Study of reliability of various USG criteria of lymnodes in oral malignancy to detect metastasis preoperatively
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 7, Issue 2
Abstract
Background: There are several methods available nowadays to decide and to differentiate the metastatic nodes along with clinical examination like ultrasound examination, USG-FNAC and computed tomography. Out of these, USG is easily available, inexpensive and bed side modalities along with clinical examination. Aim: To know the reliability of various USG criteria in oral squamous cell carcinoma. Material and Methods: A total of50 patients of diagnosed squamous cell carcinoma of oral cavity were studied. The cervical nodes were evaluated by clinical examination, USG and USG FNAC. Then FNAC was done under USG guidance. After surgery neck nodes were dissected and sent for histopathology. From this sensitivity, specificity, accuracy, positive and negative predictive values were derived and compared with histopathology. Results: Thehilum was having highest sensitivity (90%)and lowest specificity(22.72%). Central necrosis was having highest specificity (96.87%) and lowest sensitivity (22.22%). Highest accuracy with shape and RI (72%) was found and lowest with hilum (43.75%). Conclusion: The roundness index, shape and central necrosis are reliable criterion to differentiate malignant and benign nodes because of their high specificity and accuracy.
Authors and Affiliations
Panchal P G, Suhas N Jaju
Keywords
Related Articles
- EP ID EP410369
- DOI -
- Views 163
- Downloads 0
Outcome of surgical management of blunt trauma abdomen
Background:Blunt abdominal trauma is a condition in which high index of suspicion is required along with investigations to diagnose intraperitoneal injuries. The primary goal in treatment of severe abdominal injury is to...
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...
A study of outcome of patients with HIV undergone various surgical procedure at tertiary health care centre
Background: Highly Active Anti retro-viral therapy (HAART) has transformed infection with human immunodeficiency virus (HIV) from a disease leading to rapid decline and early death into a chronic, manageable condition. A...
Tension free inguinal hernioplasty and its early complications: A retrospective study at BRIMS, Bidar
Aims and Objectives: To evaluate the early complications of tension free inguinal hernioplasty for inguinal hernia repair and its efficacy. Materials and Methods: This is a retrospective analysis of 52 patients operated...
Clinical profile of patients with mass in right iliac fossa
Appendicular pathology continues to be the most common cause of right iliac fossa mass appendicular mass need not necessarily be conservatively treated, as they had not found increase in morbidity or hospital stay follow...