High Resolution Sonography in Diagnosis of Metastatic Cervical Lymph Nodes in Oral Squamous Cell Carcinoma
DOI:
https://doi.org/10.3329/jbcps.v28i2.5369Keywords:
Oral squamous cell carcinomaAbstract
Ultrasound is reported superior to clinical palpation fordetecting lymph nodes and metastasis. The advantage of
ultrasound over other imaging modalities is price, low
patient burden, and possibilities for follow up. A cross
sectional Study on 29 cases of oral squamous cell carcinoma
was done in Department of Oral & Maxillofacial Surgery,
Dhaka Dental College & Hospital, Dhaka from January
2006 to December 2007. The sensitivity, specificity, positive
predictive value, negative predictive value & Accuracy of
Ultrasonographic technique for determining metastatic
cervical lymph node were 93.33%, 50%, 66.7%, 87.5% and
72.4% respectively. Considering the finding of the study,
Sonographic evaluation can improve the diagnosis of
metastatic cervical lymph node in patients with oral
squamous cell carcinoma. It is cost effective, non-invasive,
less burden to patient, does not create problem of
overlapping with mandible and can be done repeatedly to
follow up. Therefore, high resolution sonography may be
an adjunct tool in diagnosing metastatic nodes in patients
with oral squamous cell carcinoma.
DOI: 10.3329/jbcps.v28i2.5369
J Bangladesh Coll Phys Surg 2010; 28: 92-99
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