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
Related Articles
- EP ID EP418106
- DOI 10.14260/jemds/2018/509
- Views 138
- Downloads 0
A COMPARATIVE STUDY OF CLINICAL CHARACTERISTICS AND BACTERIOLOGICAL SENSITIVITY PATTERN OF SPUTUM IN ACUTE EXACERBATIONS OF COPD
BACKGROUND Chronic Obstructive Pulmonary Disease (COPD) is an important cause of disability and death globally and scenario has worsened. Acute Exacerbation of COPD (AECOPD) is associated with airway inflammation resulti...
COMPARISON BETWEEN CONVENTIONAL TUBE TECHNIQUE AND COLUMN AGGLUTINATION TECHNIQUE FOR ANTIBODY SCREENING AND IDENTIFICATION AT MGM BLOOD BANK, NAVI MUMBAI
BACKGROUND Pretransfusion testing is one of the most important section of the entire transfusion process. Conventional tube technique (CTT) is the most commonly employed technique in blood grouping, cross-matching and fo...
SUBJECTIVE SATISFACTION AND EVALUATION OF GLARE AND HALOS AFTER MULTIFOCAL IOL IMPLANTATION
[b]AIM[/b]: To assess the subjective satisfaction and evaluation of glare and halos after multifocal IOL implantation in rural population. [b]SETTINGS AND DESIGN:[/b] Retrospective study. [b]MATERIALS AND METHODS[/b]...
A NON-RANDOMISED, COMPARATIVE CROSS-SECTIONAL STUDY TO ANALYSE THE SIGNIFICANCE OF ‘PRESSURE-TO-CORNEA INDEX’ IN PSEUDOEXFOLIATION EYES WITH AND WITHOUT CLINICAL GLAUCOMA
BACKGROUND Pseudoexfoliation syndrome is an age-related systemic disease manifesting itself primarily in the eyes and is characterised by the accumulation of microscopic granular amyloid-like protein fibres. Pseudoexfoli...
MORTALITY AND MORBIDITY PATTERN OF SEVERE AND MODERATE PRETERM BABIES IN A TERTIARY CARE HOSPITAL IN KERALA- A RETROSPECTIVE RECORD BASED STUDY.
BACKGROUND Babies of the gestational age group 28 - 34 weeks (Moderate-to-Severe Preterm) constitute a major proportion of preterm births, and in a country like ours they have better outcome in terms of mortality, morbid...