Ultrasound-guided fine needle aspiration cytology in the assessment of cervical metastasis in patients undergoing elective neck dissection

Iranian Journal of Radiology : a Quarterly Journal Published by the Iranian Radiological Society
Payman DabirmoghaddamLeila Mashali

Abstract

In head and neck cancer patients, diagnosis of metastatic cervical adenopathy is essential for treatment planning and prognosis assessment. Treatment of patients with head and neck cancer with clinically negative cervical lymph node (N0) remains controversial. While routine neck treatment would result in overtreatment in many patients, observation may delay the diagnosis and decrease the patients' survival. To gain insights into the unclear questions regarding the value of diagnostic modalities in patients with N0 neck, this study was designed to compare the diagnostic efficacy of palpation, ultrasonography (US) and ultrasound-guided fine needle aspiration (USGFNA) in detecting cervical lymph node metastasis. Forty-two patients with head and neck cancer who underwent US and USGFNA prior to elective neck dissection were studied. Histopathologic findings of the neck specimens were compared with each diagnostic technique. Of the 53 neck dissection specimens, histopathology showed metastases in 16 cases. The overall accuracy of USGFNA, US and palpation was 96%, 68% and 70%, respectively. The specificity of USGFNA was superior to palpation and US alone. USGFNA had the highest sensitivity, predictive value and accuracy in detecting c...Continue Reading

References

Nov 1, 1990·Radiology·M W van den BrekelG B Snow
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May 21, 2008·Archives of Otolaryngology--head & Neck Surgery·K Thomas RobbinsUNKNOWN Committee for Neck Dissection Classification, American Head and Neck Society

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Citations

Aug 20, 2015·Hepatitis Monthly·Alireza Hamidian JahromiHoracio Ruben Vicente D'Agostino
Sep 10, 2020·Frontiers in Veterinary Science·Michael CongiustaStephanie Goldschmidt

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Methods Mentioned

BETA
dissection
biopsy

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