DIAGNOSTIC IMAGING OF THE LATERAL NECK MASSES IN ADULTS: A STUDY IN RAMATHIBODI HOSPITAL.
Keywords:
lateral neck mass, roentgenography, adultAbstract
The retrospective study of roentgenographic evaluation for solely lateral neck mass in 146 adult patients at ENT clinic, Ramathibodi Hospital, during 1987-94 prior to panendoscopy with random-guided- directed biopsy of upper aerodigestive tract was proposed. X-ray chest (PA view) showed abnormal in 21.3%. Tuberculosis, non-tuberculosis, pulmonary mass, hilar or mediastinal mass and miliary infiltration were 5.5,6.2,2.7, 6.2 and 0.7% respectively. Panendocopic finding was abnormal only in 1 case. Barium swallowing in 67 cases had sensitivity, specificity, accuracy, positive predictive value and negative predictive value of 50.0,96.6,91.1,66.7 and 93.4%. It was necessary to be done in swallowing disorder patients. CT scan of the head and neck region in 18 patients, 16 had abnormal findings; it was rec- ommended in suspected nasopharyngeal cases or lessions difficult to be palpated. Other investigations such as thyroid scan, neck ultrasonography, sialography or angiography was used when they were indicated. Roentgenographic cost had an importnat role in order to choose the suitable investigation and gave maximal benefit for patients.
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