Importance of Sonoelastography in Assessing Non-Thyroid Neck Masses

Autor: Mustafa Şahin, İdil Tatar, Aydın Kurt, Ömer Bayır, Güleser Saylam, Baki Hekimoğlu, Hakan Korkmaz
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Turkish Archives of Otorhinolaryngology, Vol 55, Iss 1, Pp 10-16 (2017)
Druh dokumentu: article
ISSN: 2667-7474
DOI: 10.5152/tao.2017.2212
Popis: Objective: To evaluate the feasibility and value of sonoelastography in assessing non-thyroid neck masses.Methods: Non-thyroid neck masses requiring surgical interventions were evaluated using conventional B-mode ultrasonography (US) (size, short/long axis rate, shape, hilum, echogenity, calcification, necrosis, and peripheral edema) and sonoelastograpy (SE) with strain ratio (SR) and elasticity score (ES) before surgery. These parameters were compared with the histopathological examination.Results: In total, 116 non-thyroid neck masses (66 lymph node, 35 parotid gland, eight submandibular gland, and seven cervical mass) of 89 patients (51 men, 38 women) with a mean age of 50.3±15.1 (19-79) years were evaluated. Thirty-seven malignant lymph nodes (23 metastatic and 14 lymphoma), seven malignant parotid tumors, two malignant submandibular tumors, 29 benign lymph nodes, 28 benign parotid lesions, and six benign submandibular lesions were evaluated. Mean SR and ES values of malignant masses were 6.3/3.2 for lymph nodes, 5.5/3.3for the parotid gland, and 4.2/3 for the submandibular gland. Mean SR and ES values of benign lesions were 2.0/2.1 for lymph nodes, 4.4/3.2 for the parotid gland, and 3.2/3 for the submandibular gland. SR and ES were significantly higher for malignant masses compared with those for benign ones. SR was more predictive than ES in evaluating malignant lymph nodes. The area under the curve was 0.917(0.827-1.00) (p
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