Comparison of clinical examination, USG, USG guided FNAC study of cervical lymphnodes in oral malignancy
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 7, Issue 2
Abstract
Background: Various tools for the staging of lymph nodes used are clinical examination, ultrasonography, USG-guided fine needle aspiration cytology. In rural setup, USG and USG FNAC are commonly used along with clinical examination as these are easily available, inexpensive, minimally invasive. Aim: To compare clinical examination, USG and USGguided fine needle aspiration study in oral squamous cell carcinoma. Material and Methods: A total of 50 patients of diagnosed squamous cell carcinoma of oral cavity were evaluated by clinical examination, USG and USG FNAC. Then patients were subjected to the proper treatment after thorough evaluation. After surgery neck nodes were dissected and sent for histopathology. From this sensitivity, specificity, accuracy, positive and negative predictive values were derived for each modality and compared with each other and with istopathology. Results: The sensitivity of all three modalities was equal i.e. 77.77%, but specificity and accuracy of USG FNAC as compared to clinical examination and USG was definitely higher i.e., 84.37% and 82%. USG was having definitely higher specificity 78.12% and accuracy 78% than palpation, which has specificity 75% and accuracy of 76%. Conclusion: As specificity of these modalities when combined together was 90%, it is worthwhile to go ahead with similar approach for further few years so that the experience gathers and technology gets well established.
Authors and Affiliations
Panchal P G, Suhas N Jaju
Keywords
Related Articles
- EP ID EP410372
- DOI -
- Views 161
- Downloads 0
A comparative study of scalpel versus electrocautary with reference to seroma after modified radical mastectomy at tertiary health care center
Background: Breast cancer is the most common malignancy and the major cause of cancer-related death in female population around the world. Besides breast conversation surgery modified radical mastectomy (MRM) still plays...
Preoperative Serum Albumin as an Independent Predictor of Post-Operative Morbidity
Background: Approximately one-third to one-half of hospitalized patients are malnourished at the time of admission, and this nutritional status can not only adversely affect a patient’s clinical condition, but adversely...
Retrospective analysis of etiological factors and clinical presentation of pancreatitis in patients of a tertiary care hospital, south India
Background: The annual incidence of acute pancreatitis ranges from 13 to 45/100,000 persons and of Chronic pancreatitis, ranges from 5 to 12/ 100,000. Alcoholic pancreatitis is one of the predominant causes of pancreatit...
Perforator flaps for the reconstruction of achilles tendon region defects of lower limb
Background: Management of Achilles tendon region defects is a formidable challenge for the reconstructive surgeons. Even small defects at this region can become problematic, due to thin non-expendable soft tissues and pr...
Surgical management of carcinoma urinary bladder at tertiary care teaching hospital in central India
Background: Surgery a very important part of the management of invasive urinary bladder cancer, used mostly in the more classical approach (i.e. radical cystectomy with or without bladder reconstruction) or as a componen...