DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20192709

Study of benign neck swellings of anterior neck triangle at a tertiary care centre

Pradipkumar Digambar Khokle, Vinod Tukaram Kandakure, Ujjwala Madhukar Kolekar

Abstract


Background: Tumors of the neck are interesting to surgeons especially because of the complex neck anatomy and difficult differential diagnosis. The aim is to study different types of neck swellings i.e. thyroid swelling, salivary gland swelling, other neck swellings such as thyroglossal cyst, branchial cyst, lymphangioma and also the miscellaneous and rare lumps in the neck. The study also discusses their age and sex-wise distribution, clinical features, presentation, diagnostic modalities and treatment.

Methods: This is a prospective study, conducted at our institute Government Medical College, Latur from June 2017 to May 2018 for a duration of one year.  

Results: A total of 57 patients were studied during this period. Out of the 57 patients, 47 of them were midline swellings (82.45%) and 10 among them were lateral neck swellings (17.55%). People over a wide range of age group between 5-60 years were affected. Midline neck swelling were more common than lateral neck swellings.

Conclusions: Among the midline benign neck swellings, thyroid swelling was found to be the commonest followed by thyroglossal cyst. Thyroid swellings occur more commonly in the females than males. Ultrasound guided FNAC is the most common, effective and safe investigation that aids in the diagnosis. Treatment of choice for benign, non-inflammatory and non-malignant neck swelling is mostly surgical excision rather than medical management.


Keywords


Neck mass, Benign, Surgical management

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References


Soni S, Pippal SK, Yashveer B, Srivastava P. Efficacy of fine needle aspiration in diagnosis of neck masses World articles of Ear Nose and Throat.

Chitumalla PK. Study of cervical lymphadenitis, correlation between clinical features, FNAC and histopathology of cervical lymphadenitis. Int J Contemporary Med Res. 2016;3(8):2231-4.

Pacini F, Schlumberger M, Dralle H, Elisei R, Smit JW, Wiersinga A. European consensus for the management of patients with differentiated thyroid carcinoma of the follicular epithelium. Eur J Endocrinol. 2006;154:787-803.

Beahrs OH, Barber Jr KW. The value of radical dissection of structure of the neck in the management of carcinoma of lip, mouth and larynx. Archive surgery1962;85:49-56.

Feinmesser R, Freeman JL, Noyek AM, Birt BD. Metastatic neck disease. Archives of otolaryngology-Head and Neck Surgery 1987;113:1307-10.

Howlett DC, Harper B, Quante M, Berresford A, Morley M, Grant J, et al. Diagnostic adequacy of fine needle aspiration cytology in neck lump assessment results from a regional cancer network over a one year period. J Laryngolotol. 2007;121(6):571-9.

William NS, Russel RCG, Bulstrode CJK. Bailey and Love's short practice of surgery. 24 edition. London: Jaypee Brothers.

Prasad P. Comparative study of FNAC and histopathology in diagnosis of thyroid swellings. Indian J Surg. 1992;54:287-91.

Gupta G, Joshi DS, Shah A, Gandhi M, Shah NR. FNAC of head and neck swellings. GCSMC J Med Sci. 2014;3(1):38-41.

Turkyilmaz Z, Karabulut R, Bayazit YA, Sonmez K, Koybasioglu A , Yilmaz M et al. Congenital neck masses in children and their embryologic and clinical feature. B-ENT. 2008;4(1):7-18.

Goyal D. Study of cystic neck swelling over a period of 5 years. Int J Ana Radiol Surg. 2015;4(2):1-4.

Singh N, Singh A, Chauhan R, Singh P, Verma N. Fine needle aspiration cytology in evaluation of lymphadenopathy in pediatric age group: our experience at tertiary care centre. Int J Contemporary Med Res. 2016;3(5):1347-51.

Singh P, Jaiswal V, Chaurasia A, Singh N, Singh G. Fine needle aspiration cytology and CD4 count estimation in HIV positive patients with lymphadenopathy. Int J Contemporary Med Res. 2016;3(6):1664-7.

Dutta A, Kouli R, Shukla R. Adequacy and accuracy of fine needle aspiration cytology of papillary lesions of the breast with its histopathological correlation: a two year study from a tertiary care centre. Int J Contemporary Med Res. 2017;4(2):446-8.

Rallison ML, Dobyns BM, Meikle AW, Bishop M, Lyon JL, Stevens W. Natural history of thyroid abnormalities: Prevalence, incidence, and regression of thyroid diseases in adolescents and young adults. Am J Med. 1991;91(4):363-70.

Pinkston JA, Cole P. Incidence rates of salivary gland tumors: results from a population-based study. Otolaryngol Head Neck Surg. 1999;120(6):834-40.

Dean DS, Gharib H. Epidemiology of thyroid nodules. Best Pract Res Clin Endocrinol Metab. 2008;22(6):901-11.

Dev SV, Hemalatha CR. Evaluation of lactate dehydrogenase a biochemical marker of preeclampsia. J. Evolution Med. Dent. Sci. 2017;6(79):5572-4.

Reede DL. Cervical adenopathy and neck masses; Anatomic principals, CT and MRI of whole body. 3rd edition. 1998: 523-529.