Skip to main content

Advertisement

SpringerLink
Log in

Comparison of the efficacy of clinical examination, ultrasound neck and computed tomography in detection and staging of cervical lymph node metastasis in head and neck cancers

  • Main Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

There are many modalities, which are being used for detection of cervical lymph nodes in head and neck cancers clinical examination, computed tomography, ultrasound, magnetic resonance imaging and radionuclide scintigraphy. Various studies in past have highlighted their benefits and drawbacks used singly or in comparison with others. Here we present the study of 100 patients comparing the result of clinical examination, computed tomography and ultrasound.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ogura J.H, Biller H.F., Wette R. Elective neck dissection for Pharyngeal & Laryngeal cancers. Ann Otol Rhino laryngol 1971; 80: 646–650

    CAS  Google Scholar 

  2. Bocca E., Calcearo C, De Vincentii I, Marullo T., Motta G., Ottaniani A. Occult metastasis in cancer of the larynx and their relationship to clinical and histological aspects of the primary tumour. Laryngoscope 1984; 94: 1086–1090

    PubMed  CAS  Google Scholar 

  3. Berger DS, Fletcher G.H., Lindberg RD, Jesse R.H. Elective irradiation of the neck lymphatic for squamous cell carcinomas of the nasopharynx and oropharynx. Am J Roentgenol radium. Ther Nucl Med 1971; 111: 66–72.

    PubMed  CAS  Google Scholar 

  4. Fletcher GH. Elective irradiation of sub clinical disease: Cancers of the head and neck. Cancer 1972; 29: 1450–1454

    Article  PubMed  CAS  Google Scholar 

  5. Marks J.L, Breawy S, Smith P.G. The need for elective irradiation of occult lymphatic metastasis from cancers of larynx Pyriform sinus. Head & Neck Surgery. 1985; 8: 3–8.

    Article  CAS  Google Scholar 

  6. Raphael Feinmesser et al (1987). Metastatic neck disease. Arch otolaryngol Head Neck Surgery; 113: 1307–1310.

    CAS  Google Scholar 

  7. Sako K (1964). Fallibility of Palpation in the diagnosis of metastasis to cervical nodes. Surgery gynecology obstetric; 118: 989–990.

    CAS  Google Scholar 

  8. Michael H. Stevens, H. Ric Harnsberger et al (1985). Computed Tomography of cervical lymph nodes. Arch otolaryngol; 111: 735–739.

    PubMed  CAS  Google Scholar 

  9. Watkinson J.C., Todd C.E.C., Paskin L., Rankin S., Palmers T., Shaheen O.H., Clarke S.E.M. (1991). Metastatic Carcinoma in the neck: a clinical, radiological, scintigraphic and Pathological study. Clin. Otolaryngol; 16: 187–192.

    PubMed  CAS  Google Scholar 

  10. Friedman M. et al (1990). Rationale for elective neck dissection in 1990. Laryngoscope; 100: 54–59.

    PubMed  CAS  Google Scholar 

  11. Candela et al. (1990). Patterns of cervical lymph nodes metastasis from Squamous Carcinoma of the oropharynx and hypopharynx. Head Neck; 12: 197–203.

    Article  PubMed  CAS  Google Scholar 

  12. R.J. Baatenburg De Jong et al (1988). Screening for lymph nodes in the neck with ultrasound. Clin otolaryngol; 13: 5–9.

    PubMed  CAS  Google Scholar 

  13. Hajek P.C. et al (1986). Lymph nodes of the neck. Evaluation with ultrasound. Radiology; 158: 739–742.

    PubMed  CAS  Google Scholar 

  14. Prayer L., Winkelbauer H., Gritzmann N. et al (1990). Sonography versus Palpation in the detection of regional lymph node metastasis in patients with malignant melanoma. Eur J. Cancer, 26: 827–830.

    Article  PubMed  CAS  Google Scholar 

  15. Vassallo P., Edel G, Roos N., Naguib A., Peters P.E. (1993). In vitro high resolution ultrasonography of benign and malignant lymph nodes, a Sonographic — Pathologic correlation. Invest. Radiol; 28: 698–705.

    Article  PubMed  CAS  Google Scholar 

  16. Reinhardt J. Kau, Christoph Alexiou, Herber Stimmer (2000). Diagnostic Procedures for detection of lymph node metastasis in cancer of larynx. ORL; 62: 199–203.

    Article  PubMed  CAS  Google Scholar 

  17. Stern W.B.R. et al (1990). Computed Tomography of the clinically negative neck. Head Neck; 12: 109–113.

    Article  PubMed  CAS  Google Scholar 

  18. Lenz M., Kersting-Sommerhoff B., Gross M (1993). Diagnosis and treatment of the NO neck in Carcinomas of the upper aerodigestive tract. Current status of diagnostic procedures. Eur Arch Otorhinolaryngol; 250: 432–438.

    Article  PubMed  CAS  Google Scholar 

  19. Moreau P. et al (1990). Computed Tomography of metastatic cervical lymph nodes. Arch otolaryngol Head Neck Surgery; 116: 1190–1193.

    CAS  Google Scholar 

  20. Stevens M.H. et al (1985) Computed Tomography of cervical lymph nodes. Staging and management of head and neck cancer. Arch otolaryngol; 111: 735–739.

    PubMed  CAS  Google Scholar 

  21. Curtin H.D. et al (1998). Comparison of CT and MR imaging in staging of neck metastasis. Radiology; 207: 123–130.

    PubMed  CAS  Google Scholar 

  22. Michiel W.M., V.D. Brekel et al (1991). Magnetic Resonance Imaging Vs Palpation of Cervical lymph node Metastasis. Arch otolaryngol Head Neck Surgery; 117: 666–673.

    Google Scholar 

  23. Yucel T., Saatei I., Sennaroglu L. et al (1997). Magnetic Resonance Imaging in Squamous Cell Carcinoma of the Head and Neck with no palpable lymph nodes. ACTA Radiol; 38: 810–814.

    Article  PubMed  CAS  Google Scholar 

  24. Friedman M. et al (1993). Nodal size of metastatic squamous cell carcinoma of the neck. Laryngoscope; 103: 854–856.

    Article  PubMed  CAS  Google Scholar 

  25. Tfates C.D. et al (1980). Gallium — 67 citrate imaging in head and neck tumours. Report of the Cooperative Group. J. Nuclear Medicine; 21: 622–627.

    Google Scholar 

  26. Cummings C.W., Larson S.M. et al (1981). Assessment of Cobalt — 57 tagged bleomycin as a clinical aid in staging of head and neck Carcinoma. Laryngoscope; 91: 529–537.

    Article  PubMed  CAS  Google Scholar 

  27. Ohta H. et al (1988). Clinical evaluation of Tumour imaging using Tc 99m DMSA, a new tumour-seeking agent. Nuclear Medicine Commun; 9: 105–116.

    CAS  Google Scholar 

  28. Watkinson J.C. et al (1987). An evaluation of the uptake of Technetium — 99m dimercaptosuccinic acid in patients with Squamous Carcinoma of the head and neck. Clinical otolaryngol; 12: 405–411.

    CAS  Google Scholar 

  29. Watkinson J.C. et al (1989). Technetium — 99m dimercaptosuccinic acid uptake in patients with head and neck Squamous Carcinoma: Experience in imaging. J. Nucl. Medicine; 30: 174–180.

    CAS  Google Scholar 

  30. Vanden Brekel M.W.M., Castelijn J.A., Stel H.U. et al (1993). Modern imaging techniques and ultrasound guided aspiration cytology for the assessment of neck node metastasis: a Prospective Comparative Study. Eur Arch otorhinolaryngol; 250: 11–17.

    Article  CAS  Google Scholar 

  31. Vanden Brekel M.W.M. et al (1996). Ultrasound-guided fine needle aspiration cytology of neck nodes in patients with NO disease Radiology; 201: 580–581.

    CAS  Google Scholar 

  32. Vanden Brekel M.W.M., Castelijns J.A., Stel H.V. et al (1997). Occult metastatic neck disease. Detection with ultrasound and ultrasound guided fine needle aspiration cytology. Radiology; 180: 457–461.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Registrar-ENT Department, Safdurjung Hospital, New Delhi, 110029, India

    Nitin Anand (Registrar-ENT), Neena Chaudhary (Senior Specialist-ENT), M. K. Mittal (Senior Specialist-Radiology) & Rajni Prasad (Assistant Professor-Pathology)

Authors
  1. Nitin Anand
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Neena Chaudhary
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. K. Mittal
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rajni Prasad
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nitin Anand.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Anand, N., Chaudhary, N., Mittal, M.K. et al. Comparison of the efficacy of clinical examination, ultrasound neck and computed tomography in detection and staging of cervical lymph node metastasis in head and neck cancers. Indian J Otolaryngol Head Neck Surg 59, 19–23 (2007). https://doi.org/10.1007/s12070-007-0005-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-007-0005-6

Keywords

Search

Navigation