HELICAL CT SCAN IN EVALUATION OF METASTATIC NECK ADENOPATHY
Objective: To determine the diagnostic accuracy o f helical com puted tom ography (CT) in detection of m etastatic neck lymphadenopathy with histopathological correlation. Design: Comparative cross sectional study. Patients and Methods: This study was conducted in the Departments of Diagnostic R...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Dow University of Health Sciences
2008-12-01
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| Series: | Journal of the Dow University of Health Sciences |
| Subjects: | |
| Online Access: | https://jduhs.com/index.php/jduhs/article/view/1280 |
| Summary: | Objective: To determine the diagnostic accuracy o f helical com puted tom ography (CT) in detection of m etastatic neck lymphadenopathy with histopathological correlation.
Design: Comparative cross sectional study.
Patients and Methods: This study was conducted in the Departments of Diagnostic Radiology and Pathology, Karachi from August 2005 to June 2006. A group o f 51 patients was included in this study. Helical CT scan was carried out after an IV bolus injection o f approxim ately 100 ml. o f contrast medium. CT scans were evaluated for metastatic lymphadenopathy i.e. abnormality o f nodal size and architecture and irregular nodal enhancement. The radiological findings on the CT scans were com pared with the pathological findings.
Results: The study included 51 patients w ith age ranging from 22 to 77 years. Correct assessment of m alignancy was made on CT scan in 48 patients. CT scan was false positive in one and false negative in two patients.
Conclusion: Contrast enhanced Helical CT proved to be accurate for preoperative evaluation and subsequent m anagement of cervical m etastatic neck adenopathy.
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| ISSN: | 1995-2198 2410-2180 |