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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | Role of high resolution ultrasonography and elastography in cervical lymphadenopathy |
| Authors Name: | Dr Vitthal Nagargoje , Dr Gautam M |
| Unique Id: | IJSDR2409011 |
| Published In: | Volume 9 Issue 9, September-2024 |
| Abstract: | Background: This study was carried out to compare the results of ultrasonogram and elastography with histopathological examination(HPE) so as to determine the accuracy and efficacy of sonoelastography in differentiating benign and malignant nodes as well as differentiating between various benign cases like tuberculous and other reactive nodes. Materials and methods: A Prospective study was conducted among 85 patients with cervical lymphadenopathy referred to the department of Radio-diagnosis, RRMCH for duration of one year. They were subjected to Ultrasonography and Doppler study of the neck and Ultrasonogram guided FNAC / biopsy. The characteristic features of each lymph node and intra nodal vascular pattern was noted down. The pattern of elastography was stored and analysed. The histopathological results were compared with sonographic and elastographic diagnosis. Results: Majority of the lymph nodes were round (62.4%), hypoechoic (92.9%), had unsharp margins (54.1%). Most common pattern seen on radiodiagnosis was hilar (34.1%) whereas on elastography, most common pattern was very soft in 29.4%. HPE showed significant association with both radio-diagnosis and elastography diagnosis (P<0.05). The sensitivity of radiological diagnosis was 88.9 and the specificity was 98.0 which are quite high. The sensitivity and specificity were 88.9% and 89.8% respectively which is slightly lower compared to radiological diagnosis. Conclusion: Combination of elastography and B- mode ultrasonogram, can increase the sensitivity to 100% and specificity also increases in differentiating benign and malignant nodes Elastography can be included in the initial workup of the patients with cervical lymphadenopathy, so that more malignancy can be brought into light. |
| Keywords: | Cervical lymphadenopathy, Elastography, Ultrasonography, Sensitivity, Specificity. |
| Cite Article: | "Role of high resolution ultrasonography and elastography in cervical lymphadenopathy", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.9, Issue 9, page no.95 - 104, September-2024, Available :http://www.ijsdr.org/papers/IJSDR2409011.pdf |
| Downloads: | 00027 |
| Publication Details: | Published Paper ID: IJSDR2409011 Registration ID:212419 Published In: Volume 9 Issue 9, September-2024 DOI (Digital Object Identifier): Page No: 95 - 104 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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