COMPARISON OF LYMPH NODE METASTASIS WITH PREOPERATIVE PALPATION, ULTRASONOGRAPHY, AND COMPUTED TOMOGRAPHY FINDINGS AND POSTOPERATIVE HISTOPATHOLOGICAL RESULTS IN PATIENTS WITH HEAD AND NECK SQUAMOUS CELL CARCINOMA

Kazım BOZDEMIR; MD; Veysel YURTTAŞ; MD; Alper ATA; MD; Behçet TARLAK; MD; Hasan ÇAKAR; MD; Hüseyin ÇETIN; MD; Aykut ONURSEVER; MD; Ahmet KUTLUHAN; MD

Son Sayı

Erken Çevrim İçi Makaleler

Arşiv

Arama

KBB-Forum 2015 , Cilt 14, Sayı 1

COMPARISON OF LYMPH NODE METASTASIS WITH PREOPERATIVE PALPATION, ULTRASONOGRAPHY, AND COMPUTED TOMOGRAPHY FINDINGS AND POSTOPERATIVE HISTOPATHOLOGICAL RESULTS IN PATIENTS WITH HEAD AND NECK SQUAMOUS CELL CARCINOMA

Kazım BOZDEMIR¹, MD; Veysel YURTTAŞ², MD; Alper ATA³, MD; Behçet TARLAK¹, MD; Hasan ÇAKAR¹, MD; Hüseyin ÇETIN⁴, MD; Aykut ONURSEVER⁵, MD; Ahmet KUTLUHAN¹, MD

¹Ankara Atatürk Eğitim ve Araştırma Hastanesi Kulak Burun Boğaz Bölümü, kulak burun boğaz, Ankara, Türkiye
²Abant İzzet Baysal Üniversitesi, Tıp Fakültesi Kulak Burun Boğaz Ana Bilim Dalı, kulak burun boğaz, Bolu, Türkiye
³Mersin Devlet Hastanesi, Medikal Onkoloji Bölümü, onkoloji, Mersin, Türkiye
⁴Ankara Atatürk Eğitim ve Araştırma Hastanesi, Radyoloji Bölümü, radyoloji, Ankara, Türkiye
⁵Ankara Atatürk Eğitim ve Araştırma Hastanesi, Patoloji Bölümü, patoloji, Ankara, Türkiye Objective: Lymphatic metastasis is an important prognostic factor in the head and neck cancers. Because of the limitations of physical examination to identify all lymph nodes, radiological imaging modalities (ultrasonography and computed tomography) play a key role. The aim of this study is to compare the relationship between physical examination and radiological imaging modalities and histopathological findings.

Methods: A total of 63 cases who had undergone neck dissection with established diagnosis of head and neck cancer were included in a prospective study. Type of neck dissections, findings of palpation, ultrasonography and computerized tomography were recorded.

Results: There was no statistically significant difference between histopathological findings and palpation (p=0.832), ultrasonography (p=0.523) and computed tomography findings (p=0.581). When ultrasonography, and computed tomography were evaluated in combination, there was no statistically significant difference between histopathological findings, and computed tomography and ultrasonography findings (p=0.581). And also when the three examination findings were evaluated in combination there were no statistically significant difference between histopathological findings, and computed tomography, ultrasonography and palpation findings (p=0.581) either.

Conclusion: Our findings showed that none of the currently available imaging methods are reliable in evaluating the occult regional lymph node metastasis. Keywords : Head and Neck Lymph Node, Metastasis, Squamous Cell Carcinoma, Histopathology

Ana Sayfa