Comparison of palpation, ultrasound and computed tomography in the valuation of lymphatic neck metastasis Boyun metastazlarinin gösterilmesinde palpasyon, ultrasonografi ve bilgisayarli tomografinin karşilaştirilmasi.
Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat, cilt.9, sa.2, ss.126-130, 2002 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 9 Sayı: 2
- Basım Tarihi: 2002
- Dergi Adı: Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.126-130
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
OBJECTIVES: We evaluated the diagnostic value of palpation, ultrasonography (US), and computed tomography (CT) in detecting neck metastasis in head and neck cancers. PATIENTS AND METHODS: The study included 35 patients (34 men, 1 woman; mean age 59 years; range 35 to 72 years) with laryngeal carcinoma. In addition to neck palpation, 17 patients and 27 patients had neck examinations by US and CT, respectively. Histopathologic results of the neck specimens were compared with those obtained from palpation, US, and CT. RESULTS: The accuracy of CT, US, and palpation in the evaluation of lymph nodes of the neck were 85%, 65%, and 80%, respectively. Ultrasonography was found to have the highest sensitivity (100%), but the least specificity (33%). The highest false positive and false negative results were obtained by US (42%) and palpation (10%), respectively. CONCLUSION: Computed tomography proved superior to palpation and US in the evaluation of neck metastasis in patients with head and neck tumors.