ANTERIOR TRIANGLE NECK SWELLINGS- RELATIVE INCIDENCE OF VARIOUS CLINICAL CAUSES

Aims and objectives- The intented aim of our study was to find out the cause of various benign anterior triangle neck swellings. Material And Methods- A prospective study was carried out at ENT department of MMIMSR for a period one year from June 2017 to May 2018. The sample size consist of 50 patients. All patients attending the ENT OPD with neck swelling were included in this study. These patients were evaluated based on clinical history and examinations. Pathological investigations like FNAC (Fine needle aspiration cytology) & histopathological examination (HPE) along with radiological examination such as Ultrasounography (USG), X-ray, Magnetic resonance imaging (MRI), Computed tonnography (CT Scan) was carried out wherever it was required. Result – Out of 50 patients, 46 percent were male patients (n=23) and 54 percent were female patients (n=27). Patients with the age from 5 years to 70 years were affected with the mean age of 42years. Midline neck neck swellings were more common than lateral neck swellings (Anterior triangle). Among the midline neck swelling ,thyroid gland pathology was commonest with 72.4% of cases (n=21), followed by Thyroglossal duct cyst with 24% cases(n=7). Thyroglossal cyst was the most common congenital swelling seen in our study. In the lateral neck, salivary gland pathology was the commonest cause of neck swelling with 52.3% cases (n=11) followed by branchial cyst with 23.8% cases (n=5). 14.3% of cases (n=3) with tubercular lymphadenopathy were found in submandibular region

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Enigma in the diagnosis of congenital neck masses: a prospective study

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20195708 ◽

2019 ◽

Vol 6 (1) ◽

pp. 159

Author(s):

Rajesh Radhakrishna Havaldar ◽

Anju Singh ◽

Priti S. Hajare ◽

Shama A. Bellad ◽

R. S. Mudhol

Keyword(s):

Prospective Study ◽

Bronchogenic Cyst ◽

Histopathological Examination ◽

Tertiary Care ◽

Needle Aspiration ◽

Neck Mass ◽

Care Hospital ◽

Duct Cyst ◽

Neck Masses ◽

A Prospective Study

Background: Head and neck swellings are common in routine otorhinolaryngologic practice. This study was done to assess the incidence and varied presentation of different congenital neck swellings.Methods: Hospital based prospective study done in the Department of Otorhinolaryngology at a tertiary care hospital from January 2017 to December 2018. A total of 28 patients with slow, progressive neck swellings were selected after excluding thyroid swellings and acute inflammatory neck swellings. All patients had no other complaints. After a thorough clinical examination and investigations like ultrasonography, fine needle aspiration cytology and radiological examination, surgery was done, and specimens obtained were sent for histopathological examination. Patients were followed up to 1 year. Results: 28 patients with congenital neck mass were studied. 15 were thyroglossal cysts, 7 were branchial anomalies, 5 were dermoid cysts and 1 was bronchogenic cyst. The most frequent congenital neck mass was thyroglossal duct cyst and fistula (53.57%) followed by, in descending order, cysts and fistulas of the branchial apparatus (25%), dermoid cysts (17.85%) and bronchogenic cyst (3.5%) respectively.Conclusions: The overall presentation in terms of age group, location, incidence and clinical features of congenital neck swellings is an enigma to the treating surgeon as well as the pathologist. The prevalence varies largely among centres. A knowledge of the varied differential diagnosis of slow progressive masses in the neck should be kept in mind while planning the surgical procedure for total removal of the lesion to avoid recurrence.

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Milan scoring system in the diagnosis of salivary gland lesions for assessment of risk of malignancy

Indian Journal of Pathology and Oncology ◽

10.18231/j.ijpo.2021.092 ◽

2021 ◽

Vol 8 (4) ◽

pp. 443-446

Author(s):

Bhavana Grandhi ◽

B Syamsundara Rao ◽

N Mohan Rao ◽

G V Sunandha

Keyword(s):

Salivary Gland ◽

Predictive Value ◽

Histopathological Examination ◽

False Negative ◽

Clinical History ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Risk Of Malignancy ◽

Needle Aspiration Cytology ◽

A Prospective Study

Salivary gland lesions are one of the most common encounters in clinical practice for the evaluation of which Fine needle aspiration cytology is a well-established technique nowadays. Owing to the heterogenecity and morphological overlap between the various categories of these salivary gland lesions, there was a need for a standardised procedure. The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) provides a standardised evidence based reporting system to assess the risk of malignancy and thus helpful for the management of these lesions. We have undertaken this study for evaluation of salivary gland lesions by this newly introduced grading system for predicting the malignant potential of these lesions.: We have done a prospective study of all the salivary gland lesions received in our department for a period of 3 years from 2016 to 2019. The clinical history, aspiration cytology and histopathological examination was done for all the cases.: We have received 225 salivary gland lesions for aspiration, but histological follow up was done in only 105 lesions, which were thus included in our study. Case distribution into different categories was done in the following way:ND (5.71%), NN (38.01%), AUS (2.57%), NB (33.34%), SUMP (1.9%), SM (2.85%), and M (15%). Overall, ROM reported were 25%, 5%, 20%, 4.4%, 33.3%, 85.7%, and 97.5%, respectively for each category. Overall, sensitivity was 83.34%, specificity was 98.01%, positive predictive value was 94.87%, and negative predictive value was 91.89%. MSRSGC is a six category scheme that was recently proposed that separates the salivary gland FNAC into distinct categories, thus increasing the specificity by limiting the number of false negative and false positive cases.

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Evaluation of Breast Lumps by Ultrasound and Correlation with Histological Findings

Journal of Surgical Sciences ◽

10.3329/jss.v23i1.44238 ◽

2020 ◽

Vol 23 (1) ◽

pp. 10-12

Author(s):

Nelema Jahan ◽

Md. Mamunur Rahman ◽

Mohammad Shahidul Alam ◽

Md Saiful Islam

Keyword(s):

Histopathological Examination ◽

Breast Diseases ◽

Histopathological Study ◽

Common Symptom ◽

Breast Lump ◽

Histopathological Findings ◽

Malignant Breast ◽

Breast Lumps ◽

One Year ◽

A Prospective Study

Background: A breast lump is the most common symptom associated with both benign and malignant breast diseases. Therefore, a distinction of benign from malignant lump is of importance for proper management. Though a definitive diagnosis is possible with imaging for all the lesions, histopathological study is proven essential for confirming the diagnosis. Objective: The objective of this study was to evaluate the role of USG and histopathological findings of different breast lump in diagnosis and their comparison. Methods: A prospective study was conducted over a period of one year from January 2017 to December 2017. A total of 116 patients were included in this study. All breast lumps underwent surgery and the ultrasound findings of these lumps were compared with the histopathological findings. Data were collected from these patients by a preformed questionnaire and finally the data were analyzed. Results: Out of 116 patients only 21 cases were reported as malignant in ultrasound report but histopathology revealed 31 malignant patients. On histopathological examination 10 benign cases turned out to be malignant. Conclusion: The present study was undertaken to evaluate in diagnosing breast mass lesions individually by ultrasound and compared with histopathology for definitive management of a patient. Journal of Surgical Sciences (2019) Vol. 23 (1) : 10-12

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CYTOPATHOLOGICAL SPECTRUM OF FNAC IN PALPABLE HEAD AND NECK LESIONS

10.36106/gjra/1901865 ◽

2021 ◽

pp. 53-54

Author(s):

Devendu Bose ◽

Bejoy Chand Banerjee

Keyword(s):

Salivary Gland ◽

Lymph Node ◽

Soft Tissue ◽

Head And Neck ◽

Clinical History ◽

Needle Aspiration ◽

Minimal Risk ◽

Neck Swelling ◽

Neck Masses ◽

Common Diagnosis

Introduction: Head and neck lesions comprises a large number of congenital, inammatory or neoplastic lesions including different anatomic sites and originating in different tissues and organs. Fine needle aspiration cytology (FNAC) is a simple, quick, feasible, repeatable and outpatient procedure with minimal risk of complication. Aim: To study the role of FNAC and its utility in diagnosis of palpable head neck masses and to determine the spectrum of various lesions. Materials And Methods: A retrospective study was conducted in pathology department of Shaheed Nirmal Mahato Medical College, Dhanbad, Jharkhand from January 2016 to December 2020 on patients with palpable head and neck swelling. Detailed clinical history of patient was noted. Aspirations were done by using 10 ml syringe and 22/23 gauge needles. Smears were stained with PAP, Haematoxylin and Eosin and Leishman stain. Cytomorphological diagnosis was given. Results: Out of 562 patients of head and neck swelling, 61.92% (348 cases) were of lymph node, 20.28% (114 cases) were of thyroid, 3.38% from salivary gland (19 cases), 14.06% (79 cases) from skin and soft tissue swellings. The most common diagnosis was reactive lymphadenitis (32.74%) followed by granulomatous lymphadenitis (18.33%). The mean age of study population was 32 years. There was female preponderance (88.59%) in thyroid lesions whereas lymph node lesions (60.91%), salivary gland lesions (73.68%) and soft tissue swellings (59.49%) were more common in males. Conclusion: From our study we concluded that FNAC is simple, quick, inexpensive, repeatable and minimally invasive rst line investigation for differential diagnosis of head and neck lesions.

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Sistrunk’s operation: Ten years’ experience in a teaching hospital

Nepal Journal of Medical Sciences ◽

10.3126/njms.v5i1.36799 ◽

2020 ◽

Vol 5 (1) ◽

pp. 20-27

Author(s):

Krishna Prasad Koirala

Keyword(s):

Physical Examination ◽

Hyoid Bone ◽

Pediatric Population ◽

Demographic Data ◽

Clinical History ◽

Needle Aspiration ◽

Thyroglossal Duct Cyst ◽

Duct Cyst ◽

Thyroglossal Duct ◽

Male Predominance

Introduction: Thyroglossal duct cyst (TGDC) is a congenital condition that results from persistence of thyroglossal duct. It commonly presents in the midline neck as a painless nodule. On physical examination, it moves with protrusion of tongue and on swallowing. Meticulous clinical history and physical examination are sufficient to make a correct preoperative diagnosis. Ultrasonography of the neck and fine needle aspiration cytology are other useful tools in the diagnosis. Although a congenital anomaly, it usually presents in the first and second decades of life. The standard treatment of choice for thyroglossal duct cyst is Sistrunk’s operation. The aims of this study are to identify the age of presentation of patients with thyroglossal cyst, its site of occurrence in relation to hyoid bone and to look for the patterns of recurrence after Sistrunk’s operation. Methods: This is a retrospective study with 34 patients over a period of ten years operated by a single surgeon. Patients treated by Sistrunk’s operation and confirmed as the thyroglossal duct after histopathology report were included in the study. Their demographic data, age at presentation, surgical treatment and recurrence rate were noted and analysis were made. Results: There was slight male predominance, majority of the thyroglossal cysts were found in the pediatric population and below the hyoid bone, and there were acceptable recurrences. Conclusions: Thyroglossal duct cyst is a disease of children. Sistrunk’s operation is the standard surgical procedure with minimal recurrence.

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A prospective study and correlation of cytological, cell-block and histopathological diagnosis of breast lesions

Indian Journal of Pathology and Oncology ◽

10.18231/j.ijpo.2021.069 ◽

2021 ◽

Vol 8 (3) ◽

pp. 352-358

Author(s):

Ankita Paul ◽

Sowmya S Manjunath

Keyword(s):

Prospective Study ◽

Histopathological Examination ◽

Needle Aspiration ◽

Histopathological Diagnosis ◽

Cell Block ◽

Diagnostic Modality ◽

Cross Sectional ◽

Diagnostic Role ◽

Palpable Breast ◽

A Prospective Study

Breast carcinoma is the second most common cancer in the world and establishing an early diagnosis is clinically very important. Fine needle aspiration cytology (FNAC) is the fast, reliable and ideal initial diagnostic modality for the diagnosis of these lesions. This is a cross-sectional prospective study of 12 months duration. A total of 160 patients underwent FNAC of palpable breast lump/lumps. A cell-block preparation was done for 80 cases and the histopathological examination has been performed on all the 160 cases.The cytomorphological diagnosis, cell-block diagnosis and histopathological diagnosis were correlated using suitable statistical methods. Out of 160 patients, on cytological examination, 107 cases (67%) were benign and 53cases (33%) were malignant. On histopathological examination, 104 cases (65%) were benign and 56 cases (35%) were malignant. On examination of cell block, two cases which were indeterminate in FNAC turned out to be malignant. FNAC plays a main diagnostic role as an out-patient procedure which gives rapid diagnosis. FNAC when combined with cell-block can give more accurate diagnosis.

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Pleural-Based Intrathoracic Cystic Lymphangioma in an Infant Mimicking a Pneumonia

Case Reports in Pediatrics ◽

10.1155/2019/7920591 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Zev Frimer ◽

Daniel Fink ◽

Ruth Cytter-Kuint ◽

Victoria Doviner ◽

Elie Picard

Keyword(s):

Benign Tumor ◽

Histopathological Examination ◽

Cystic Lymphangioma ◽

Cervical Region ◽

Resonance Imaging ◽

Mri Scan ◽

Radiographic Findings ◽

First Case ◽

Magnetic Resonance Imaging Mri ◽

One Year

Cystic lymphangioma is an uncommon benign tumor that occurs primarily in children in the cervical region. We report the first case of a pleural-based cystic lymphangioma in an infant. The patient was admitted for RUL pneumonia. Because of the persistence of the radiographic findings despite clinical improvement, a computed tomography (CT) and a magnetic resonance imaging (MRI) scan were performed. They showed a multiloculated cystic lesion in the superior posterior right hemithorax. A surgical procedure was performed with complete resection of the tumor. Histopathological examination showed a pleural-based intrathoracic multicystic lymphangioma. One year after the surgery, the patient feels well without any sign of recurrence.

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Evaluation and comparison of type I tympanoplasty efficacy and histopathological changes to the tympanic membrane in dry and wet ear: a prospective study

The Journal of Laryngology & Otology ◽

10.1017/s0022215115002091 ◽

2015 ◽

Vol 129 (10) ◽

pp. 945-949 ◽

Cited By ~ 15

Author(s):

R Shankar ◽

R S Virk ◽

K Gupta ◽

A K Gupta ◽

A Bal ◽

...

Keyword(s):

Prospective Study ◽

Success Rate ◽

Tympanic Membrane ◽

Histopathological Examination ◽

Chronic Otitis Media ◽

Type I ◽

Significant Difference ◽

Type I Tympanoplasty ◽

One Year ◽

A Prospective Study

AbstractObjective:This study aimed to compare the success rate of type I tympanoplasty in active (wet) and inactive (dry) mucosal chronic otitis media.Methods:A prospective study was performed of 35 patients each with dry ear and wet ear undergoing type I tympanoplasty in the Otolaryngology Department, Postgraduate Institute of Medical Education and Research, India. All patients underwent type I tympanoplasty between January 2010 and June 2011 by the post-auricular approach. Samples of the remnant tympanic membrane were sent for histopathological examination.Results:After a minimum follow up of one year, the success rate was 88.6 per cent for dry ears and 80 per cent for wet ears. Neither the type (p = 0.526) nor the presence (p = 0.324) of discharge influenced the success rate. Histopathological examination of the tympanic membrane margins was performed for 46 patients: of these, 19 showed evidence of vascularity and 27 did not. There was no significant difference in success rate between groups (p = 0.115).Conclusion:The success rate was not influenced by the presence of ear discharge at the time of surgery, and tympanic membrane vascularity did not influence graft uptake.

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Infected Thyroglossal Duct Cyst Involving Submandibular Region: A Case Report

Case Reports in Dentistry ◽

10.1155/2011/978263 ◽

2011 ◽

Vol 2011 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Rahul A. Gandhi ◽

Rahul Bhowate ◽

Shirish Degweker ◽

Arvind Bhake

Keyword(s):

Hyoid Bone ◽

Cystic Lesion ◽

Inflammatory Cells ◽

Needle Aspiration ◽

Thyroglossal Duct Cyst ◽

Histopathological Analysis ◽

Thyroglossal Cyst ◽

Duct Cyst ◽

Submandibular Region ◽

Thyroglossal Duct

Thyroglossal duct cyst presents most frequently in the midline of the neck, either at or just below the level of the hyoid bone. They generally manifest as painless neck swelling, and they move on protrusion of tongue and during swallowing. A case of thyroglossal cyst was reported in the left submandibular region in a 14-year-old girl, above the level of hyoid bone; ultrasound examination favored a cystic lesion which moved in a vertical fashion on swallowing whereas fine needle aspiration cytology report was suggestive of simple cystic lesion of thyroglossal cyst. No lymphoid or malignant cells were present. The cyst was excised completely by surgical procedure under general anesthesia. Histopathological analysis revealed thyroglossal cyst showing columnar and flattened epithelium of cyst with focal aggregate of chronic inflammatory cells supported by fibrocollagenous cyst wall. The clinical, ultrasound, and histopathological findings suggested that the lesion was an infected thyroglossal cyst. There was no evidence of recurrence 6 months after surgery.

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Study of benign neck swellings of anterior neck triangle at a tertiary care centre

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20192709 ◽

2019 ◽

Vol 5 (4) ◽

pp. 941 ◽

Cited By ~ 1

Author(s):

Pradipkumar Digambar Khokle ◽

Vinod Tukaram Kandakure ◽

Ujjwala Madhukar Kolekar

Keyword(s):

Tertiary Care ◽

Surgical Excision ◽

Lateral Neck ◽

Neck Swelling ◽

Thyroglossal Cyst ◽

Tertiary Care Centre ◽

Medical College ◽

Wide Range ◽

Thyroid Swelling ◽

A Prospective Study

Background: Tumors of the neck are interesting to surgeons especially because of the complex neck anatomy and difficult differential diagnosis. The aim is to study different types of neck swellings i.e. thyroid swelling, salivary gland swelling, other neck swellings such as thyroglossal cyst, branchial cyst, lymphangioma and also the miscellaneous and rare lumps in the neck. The study also discusses their age and sex-wise distribution, clinical features, presentation, diagnostic modalities and treatment.Methods: This is a prospective study, conducted at our institute Government Medical College, Latur from June 2017 to May 2018 for a duration of one year. Results: A total of 57 patients were studied during this period. Out of the 57 patients, 47 of them were midline swellings (82.45%) and 10 among them were lateral neck swellings (17.55%). People over a wide range of age group between 5-60 years were affected. Midline neck swelling were more common than lateral neck swellings.Conclusions: Among the midline benign neck swellings, thyroid swelling was found to be the commonest followed by thyroglossal cyst. Thyroid swellings occur more commonly in the females than males. Ultrasound guided FNAC is the most common, effective and safe investigation that aids in the diagnosis. Treatment of choice for benign, non-inflammatory and non-malignant neck swelling is mostly surgical excision rather than medical management.

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