced CT scans has improved the localisation and characterisation of neck lesions, but FNAC remains the gold standard for making a histological diagnosis. Hence, a combination of CT/ MRI and FNAC will give comprehensive information regarding the nature of lesion and its extent, which is absolutely necessary for diagnosis and staging of the disease for planning the treatment modality to be adapted.
Authors and Affiliations
Srirangaprasad K, George K George, Pruthvi Raj S
Keywords
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- EP ID EP418106
- DOI 10.14260/jemds/2018/509
- Views 134
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