A comparative study of different neck swellings by clinical radiological and pathological findings
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20261497Keywords:
Neck swellings, Ultrasonography, Fine-needle aspiration cytology, Computed tomography, ENT surgery, HistopathologyAbstract
Background: Neck swellings are common clinical conditions encountered by ENT surgeons across all age groups and often present with variable duration of symptoms. This study aimed to classify the different types of neck swellings and assess the diagnostic accuracy of ultrasonography (USG), fine-needle aspiration cytology (FNAC), and computed tomography (CT) in comparison with histopathology. Age and gender distribution were also analyzed.
Methods: This study included patients with neck swellings who underwent appropriate surgical intervention after ethical approval and according to defined inclusion and exclusion criteria. All patients underwent clinical examination, radiological and pathological investigations, and subsequent surgical management. Histopathological examination of excised tissue was considered the gold standard for diagnosis.
Results: A total of 38 patients were included, with ages ranging from 9 to 68 years. There were 27 females and 11 males. The duration of swelling varied, with about 18 patients presenting within 12 months of symptom onset. Compared with histopathology, USG showed a sensitivity of 66.7%, specificity of 92.3%, and diagnostic accuracy of 84.2%. CT demonstrated a sensitivity of 75.0%, specificity of 92.3%, and diagnostic accuracy of 84.0%. FNAC showed the best diagnostic performance, with a sensitivity of 75.0%, specificity of 100%, and diagnostic accuracy of 92.1%.
Conclusions: FNAC was the most reliable diagnostic modality for neck swellings because of its highest specificity and accuracy. CT was a useful adjunct, particularly where FNAC facilities were limited. USG, although valuable as an initial investigation, had lower sensitivity and limited usefulness for definitive diagnosis.
References
Singh PK, Kumar A, Kumar D. Clinicopathological study of neck masses in patients attending ENT out patient department of Rajendra Institute of Medical Sciences, Ranchi. Dysphagia. 2017;1:1.
Iacob A, Zazgyva A, Ormenisan A, Mezei T, Sin A, Tilinca M. Effectiveness of fine-needle aspiration cytology in the diagnosis of lateral cervical non-thyroid tumors. Medicine (Baltimore). 2016;95(31):e4448.
Rai A, Chatterji P. Clinical study of neck swellings and their correlation with pathological findings in a tertiary care centre in western Uttar Pradesh. Ann Int Med Den Res. 2020;6(2):EN01-5.
Goutam AK, Kushwah APS, Pande S. Ultrasonography and CT evaluation of neck masses. Int J Contemp Med Res. 2017;4(6):77-83.
Watkinson J, Gilbert R. Stell and Maran's textbook of head and neck surgery and oncology. 5th ed. CRC Press. 2011.
Sankpal SG, Pawar S. A study of diagnostic accuracy of FNAC of neck swelling at tertiary health care centre. MedPulse Int Med J. 2017;4(6):821-4.
Devkota H, Sibakoti Y, Menyangbo S, Basnet S, Jha M, Banstola L. Correlation of fine needle aspiration cytology and histopathology of the neck swellings presenting at National Academy of Medical Sciences, Kathmandu, Nepal. Birat J Health Sci. 2017;2(2):206-10.
Garud S, Sharma D, Patil A, Jain S, Singh V, Gupta R. Clinicopathological evaluation of benign neck masses with emphasis on correlation of preoperative ultrasound and cytology with postoperative histopathology in tertiary care hospital. Int J Otorhinolaryngol Head Neck Surg. 2019;5(4):946-53.
Joshi H, Khilnani AK, Hirani N, Sorathiya R, Bhimajiani R, Desai N, et al. A clinico-pathological and clinico-radiological study of anterior neck swellings. GAIMS J Med Sci. 2021;1(1):1-7.
Karthikeyan CRM, Venketeswaran SR, Elangovan M. Clinical evaluation of non-thyroidal neck swellings. IAIM. 2019;6(6):57-61.
Goutam AK, Kushwah APS, Pande S. Ultrasonography and CT evaluation of neck masses. Int J Contemp Med Res. 2017;4(6):77-83.
Irfana A, Reddy P, Kumar S, Singh R, Patel M, Sharma V. Benign neck swellings: a clinico-radio-pathological study. Int J Otorhinolaryngol Head Neck Surg. 2019;5(2):285-90.
Gupta A, Sharma S, Qureshi S, Jadia S. Neck masses: clinico-radio-pathological evaluation. Indian J Otolaryngol Head Neck Surg. 2022;74(3):6054-8.
Shah V, Patel V, Patel A, Patel N. Clinical, radiological, pathological study of neck masses. Eur J Mol Clin Med. 2022;9(7):667-71.
Rastogi A, Sharma K, Gauba N. Evaluation of efficacy of ultrasound in diagnosis of neck swellings. Int J Otorhinolaryngol Head Neck Surg. 2018;4(1):169-75.
Charan I, Kapoor A, Kumar N, Jagawat N, Singhal MK, Kumar HS. Evaluation of neck mass with computed tomography: an observational study. Int J Sci Stud. 2014;2(7):118-22.
Kaur R, Singh P, Kaur N, Bhatnagar S, Dahuja A. Role of computed tomography in localisation and characterisation of suprahyoid neck masses. Pol J Radiol. 2017;82:263-70.
Khokle P, Garud S, Lahane VJ, Mishra S, Prakash NP. Role of fine needle aspiration cytology in evaluation of neck masses: our experience. Int J Otorhinolaryngol Clin. 2018;10(3):99-105.
Downloads
Published
How to Cite
Issue
Section
