scholarly journals Schwannomas of ear, nose, throat and neck

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Nilam U. Sathe ◽  
Sheetal Shelke ◽  
Ankur Pareek ◽  
Kamini Chavan
Keyword(s):  
Head And Neck ◽  
Management Strategy ◽  
Cranial Nerves ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Neck Masses ◽  
Needle Aspiration Cytology ◽  
Nerve Of Origin ◽  
Tomography Scan ◽  
Nose And Throat

Schwannoma is a benign tumour of nerve sheath origin with latent malignant potential. All cranial nerves can give rise to schwannoma except for olfactory and optic nerves, which are devoid of Schwann cell. Schwanommas are usually asymptomatic and present late owing to compression of nerve of origin. We present our study of 19 cases of schwannoma arising from unusual sites in head and neck, having varied presentation and the challenges faced in management of these cases. These cases presented in detail to the department of Ear, Nose and Throat, KEM Hospital, and were thoroughly evaluated clinically and radiologically to formulate a management strategy. Schwannoma of the head and neck is a rare entity but should be considered as differential diagnosis in unilateral nasal mass cases, palatal masses, anterior and lateral neck masses. Nerve of origin may not always be clear preoperatively but the possibility of postoperative loss of nerve function should be kept in mind. Radiological investigations like computed tomography scan and magnetic resonance imaging play a pivotal role in management. In case of nonvascular neck tumours, fine needle aspiration cytology is crucial but has low accuracy in the diagnosis of neural tumors. Histopathology of excised tumour remains the gold standard in diagnosis.

scholarly journals Audit of head and neck fine needle aspiration cytology from a tertiary institution in south - west Nigeria

2019 ◽  
Vol 9 (1) ◽  
pp. 14-20
Author(s):  
V.I. Akinmoladun ◽  
C.A. Okolo ◽  
T.O. Aladelusi ◽  
O.O. Gbolahan
Keyword(s):  
Head And Neck ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Patient Acceptability ◽  
Fine Needle ◽  
Neck Masses ◽  
Needle Aspiration Cytology ◽  
Head And Neck Masses

Objective: FNAC is a well-established initial investigative tool for head and neck masses due to its being cost effective, quick to perform, low associated morbidity, high patient acceptability and high diagnostic accuracy. This study aimed to audit the utilization and deployment of FNAC in the management of head and neck masses in our hospitalMethods: This is a retrospective study of all patients presenting for fine needle aspiration cytology of lesions in the head and neck region at our hospital for fifteen years (from 2008 to 2017). All data were extracted from the FNA clinic records. The data was analyzed using the SPSS version 21 and results presented as figures and percentages.Results: During the study period, 3194 patients were seen, 2789 had complete information for analysis. There were 875 males (31.4%) and 1914 females (68.6%). The ages ranged between 1 year and 103 years. Overall mean age was 39.7 + 17.9 years. The commonest site was the anterior neck, accounting for 1323 (47.4%) of the lesions. Cervical lymph nodal swellings accounted for 548 (19.6%)]. Benign lesions constituted 35%. A total of 160 (5.7%) specimens were reported as inconclusive. Malignant lesions had the highest prevalence in the 1-10year age group. There was no complication reported with any of the procedures.Conclusion: FNAC is an established tool for investigating head and neck lesions in our hospital. The practice however needs to be further developed in line with the recommendations of National Institute for Clinical Excellence for improved outcomes.Keywords: Fine needle aspiration cytology, head neck masses

Accuracy of fine‐needle aspiration cytology of head and neck masses

2018 ◽  
Vol 47 (5) ◽  
pp. 394-399 ◽  
Author(s):  
Soumaya Rammeh ◽  
Emna Romdhane ◽  
Asma Sassi ◽  
Linda Belhajkacem ◽  
Ahlem Blel ◽  
...  
Keyword(s):  
Head And Neck ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Neck Masses ◽  
Needle Aspiration Cytology ◽  
Head And Neck Masses

scholarly journals Head-Neck Schwannoma: Presenting as a Huge Posterior Neck Swelling

2020 ◽  
Vol 5 (7) ◽  
pp. 635-637
Author(s):  
Islam MA ◽  
Chowdhury NH ◽  
Mohammad T ◽  
Mamun TB ◽  
Khan SR Rahman ASML ◽  
...  
Keyword(s):  
Needle Aspiration ◽  
Resonance Imaging ◽  
Open Biopsy ◽  
Aspiration Cytology ◽  
Neck Masses ◽  
Posterior Neck ◽  
Needle Aspiration Cytology ◽  
Slow Growing ◽  
Nerve Of Origin ◽  
Head Neck

Schwannomas are benign slow growing tumors that arise from the Schwann cells of nerve, also called neurilemmoma. Head and Neck schwannomas usually present as solitary with well demarcated lesions. These tumors usually remain asymptomatic but present as slowly enlarging neck masses. Its origin is only determined during surgical procedure along the course and distribution of the nerve. Preoperative diagnosis is usually made by physical examination and aided by ultrasonography, magnetic resonance imaging or computed tomography and fine needle aspiration cytology but open biopsy is not recommended. The main stay of treatment is complete intracapsular excision with preserving the nerve of origin.

scholarly journals Accuracy of fine needle aspiration cytology in the diagnosis of palpable head and neck masses in a tertiary health care center

2012 ◽  
Vol 6 (4) ◽  
pp. 19-25
Author(s):  
GG Swamy ◽  
A Singh ◽  
JM Ahuja ◽  
N Satyanarayana
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Needle Aspiration ◽  
Medical Sciences ◽  
Aspiration Cytology ◽  
Head And Neck Region ◽  
Fine Needle ◽  
Neck Masses ◽  
Needle Aspiration Cytology ◽  
Head And Neck Masses

Palpable masses in head and neck are a common clinical finding, affecting all age groups. These lumps may be extremely worrying for both physician and patient, as a wide variety of pathological conditions. Accurate cytological analysis has played a major role in evaluation and planning for surgery. We attempted to evaluate the role of Fine Needle Aspiration Cytology (FNAC) in diagnosing lesions of the head and neck region and to review the diversity of lesions in the patients attending the hospital. The study was conducted retrospectively in the department of pathology at College of Medical Sciences- Teaching Hospital, Bharatpur, Nepal a tertiary health care centre. The target population comprised patients presenting with palpable masses at head and neck region during the period of February 2007 to December 2009. The accuracy of FNAC was verified by histological examination in this final study group of (n=125) patients. In these (n=125) patients, twenty five were males and hundred were females. Thyroid gland (60%) was the commonest site aspirated, followed by lymph node (20%), salivary gland (16%) and soft tissue lesions (4%). In our study the sensitivity was 87.5%, the specificity was 100%, the positive predictive value was 100%, the negative predictive value was 98.26% and false negatives were 12.5%. We concluded that FNAC is a safe, cost-effective, sensitive and specific technique in the initial evaluation of head and neck masses. A correct cytological diagnosis can be achieved in a majority of cases, avoiding the need for surgical interventions. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 19-25 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6721

Sign in / Sign up

Export Citation Format

Share Document