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
- EP ID EP472287
- DOI 10.26611/106729
- Views 164
- Downloads 0
Retrospective study for Sublayhernioplasty
Ventral hernias result from defect in the abdominal wall and it’s a common surgical condition with a reported incidence of 1-15% following all laparotomies. In Sublayhernioplasty, the prosthetic mesh is placed in the pre...
Colon interposition for Adenocarcinoma Gastroesophageal junction in peripheral setup
The incidence of gastroesophageal Junction tumour is increasing steadily. Study carried out From January 2011 to January 2018, Six colon interpositions for esophageal substitution were performed in the Department of Surg...
Factors affecting morbidity in patients undergoing emergency abdominal surgery
Background: Emergency abdominal surgery adversely affects surgical outcomes. Predictors of increased morbidity and mortality of emergency abdominal surgery are known. We determined the predictors of post-operative compli...
Comparative study of acute and perforated appendicitis
Background: The aim of this study was to create a model for the identification of a perforated appendicitis. Method: All consecutive patients who have undergone an appendectomy in the D Y Patil Medical Hospital, Pune bet...
Comparative study for the treatment of lower third ureteral calculi between laser lithotripsy and other lithotripsies
Background and Objectives: To compare and to assess the safety and efficacy of laser lithotripsy versus other lithotripsies in the management of lower third ureteral calculi. To look for complications and clinical outcom...