Clinicoradiological and Histopathological Comparative Study of Nodal Metastasis in Head and Neck Cancers.
Loading...
Date
2016-07
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: Detection of regional lymph nodes in head and neck cancers greatly modifies the staging, treatment and
prognosis of the patient and helps in planning the management of these patients. Methods: A prospective study was
conducted in the Department of E.N.T., S.M.G.S. Hospital, G.M.C. Jammu, in collaboration with the Department of
Radio diagnosis and Imaging, G.M.C. Jammu & Department of Radiation Oncology GMC, Srinagar from 2008 to 2012
in which patients attending / admitted in the Department of E.N.T., with cancer of head and neck, were assessed for
lymph node metastasis (at different levels). 16 patients, all cases of squamous cell carcinoma head and neck,
underwent appropriate neck dissections. The patients were examined clinically as well as with ultrasonography for
detection of various enlarged lymph nodes at different levels. Computed tomography and magnetic resonance imaging
were done, wherever indicated. Patients were subjected to fine needle aspiration cytology in cases of palpable lymph
nodes. The removed lymph nodes were examined histopathologically. Results: The findings of clinical, radiological and
histopathological studies were compared. We concluded that clinical palpation should be supplemented by
ultrasonography in every case of head and neck cancer. However, since computed tomography picks up lymph nodes
missed by ultrasonography in a significant number, is important in imaging primary tumour and picks up necrosis and
extracapsular spread at the most, it should be included in each case of head and neck cancer. Conclusion: Magnetic
resonance imaging being equivalent to computed tomography in picking up the nodes, but lagging behind the criteria
such as picking up of nodal necrosis and extra capsular spread of lymph nodes, and is too costly, so may be included
as an imaging modality wherever computed tomography is contraindicated.
Description
Keywords
Head & Neck Surgery, Lymphadenopathy, Oncology
Citation
Bhau Shalinder Singh, Bhau Kulwant Singh, Arshad Syed, Kalsotra Pramod, Zaffar Saquib, Rashid Aamir, Dev Ghanshyam. Clinicoradiological and Histopathological Comparative Study of Nodal Metastasis in Head and Neck Cancers. Annals of International Medical and Dental Research. 2016 July-Aug; 2(4): 93-99.