Cervical lymph node metastases in headneck malignancy - A Clinical /ultrasonographic/ Histopathological comparative study

Autor:	Marjorie Correa, Geetha Chary, Suhel Hasan, Ophellia D’Souza, V. Ravi Hoisala
Rok vydání:	2012
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Ultrasound Head neck Neck dissection Malignancy medicine.disease Article Surgery medicine.anatomical_structure Otorhinolaryngology medicine Histopathology business Head and neck Lymph node
Zdroj:	Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India. 55(2)
ISSN:	2231-3796
Popis:	A study was conducted on the value of Ultrasound (US) in the detection of cervical lymph node metastases in cases of Head and Neck malignancy; and its usefulness in planning surgical management. The clinical, ullrasonographic and histopathological examination (HPE) findings were compared in 20 patients as a preliminary assessment of this ongoing study. Clinically and ultrasonogiaphically, patients were assessed for presence of nodes, their size, shape, mobility and overall positivity for malignancy. All patients then underwent neck dissection, and individual nodes from the specimens were assessed by HPE.It was found that US, when compared with clinical examination had a sensitivity of 47.62% versus 43.75%, specificity of 77.78% versus 25.0% and an accuracy of 61.54% as opposed to 38.9%. US proved valuable in detecting sub-clinical nodes, central necrosis, extra-capsular spread, pressure on large vessels - all indicators of metastatic spread. Hence, US was found to be efficient and cost-effective pre-operatively, in planning surgical management.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4d59e3d0d3576bfedcfd5b17646b2b0d https://pubmed.ncbi.nlm.nih.gov/23119950 Zobrazit plný text záznamu Full text from SpringerLink