Grayscale Ultrasonography in the Assessment of Regional Lymph Nodes in Oral Cancer and its Correlation with TNM Staging and FNAC
Objectives: The purpose of the study was to evaluate the role of grayscale ultrasound (US) in differentiation of benign from malignant lymph nodes in oral cancer patients and to correlate the ultrasonographic features with TNM staging and FNAC findings of cervicofacial lymph nodes. Methods: In the s...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Journal of Indian Academy of Oral Medicine and Radiology |
| Subjects: | |
| Online Access: | http://www.jiaomr.in/article.asp?issn=0972-1363;year=2011;volume=23;issue=2;spage=104;epage=107;aulast=Aggarwal;type=0 |
| _version_ | 1818541181064183808 |
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| author | Ankur Aggarwal M Jonathan Daniel S V Srinivasan Charles P Sargouname |
| author_facet | Ankur Aggarwal M Jonathan Daniel S V Srinivasan Charles P Sargouname |
| author_sort | Ankur Aggarwal |
| collection | DOAJ |
| description | Objectives: The purpose of the study was to evaluate the role of grayscale ultrasound (US) in differentiation of benign from malignant lymph nodes in oral cancer patients and to correlate the ultrasonographic features with TNM staging and FNAC findings of cervicofacial lymph nodes.
Methods: In the study, 34 patients with histopathologically proved oral cancer presenting with enlarged superficial cervicofacial lymphadenopathy were included. The clinical, ultrasonographic and fine needle aspiration cytology (FNAC) findings were compared in these patients. Patients were assessed for presence of nodes, their size, ratio of maximum longitudinal diameter to maximum transverse diameter (L/T) and echogenicity. All patients then underwent fine needle aspiration cytology of the lymph nodes and the slides were examined for the presence of malignant cells.
Results: It was found that ultrasonography had assessed the status of 28 nodes positively out of 34 nodes for metastasis when compared with results of FNAC. Thus, ultrasonography had a sensitivity of 75% and specificity of 86% in detecting the metastatic nodes when compared with FNAC taken as standard in the detection of metastatic nodes.
Conclusion: The lymph node status can be assessed successfully by ultrasonography preoperatively for the presence of metastasis in majority of cases. Therefore, ultrasonography was found to be efficient and cost-effective preoperatively, in planning appropriate management in oral cancer patients. |
| first_indexed | 2024-12-11T22:05:13Z |
| format | Article |
| id | doaj.art-587b1d7fbf934784956ba66a8ac6eab9 |
| institution | Directory Open Access Journal |
| issn | 0972-1363 0975-1572 |
| language | English |
| last_indexed | 2024-12-11T22:05:13Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Academy of Oral Medicine and Radiology |
| spelling | doaj.art-587b1d7fbf934784956ba66a8ac6eab92022-12-22T00:48:58ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13630975-15722011-01-0123210410710.5005/jp-journals-10011-1105Grayscale Ultrasonography in the Assessment of Regional Lymph Nodes in Oral Cancer and its Correlation with TNM Staging and FNACAnkur AggarwalM Jonathan DanielS V SrinivasanCharles P SargounameObjectives: The purpose of the study was to evaluate the role of grayscale ultrasound (US) in differentiation of benign from malignant lymph nodes in oral cancer patients and to correlate the ultrasonographic features with TNM staging and FNAC findings of cervicofacial lymph nodes. Methods: In the study, 34 patients with histopathologically proved oral cancer presenting with enlarged superficial cervicofacial lymphadenopathy were included. The clinical, ultrasonographic and fine needle aspiration cytology (FNAC) findings were compared in these patients. Patients were assessed for presence of nodes, their size, ratio of maximum longitudinal diameter to maximum transverse diameter (L/T) and echogenicity. All patients then underwent fine needle aspiration cytology of the lymph nodes and the slides were examined for the presence of malignant cells. Results: It was found that ultrasonography had assessed the status of 28 nodes positively out of 34 nodes for metastasis when compared with results of FNAC. Thus, ultrasonography had a sensitivity of 75% and specificity of 86% in detecting the metastatic nodes when compared with FNAC taken as standard in the detection of metastatic nodes. Conclusion: The lymph node status can be assessed successfully by ultrasonography preoperatively for the presence of metastasis in majority of cases. Therefore, ultrasonography was found to be efficient and cost-effective preoperatively, in planning appropriate management in oral cancer patients.http://www.jiaomr.in/article.asp?issn=0972-1363;year=2011;volume=23;issue=2;spage=104;epage=107;aulast=Aggarwal;type=0UltrasonographyLymph nodeFine needle aspiration cytology |
| spellingShingle | Ankur Aggarwal M Jonathan Daniel S V Srinivasan Charles P Sargouname Grayscale Ultrasonography in the Assessment of Regional Lymph Nodes in Oral Cancer and its Correlation with TNM Staging and FNAC Journal of Indian Academy of Oral Medicine and Radiology Ultrasonography Lymph node Fine needle aspiration cytology |
| title | Grayscale Ultrasonography in the Assessment of Regional Lymph Nodes in Oral Cancer and its Correlation with TNM Staging and FNAC |
| title_full | Grayscale Ultrasonography in the Assessment of Regional Lymph Nodes in Oral Cancer and its Correlation with TNM Staging and FNAC |
| title_fullStr | Grayscale Ultrasonography in the Assessment of Regional Lymph Nodes in Oral Cancer and its Correlation with TNM Staging and FNAC |
| title_full_unstemmed | Grayscale Ultrasonography in the Assessment of Regional Lymph Nodes in Oral Cancer and its Correlation with TNM Staging and FNAC |
| title_short | Grayscale Ultrasonography in the Assessment of Regional Lymph Nodes in Oral Cancer and its Correlation with TNM Staging and FNAC |
| title_sort | grayscale ultrasonography in the assessment of regional lymph nodes in oral cancer and its correlation with tnm staging and fnac |
| topic | Ultrasonography Lymph node Fine needle aspiration cytology |
| url | http://www.jiaomr.in/article.asp?issn=0972-1363;year=2011;volume=23;issue=2;spage=104;epage=107;aulast=Aggarwal;type=0 |
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