• Published
    08-04-2024
  • Issue
    Vol: 28 Issue: 01, 2024
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EVALUATION OF NECK MASSES: THE SIGNIFICANCE OF ULTRASONOGRAPHY AND FINE-NEEDLE ASPIRATION CYTOLOGY

  • Dr. Paridhi Jain1*, Dr. Ashutosh Patel2, Dr. Dhrumalkumar Patel3

Keywords: Benign and malignant, cystic, fine‚Äźneedle aspiration cytology, inflammatory, ultrasonography

ABSTRACT:-
The purpose of the research is to determine the effectiveness of fine-needle aspiration cytology (FNAC) and ultrasonography (USG) in evaluating neck masses and distinguishing between benign, malignant, inflammatory, and cystic neck masses using a correlation between histopathology. Study Design: Both observational and prospective research. Location: Dhiraj General Hospital, Waghodiya, Vadodara, Gujarat. Study Period: 1st december 2022- 30th November 2023. Materials and Methods: Neck masses were assessed sonographically, and a final diagnosis was reached based on the FNAC and the histology of removed samples. Lastly, using statistical techniques, the USG findings were compared (where feasible) with FNAC reports and histopathological reports in order to assess their sensitivity, specificity, and accuracy. Results: The majority of patients fell into the age range of 31 to 60. Males outnumbered females among all cases, with a 1.5:1 M:F ratio. Lesions that were anechoic or hyperechoic indicated benign disease, while lesions that were hypoechoic had the highest likelihood of malignancy. According to USG diagnosis, the most common kind of lesion was benign (36.4%), then inflammatory (27.08%), cystic (20.83%), and malignant (15.63%). Benign mass (32.29%), inflammatory mass (26.04%), cystic mass (19.79%), and malignant mass (15.63%) were identified by FNAC impression. P < 0.05 was shown to be similar for the diagnostic accuracy of USG, FNAC, and Histopathological Examination (HPE) for inflammatory, cystic, benign, and malignant neck masses. Conclusion: high-resolution grayscale ultrasonography can distinguish between benign, malignant, inflammatory, and cystic neck tumours. When it comes to differentiating between benign and malignant neck tumours, FNAC is thought to be quite effective. The diagnostic efficacy of FNAC and USG is maximised when a cytopathologist, radiologist, and clinician collaborate as a team.