A Prospective Clinicopathological Study of Lateral Neck Masses

Author Sweta Guin
Co-Author Devendra Mahore, Seema Patel, Harshali Girde
DOI https://ww

Country : India
Subject : E.N.T

Keywords : Malignant secondaries, TB lymphadenitis, , FNAC, HPE, chemotherapy

Abstract

Background: To study the clinical profile of lateral neck masses in general population in Central India; different etiological, it’s diagnosis and management & different investigation and treatment option of lateral neck masses Methods: 100 study subjects with lateral neck masses excluding thyroid and salivary gland swelling to department of otorhinolaryngology ,clinical presentation and relevant investigation were analysed and appropriate management was carried and followed up at 15 days,1 month and 3 months. Results: Male 72% and female 28% Malignant cases were 62% Benign were 38%. The various pathologies were malignant secondary (53%), tuberculosis (12%), cervical abscess (8%), and Reactive / granulomatous lymphadenitis (7%). Dysphagia (37%) was the most common complaint, followed by Difficulty breathing (32%), cough (28%), fever (25%), voice change (21%). FNAC correctly diagnosed 92% with sensitivity of 91.4% and specificity 63% of our cases, with USG provided initial diagnosis in 87% cases. Histopathology showed 100% accuracy. Malignant secondaries were most often treated with chemotherapy and radiotherapy (98.1%), followed by surgical resection (22.6%) Conclusions: This study highlights the diverse etiologies and clinical presentations of lateral neck masses, and various diagnostic approach and their role in the initial evaluation of these masses for continued research to improve diagnostic and therapeutic strategies.

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