Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Identifying patients with regional neck node metastasis and initiating appropriate treatment is crucial for reducing mortality associated with head and neck malignancies. This study was conducted at a tertiary care center in India to assess the correlation between evidence of neck node metastasis on both clinical and histopathological examination. Additionally, the study aimed to determine the most common tumor and nodal staging at presentation. A proforma was completed for each patient with head and neck malignancy from the medical registry who underwent any type of neck dissection along with resection of the primary tumor. The sensitivity and specificity of clinical examination for neck node metastases were found to be 70.37% and 60.78%, respectively. The positive and negative predictive values were 48.72% and 79.49%, respectively. Although most patients presented with a tumor stage of T2, half of patients did not have any clinically palpable cervical lymph nodes when considering nodal staging alone. The study underscores the importance of addressing the neck electively in cases of head and neck malignancy, alongside resection of the primary tumor. Even in cases where neck nodes were not clinically palpable, histopathological examination revealed evidence of neck node metastasis, highlighting the significance of thorough evaluation and treatment of the neck in these patients.
How to cite this article:
Nishant Shrivastava, Shriram Gautam and Shikha Shrivastava. A Retrospective Study on Clinicopathological Correlation of Neck Lymph Node Metastasis in Head and Neck Malignancy.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.322.325
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.322.325