Which is Important in the Evaluation of Metastatic Lymph Nodes in Head and Neck Cancer: Palpation, Ultrasonography, or Computed Tomography?

Haberal, İlknur; Çelik, Hatice; Göçmen, Hakan; Akmansu, Halit; Yörük, Muharrem; Özeri, Cavit

doi:10.1016/j.otohns.2003.08.025

Cited by 113 publications

(98 citation statements)

References 14 publications

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“…It has disadvantages of being expensive and with hazards of radiation exposure [11,12]. Ultrasound scanning has improved the overall accuracy of diagnosis of cervical metastases [13]. It is a cheap and highly reliable method without hazards of radiation exposure [14,15].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Cervical Lymph Nodes in Squamous Cell Carcinoma of the Head and Neck

Saafan¹

2013

Surgery

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Section: Introductionmentioning

confidence: 99%

Assessment of Cervical Lymph Nodes in Squamous Cell Carcinoma of the Head and Neck

Saafan¹

2013

Surgery

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“…[15][16][17][18][19] There was a mix of methodological designs including Randomized Control Trials; [20] correlation studies; [21][22][23][24] mixed methods; [25] and prospective study design. [23] The sample size across the included studies ranged from 13 [18] to 152. [19] Participants were patients, medical/chiropractor students and clinicians (surgeon, dermatology).…”

Section: Reporting Resultsmentioning

confidence: 99%

“…With continued advances in technology, Alderson et al [21] advocated for physicians to rely more on ultrasound when detecting cancer in the head and neck regions as opposed to palpation alone. Similarly, Haberal et al [23] argued that while palpation is a valuable skill, CT paired with ultrasonography (USG) provided accurate and reliable results when combined together. Hoang et al [30] advocated for a systematic approach in assessing the cervical lymph nodes highlighting the use of CT and MRI, while de-emphasizing the need for palpation as smaller nodes can harbor metastases and can be difficult to palpate (p. 17).…”

Section: A Cartesian Perspective On Palpation Knowledgementioning

confidence: 99%

The practice and teaching of palpation of the head and neck: A scoping review

Epstein

Herne²,

Masita³

et al. 2017

JNEP

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Objective: To explore how palpation of the head and neck is practiced and taught. Methods: The scoping review methodology was guided by Arksey and O'Malley's five-stage approach. Three experienced and independent reviewers searched nine databases according to a predetermine inclusion and exclusion criteria. Results: A total of 15 articles from medicine, chiropractic and dentistry published between 1987 and 2016 were included. Two overarching themes emerged, a Cartesian and a Pragmatic perspective in practicing and teaching palpating of the head and neck. Although both perspectives are valuable, we advocate to practice and teach palpation of head and neck from a Pragmatic perspective particularly with the increase use of ultrasound technology to detect masses. A pragmatic perspective takes into account the patient's context, the ethics of care and highlights the importance of health care providers fostering interpersonal relationships with others during physical assessment. Conclusions: Although nursing studies were absent from this review we believe nurses play a vital role when they are aware of the Cartesian and Pragmatics perspectives when practicing and teaching head and neck palpation as part of a physical assessment. Learning how other disciplines are practicing and teaching head and neck palpation skills will improve interdisciplinary collaboration.

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“…The results of the study were in accordance with those reported by Millesi et al [28] and Hodder et al [29], who found values over 90 %. Other authors obtained different results; Haberal et al [30] and Anand et al [31] found rates over 70 %, but Hohlweg-Majert et al [32] described a sensitivity of 24.5 % for US.…”

Section: Discussionmentioning

confidence: 95%

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Martins

Salum

Cherubini

et al. 2014

J. Maxillofac. Oral Surg.

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Objective The aim of this study was to evaluate the contribution of ultrasonography in the establishment of the diagnosis of nonspecific nodular lesions of the oral soft tissues. We determined the indication of use and reliability of ultrasonography in the field of dentistry, considering whether it was of value in the conclusive diagnosis of these pathologies. Materials and Methods We recruited 65 patients from the Oral Medicine Unit of São Lucas Hospital, who had submucosal and subcutaneous nodules, without established diagnosis. They were subjected to ultrasonography of the lesion, carried out with standardization of the protocol and equipment, utilizing a Doppler system. The ultrasonographic report was prepared by an experienced professional, noting the imaging characteristics as well as the possibility of diagnosis. Two calibrated examiners analyzed the data, comparing the ultrasonographic report with the final diagnosis. Accordingly, we used established scoring, where zero corresponded to no contribution to the final diagnosis, 1 helped in the management of the case, and 2 when imaging determined the diagnosis. Results A zero score was obtained for 12.3 % of the examinations performed, and 1 and 2 accounted for respectively 41.5 and 46.1 %, totaling a contribution of about 88 %. Ultrasonography was of value in the diagnosis of vascular lesions in 93.3 % and of neoplasms in 87.5 %. In the salivary gland diseases, it contributed to the final diagnosis in 75 %. Conclusion The results demonstrated that ultrasonography is an effective tool in the determination of the definitive diagnosis of nonspecific nodular lesions of the soft tissues of the oral and maxillofacial region.

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Which is Important in the Evaluation of Metastatic Lymph Nodes in Head and Neck Cancer: Palpation, Ultrasonography, or Computed Tomography?

Abstract: Statistical analysis was done with chi(2) test. The difference between histologic findings and palpation is significant (P = 0.0005). The difference between histologic findings and USG and CT is significant (P = 0.0001 and P = 0.0001).

Cited by 113 publications

References 14 publications

Assessment of Cervical Lymph Nodes in Squamous Cell Carcinoma of the Head and Neck

Assessment of Cervical Lymph Nodes in Squamous Cell Carcinoma of the Head and Neck

The practice and teaching of palpation of the head and neck: A scoping review

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

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