Keywords : neckswellings
TO DETERMINE THE EFFICACY OF ULTRASOUND IN THE DIAGNOSIS OF NECK SWELLINGS
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 1264-1271
Aim: To determine the efficacy of ultrasound in the diagnosis of neckswellings.
Methods: This research comprised 50 instances with clinically evident swellings in the neck area. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of ultrasonography diagnosis were assessed for each group of neck swellings. The sensitivity analysis for such a tiny number is invalid since there were only three congenital swellings.
Results: Our research comprised patients of various ages, with a minimum age of 25 days and a maximum age of 82 years, with a mean age of 37.5 years. In our research, 15 (30%) of the patients were men, whereas 35 (70%) were girls. According to the research, about two-thirds (32) of neck swellings were solid, 5 were cystic, and 13 swellings contained both solid and cystic components. In our investigation, 64% of clinically firm swellings were determined to be solid, whereas the rest were either completely cystic or mixed in nature. This research found that the Sensitivity, Specificity, PPV, and NPV of the US for inflammatory swellings are 87 percent, 97 percent, 95 percent, and 92 percent, respectively. The sensitivity analysis of clinical diagnosis and ultrasound diagnostic for inflammatory swellings.The sensitivity of US in identifying malignant lesions of the neck in 50 patients with neck swellings was 87 percent in this research, with a specificity of 99 percent, PPV 93 percent, and NPV 97 percent.
Conclusion: US can tell the difference between solid and cystic neck swellings, as well as malignant and benign neck swellings. It may detect thyroid, salivary gland, and lymph node lesions, as well as differentiate between abscess and cellulitis.