Multi Detector Computed Tomography Evaluation of Neck Masses in Adults
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2017, Vol 2, Issue 4
Abstract
Introduction: Neck imaging has always been a diagnostic challenge. Multi-Detector row Computed Tomography is an important imaging modality for characterization and presurgical evaluation of neck masses. The imaging features of different neck lesions were evaluated to determine their benign/malignant nature and study their demographic profile. Few extremely rare/unique cases were also included in this study. Study was done for anatomical localization and characterization of neck masses with the help of Multi-detector row computed tomography and to classify and determine the occurrence of neck masses in different age/gender groups. Material and Methods: A total number of 80 adult patients (>=13 years) with suspected neck masses were studied in our department over a period of 18 months. Contrast enhanced CT was done using a Siemens Somatom (64x2) slice Multidetector CT scan machine(manufactured in Germany). Post processing techniques (like volume rendered techniques) were applied wherever useful. Results: The findings on CT were conclusive in 90% of cases. Enhancement patterns and presence/absence of bony invasion were found to be more specific in differentiating benign/malignant nature. A variety of cases ranging from thyroglossal duct cyst to florid recurrent oral carcinoma cases were observed. Few unique cases like hemangioma involving the uvula, vallecular cyst and Kimura’s disease were also noted. Conclusion: Multi-detector row computed tomography is a sensitive diagnostic tool for diagnosing neck masses and differentiating between benign and malignant lesions with high accuracy. The extent of pathology with local/ contiguous spread predicted by CT examination was conclusive.
Authors and Affiliations
Sachin Bagale, Vasudha Agarwal, Vaibhav Dethe
Keywords
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