Abstract
The cervical lymphadenopathy due to metastasis carry poor prognosis. The status of cervical nodes is of critical interest to surgical, radiation and medical oncologists who manage patients with head and neck cancers. We conducted a prospective randomized study to assess the role of palpation, ultrasound and CT in detection of cervical metastasis in 25 patients presented to us with head and neck malignancy irrespective of cervical nodal status. It was observed that clinical examination was least sensitive (73.33%) when compared with computerized tomography (80%) and ultrasound (93.93%). The computerized tomography was found to be most specific (90%) when compared to clinical examination or ultrasonography (70% each).
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Som PM. (1987) Lymph nodes of the neck. Radiology. 165:593–600
Firestone FA. (1946) The Supersonic Reflectoscope, an instrument for inspecting the interior of solid parts by means of sound waves. J Acous Soc America 17:287–299
Howry DH, Bliss WR. (1952) Ultrasonic visualization of soft tissue structures of the body. J Lab and Clinical Medicine 40:579–592
Sako K, Pradier RN, Marchette FC, Pickern JW. (1964) Fallibility of palpation in the diagnosis of metastasis to cervical nodes. Surg Gynecol Obstet 118:989–990
Bruneton JN, Roux P, Caramella E, Demard F, Vallicioni J, Chauvel P. (1984) Ear, Nose and Throat Cancer: Ultrasound diagnosis of metastasis to cervical lymph nodes. Radiology 152:771–773
Hajek PC, Salomonowitz E, Turk R, Tscholakoff D, Kumpan W, Czembirek H. (1986) Lymph nodes of the neck: Evaluation with US. Radiology 158:739–742
Baatenburg de Jong RJ, Rongen RJ, Lameris JS, Harthoorn M, Verwoerd CDA, Knegt P. (1989) Metastatic neck disease: Palpation vs. Ultrasound examination. Arch Otolaryngol Head and Neck Surg 115:689–690
Prayer L, Winkelbauer, Gritzmann N, Winkelbauer F, Helmer M, Pehamberger H. (1990) Sonography versus palpation in the detection of regional lymph node metastases in patients with malignant melanoma. Eur J Cancer 26:827–830
John DG, Williams SR, Ahuja A, Evans R, King WWK, van Hasselt CA. (1993) Palpation compared with ultrasound in the assessment of malignant cervical lymph nodes. The Journal of Laryngology and Otology 107:821–823
Lenz M, Sommerhoff BK, Gross M. (1993) Diagnosis and treatment of the N0 neck in carcinomas of the upper aerodigestive tract: Current status of diagnostic procedures. Eur Arch Otorhinolaryngol 250:432–438
Friedman M, Mafee MF, Pacella BL Jr, Strorigl RNTL, Dew LL, Toriumi DM. (1990) Rational for elective neck dissection in 1990. Laryngoscope 100:54–59
Hillsamer PJ, Schuller DE, McGhee RB, Chakeres D, Young DC. (1990) Improving diagnostic accuracy of cervical metastases with computed tomography and magnetic resonance imaging. Arch Otolaryngol Head Neck Surg 116:1297–1301
Watkinson JC, Todd CEC, Paskin L, Rankin S, Palmer T, Saheen OH, Clarke SEM. (1991) Metastatic carcinoma in the neck: a clinical, radiological, scintigraphic and pathological study. Clin Otolaryngol 16:187–192
van den Brekel MWM, Castelijns JA, Stel HV, Golding RP, Meyer CJL, Snow GB. (1993) Modern imaging techniques and US guided aspiration cytology for the assessment of neck node metastasis: A prospective comparative study. Eur Arch Otorhinolaryngol 250:11–17
Reading CC, Charbonneau JW, James EM, Hurt MR. (1988) Sonographically guided percutaneus biopsy of small (3cm or less) masses. AJR 151:189–192
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Thakur, J.S., Sharma, M.L., Mohan, C. et al. Clinicopathological and radiological evaluation of cervical lymph node metastasis in head and neck malignancies. Indian J Otolaryngol Head Neck S 59, 327–331 (2007). https://doi.org/10.1007/s12070-007-0094-2
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DOI: https://doi.org/10.1007/s12070-007-0094-2