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Neck Masses: Clinico-Radio-Pathological Evaluation

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Neck masses are defined as any swelling or enlargement of the structures in between the inferior border of mandible and clavicle and are a common clinical finding that can be encountered in patients of all age groups. There are many potential causes of neck masses so it is important to proceed in affordable, easy available and cost effective diagnostic technique for the proper and early diagnosis of neck masses. As there is very few study data available over clinico-radio-pathological analysis of neck masses, that’s why this study is done. The present study has been carried out on 200 patients with clinically palpable neck masses presenting at ENT department in a tertiary care hospital. Neck swellings were classified into four main headings i.e. Lymph node swelling, Thyroid swelling, Salivary gland swellings and Skin and soft tissue swelling. After taking detailed history followed by complete General, Local and ENT examination, FNAC was done followed by USG. We came to the conclusion that neck masses have very variable presentations, and FNAC is a riskless, easy and fast tool which can be used in forming a diagnosis and appropriate management of neck masses.

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References

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

    Article  CAS  Google Scholar 

  2. Castro MR, Gharib H (2003) Thyroid fine-needle aspiration biopsy: Progress, practice, and pitfalls. EndocrPract 9:128–136

    Google Scholar 

  3. Badami JP, Athey P (1981) Sonography in the diagnosis of branchial cleft cysts. Am J Roentgenol 137:1245–1248

    Article  CAS  Google Scholar 

  4. Rosenberg TL, Brown JJ, Jefferson GD (2010) Evaluating the adult patient with a neck mass. Med Clin North Am 94(5):1017–1029

    Article  Google Scholar 

  5. Lumley JSP, Chan S, Harris H, Zangana MOM (1997) Physical signs. Butterworth-Heinemann, Oxford

    Google Scholar 

  6. Mortensen JD, Woolner LB, Bennett WA (1955) Gross and microscopic findings in clinically normal thyroid glands. J Clin Endocrinol Metab 15(10):1270–1280

    Article  CAS  Google Scholar 

  7. Singer PA (1996) Evaluation and management of the solitary thyroid nodule. Otolaryngol Clin North Am 29(4):577–591

    CAS  Google Scholar 

  8. Papini E, Guglielmi R, Bianchini A, Crescenzi A, Taccogna S, Nardi F et al (2002) Risk of malignancy in nonpalpable thyroid nodules: predictive value of ultrasound and color-Doppler features. J Clin Endocrinol Metab 87(5):1941–1946

    Article  CAS  Google Scholar 

  9. Nam-Goong IS, Kim HY, Gong G, Lee HK, Hong SJ, Kim WB et al (2004) Ultrasonography-guided fine-needle aspiration of thyroid incidentaloma: correlation with pathological findings. Clin Endocrinol 60(1):21

    Article  Google Scholar 

  10. Russel RCG, Williams NS, Bulstrode CJK (2004) In: Bailey and Love’s short practice of surgery, 24th edn. Arnold, London, pp 710–786

    Google Scholar 

  11. Hanif MA, Alauddin M (1997) The incidence of tubercular cervical lymphadenitis. Bangladesh J Otolarynol 3(2):42–46

    Google Scholar 

  12. Siddique A, Mahmud CM, Razee KAA, Ahmed CN (2005) Presentation of cervical lymphadenopathy to the surgeons. J Surg Sci 9(2):54–57

    Article  Google Scholar 

  13. Watkison JC, Gaze MN, Wilson JA (2000) Benign neck disease. In: Stell and Maran’s Head neck surgery. Butteworth-Heinemann, Oxford, pp. 181–182

  14. Bhargave P, Jain AK (2002) Chronic cervical lymphadenopathy a study of 100 cases. Ind J Surg 64:344–346

    Google Scholar 

  15. Salahuddin M (2002) Correlation among clinical diagnosis. FNAC findings and histopathological reports of neck masses. BCPS, Dhaka

  16. Mondal A, Roychandhuri BK (1992) Fine needle aspiration cytology (FNAC) in diagnosis of head & neck tumours. Indian J Otolaryngol Head Neck Surg 1(4):176–179

    Google Scholar 

  17. Kally FC, Snedden WW (1985) Bull WHO.18: 5–173

  18. Raju G, Kakar PK et al (1988) Role of fine needle aspiration biopsy in head and neck tumours. J Laryngol Otol 102:248–251

    Article  CAS  Google Scholar 

  19. Showkat SA, Lateef M, Wani AA, Lone SA, Singh K, Yousuf. (2009) Clinicopathological profile of cervicofacial masses in pediatric patients. Indian J Otolaryngol Head Neck Surg 61(2):141–6

    Article  Google Scholar 

  20. Lucumay EM, Gilyoma JM, Rambau PF, Chalya PL (2014) Paediatric neck masses at a University teaching hospital in northwestern tanzania: a prospective analysis of 148 cases. BMJ Res 7(1):1

    Google Scholar 

  21. Ingale AV, Bhogavar S (2015) A clinicopathological; profile of significant cervical lymphadenopathy in children aged 1–12 yrs and its management. Int J Recent Trends Sci Tech 16(3):624–627

    Google Scholar 

  22. Al-Mayoof AF (2015) Neck masses in pediatric population: an experience with children attended the central teaching hospital of pediatrics in Baghdad 2008–2009. Afr J Pediatr Surg 12(2):136

    Article  Google Scholar 

  23. Gov-Ari E, Hopewell BL (2015) Correlation between pre-operative diagnosis and post-operative pathology reading in pediatric neck masses: a review of 281 cases. Int J Pediatr Otorhinolaryngol 79(1):2–7

    Article  Google Scholar 

  24. Haque MA, Talukder SI (2003) Evaluation of fine needle aspiration cytology (FNAC) of lymph node. Mymensingh Med J 12(1):33–35

    CAS  Google Scholar 

  25. Chamyal PC (1997) Sabarigrish; Clinicopathological; correlation study of cervical lymph node masses. Int J Otolaryngol Head Neck Surg 49(4):404–405

    Google Scholar 

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Correspondence to Sandeep Sharma.

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Gupta, A., Sharma, S., Qureshi, S. et al. Neck Masses: Clinico-Radio-Pathological Evaluation. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 6054–6058 (2022). https://doi.org/10.1007/s12070-021-02711-9

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