CT EVALUATION OF NECK MASSES- A RETROSPECTIVE STUDY OF 100 CASES
Journal Title: IJSR-International Journal Of Scientific Research - Year 2019, Vol 8, Issue 7
Abstract
BACKGROUND: Before advent of cross section imaging radiologists were of limited help in diagnosis of neck lesions, especially those involving deep neck spaces of suprahyoid neck (SHN). AIM: Aim of our study is to characterise neck lesion by its morphological characteristics and enhancement pattern, outlining the extent, assessment of lymphadenopathy, look for criteria for operability and histopathological confirmation. METHODS & MATERIALS: In this study 100 cases of neck masses were evaluated retrospectively in our department. The CT scan was performed prior to the treatment in all these patients. CT imaging feature includes location, size/diameter, degree & pattern of enhancement, intraluminal/exophytic, internal necrosis & hemorrhage, local spread, nodal & distant metastasis. RESULTS: Out of 100 patients studied 27% were benign and 73% were malignant neck lesions, overall there was a male preponderance with a male to female ratio of 2.1:1. Benign lesion were common in the age group of 16-45 yrs. while malignant lesions were more common in the elderly age group of >45 years. Most of the benign (26%) and malignant lesions (81%) showed heterogeneous enhancement pattern. Bone invasion seen in 15% benign lesions, 19% of malignant lesions and cartilage invasion seen in 7% of malignant lesions. On correlation with HPE, among malignant lesions most common was Squamous cell carcinoma (48%) and among benign lesions most common was nonspecific inflammation. The sensitivity and specificity of study is 95.7% & 77.5% respectively, with positive predictive value and negative predictive value of 90.4% & 88.9% respectively and Accuracy is 90%.
Authors and Affiliations
Dr. Saumil Desai, Dr. Darshan Thummar
Keywords
Related Articles
- EP ID EP631064
- DOI -
- Views 32
- Downloads 0
SINGLE LAYER CLOSURE VERSES CONVENTIONAL LAYERED CLOSURE OF LAPAROTOMY WOUND; A RANDOMISED CONTROLLED TRIAL IN RURAL MAHARASHTRA
Aim:To compare the techniques of single layer closure and conventional layered closure of laparotomy wounds in a rural setup. Methadology: 40 patients undergoing laparotomy were included in the study, randomly divided in...
A COMPARATIVE STUDY OF ONSET TIME AND INTUBATING CONDITION FOR DIFFERENT DOSE OF ROCURONIUM IN BURN AND NON-BURN PATIENTS
An aberrant pharmacodynamics responses to neuromuscular blocking drugs(NMBD)in burn patients increases the potential for lethal hyperkalemia with the administration of depolarizing muscle relaxant eg:succinylcholine and...
OUTCOME OF FIREARM INJURIES IN TERTIARY CARE IN NORTH INDIA
Gun is favored weapon for assault and defense. Incidence of rearm injuries increasing due to easy availability of arm and ammunition and deterioration of moral values with lack of proper law enforcement. Most of the pat...
RETROSPECTIVE ANALYSIS OF INCIDENCE AND OUTCOME OF PERIPARTUM CARDIOMYOPATHY PATIENTS IN EMERGENCY OBSTERTIC CASES IN RURAL TERTIARY CARE HOSPITAL
Peri -partum cardiomyopathy is an idiopathic and reversible form of dilated cardiomyopathy .It is life threatening but potentially treatable heart failure affecting women during peripartum period. The aim of the study wa...
IDENTIFICATION AND CYTOTOXIC ACTIVITY FROM N- HEXANE FRACTION OF BRUGUIERA GYMNORHIZA TO HELA CELLS AGAINST
Bruguiera gymnorhiza is one plant of mangroves that has not been studied as the anticancer potential. Previous research the methanolic extract of stem bark B. gymnorhiza is cytotoxic to HeLa of cancer cells against. The...