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 USG-guided 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 histopathology. 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

P G Panchal, Suhas N Jaju

Keywords

Related Articles

A clinical study of acute scrotum

Background and Objectives: Acute scrotal swellings are one of the common swellings affecting both children and adults. Aim of this study was to describe the clinical presentation, pathophysiology, differential diagnosis...

Study of risk factors and clinical manifestations of peptic perforations and peritonitis

Background: Peptic ulcer perforation and secondary peritonitis forms one of the commonest and most important causes of acute abdominal emergency, which the general surgeon has to deal with. Knowledge of risk factors and...

Comparison of UWIN score vs international prostatic symptom score in patients with LUTS

Benign prostatic hyperplasia (BPH), one of the most common diseases of aging men. The AUA Symptom Index or the identical IPSS is recommended for symptom assessment in each patient presenting with BPH. To decrease the bur...

Comparison between conventional haemorrhoidectomy versus Cryo haemorrhoidectomy in haemorrhoids our experience

Introduction: The word hemorrhoid is derived from the Greek, with haima meaning blood and rhoos meaning flowing. Another common word for hemorrhoids used in the vernacular is “pile,” which comes from the Latin pila, mean...

Study of factors associated with mortality and morbidity in blunt trauma abdomen

Background:Number of such risk factors such as sex, the time interval between abdominal injury and surgery, shock at the time of admission, and cranial injury. To minimize morbidity and mortality in cases of abdominal tr...

Download PDF file
  • EP ID EP472287
  • DOI 10.26611/106729
  • Views 167
  • Downloads 0

How To Cite

P G Panchal, Suhas N Jaju (2018). Comparison of clinical examination, USG, USG guided FNAC study of cervical lymphnodes in oral malignancy. Medpulse International Journal of Surgery, 7(2), 72-76. https://europub.co.uk/articles/-A-472287