An Innovative Journal in the Field of Radiology
Authors
In head and neck cancer patients, diagnosis of metastatic cervical adenopathy is essential for treatment planning and prognosis assessment. Treatment of patients with head and neck cancer with clinically negative cervical lymph node (N0) remains controversial. While routine neck treatment would result in overtreatment in many patients, observation may delay the diagnosis and decrease the patients survival.
To gain insights into the unclear questions regarding the value of diagnostic modalities in patients with N0 neck, this study was designed to compare the diagnostic efficacy of palpation, ultrasonography (US) and ultrasound-guided fine needle aspiration (USGFNA) in detecting cervical lymph node metastasis.
Forty-two patients with head and neck cancer who underwent US and USGFNA prior to elective neck dissection were studied. Histopathologic findings of the neck specimens were compared with each diagnostic technique.
Of the 53 neck dissection specimens, histopathology showed metastases in 16 cases. The overall accuracy of USGFNA, US and palpation was 96%, 68% and 70%, respectively. The specificity of USGFNA was superior to palpation and US alone. USGFNA had the highest sensitivity, predictive value and accuracy in detecting cervical metastases compared with other performed tests.
In our study, USGFNA was superior to palpation and US in detecting metastasis in clinically negative necks. This method can be recommended as a diagnostic tool in preoperative assessment of patients without palpable metastasis, but further investigations are needed before this modality could be considered as an alternative to elective neck dissection.
© 2014, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
Motamedfar A, Momen Gharibvand M, Sametzade M, Akhavan Sabagh M. The Use of Neck Sonography in Identifying Cervical Lymph Node: A Single Center Study from 2019 to 2020. Jundishapur J Chronic Dis Care. 2021;10(2):e112926. doi: https://doi.org/10.5812/jjcdc.112926
Khoroushi F, Neshati H, Alamdaran SA, Abbasi B, Jarahi L. Evaluation of Sensitivity and Specificity of Ultrasound-Guided FNA of Suspicious Axillary Lymph Nodes in Patients with Breast Cancer. Int J Cancer Manag. 2024;17(1):e140041. doi: https://doi.org/10.5812/ijcm-140041
Ghanbari V, Niroumand S, Rahmanipour E, Alamdaran SA. Central Neck Ultrasound: A Single-Center Experience of Its Diagnostic Accuracy After Thyroidectomy in Patients with Thyroid Cancer. Int J Cancer Manag. 2024;17(1):e147670. doi: https://doi.org/10.5812/ijcm-147670
Ghafoori M, Azizian A, Pourrajabi Z, Vaseghi H. Sonographic Evaluation of Cervical Lymphadenopathy; Comparison of Metastatic and Reactive Lymph Nodes in Patients With Head and Neck Squamous Cell Carcinoma Using Gray Scale and Doppler Techniques. I J Radiol. 2015;12(3):e11044. doi: https://doi.org/10.5812/iranjradiol.11044
Davoudi Y. Imaging of Cervical Lymph Nodes. I J Radiol. 2017;14(Special Issue):e48353. doi: https://doi.org/10.5812/iranjradiol.48353
More by these authors
Last Update: 2 weeks ago
Last Update: 2 weeks ago
Last Update: 2 weeks ago
Last Update: 6 days ago
Last Update: 2 days ago
Last Update: 3 days ago
