Published November 30, 2021 | Version v1
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A clinico-pathological and clinico-radiological study of anterior neck swellings

Authors/Creators

  • 1. Department of Otorhinolaryngology, GMERS Medical College, Gandhinagar, Gujarat-382012
  • 2. Department of Otorhinolaryngology, Gujarat Adani Institute of Medical Sciences and GK General Hospital, Bhuj, Kachchh, Gujarat-370001

Description

ABSTRACT

Introduction: Swelling in anterior neck is a common cause of visit to ENT OPD. Most of the times it is easy to diagnose an anterior neck swelling by clinical, radiological, cytological and histo-pathological examinations. However, if there is any discrepancy or doubt, then there should be a clinico-pathological and clinico-radiological inter-departmental discussion to finalize a diagnosis.

Methodology: The present study was a prospective longitudinal study conducted in ENT Department of a teaching hospital of western India, from October 2018 to September 2020. The evaluation of patients included clinical, radiological, cytological and histo-pathological examinations. All the data was tabulated in Microsoft excel sheet and analyzed using descriptive statistics.

Results: In our study, the youngest patient was 4 years old and the eldest patient was of 84 years. The mean age of patients was 40±18.4 years. Out of 150 patients studied, there were 46 males (31%) and 104 females (69%), with female to male ratio of 2.2: 1. Out of 150 cases, 87 (58%) cases were thyroid swellings. Considering histopathology data as gold standard, we found that sensitivity of USG was 79.48 %, that of FNAC was 92.31% and clinical examination was 92.31% with respect to diagnosis of thyroid swellings, while for non-thyroid swellings, the sensitivity of USG was 50 %, FNAC was 62.5% and clinical was 50%.

Conclusions: In our study, thyroid swelling was the most common anterior neck swelling, more common in females. Discrepancy in clinico-radio-cyto-histological diagnosis was higher in cases of malignant anterior neck swellings.

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