Benign neck swellings: a clinico-radio-pathological study

Irfana, Ayshath; Rai, Sheetal; Somayaji, Krishnaraj

doi:10.18203/issn.2454-5929.ijohns20190445

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…Most common ones are thyroid, lymph nodes and various malignancies. 2 There is one rare variety of benign tumors arising from nerve sheath also known as neurilemmoma or schwannoma. It arises from any nerve covered with a Schwann cell sheath, which includes the cranial nerves (except for optic and olfactory), the spinal nerves, and autonomic nervous system.…”

Section: Introductionmentioning

confidence: 99%

An unusual case of lateral neck swelling: schwannoma revisited

Gupta

Singhal²

2023

Int Surg J

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Lateral neck masses can pose a diagnostic challenge with clinicians across the globe. An algorithmic approach with definite investigations usually leads to diagnosing common etiopathogenesis. However, in rare instances it can pose a major challenge and an excision biopsy is both the investigation as well and the therapeutic option. Neurilemmomas are a group of benign nerve sheath tumours and have a pre ponderance for occurrence in head and neck areas. This case report was one such account of unusual neck mass and along with its review of literature.

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Section: Introductionmentioning

confidence: 99%

An unusual case of lateral neck swelling: schwannoma revisited

Gupta

Singhal²

2023

Int Surg J

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Distribution of Non-thyroid Neck Swellings according to Tissue of Origin and Their Radio-pathological Correlation

Tiwari,

Patel,

Doria

et al. 2024

Advances in Human Biology

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Introduction: Neck swellings are commonly found and can be presented as simple benign to malignant. Due to extensive differential diagnosis and similar presentation, the evaluation of neck swellings is more challenging. Most of the cases can be diagnosed after a detailed history and clinical examination of the head and neck, but the final diagnosis will be achieved by histopathological examination. Materials and Methods: The study was conducted from February 2020 to February 2023 on the basis of retrospective and prospective sampling. This study included all the patients with neck swellings, excluding thyroid, who had undergone excisional or incisional biopsy. The present study was carried out on 74 patients with non-thyroid neck swellings, which were classified five into main headings, i.e. lymph node swelling, salivary gland swellings, adipose tissue, neural tissue and skin and soft-tissue swellings as miscellaneous. Data were collected from patient records for retrospective sampling and radiological investigation, and ultrasonography (USG) and excisional or incisional biopsy were done for prospective sampling. A radiological and pathological correlation was analysed as benign and malignant. Results: Out of the 74 patients, n = 60, 81% were benign and n = 14, 19% were malignant. The most common swelling according to the tissue of origin was lymph node (n = 31, 41.9%) followed by salivary gland n = 15 (20.3%), adipose tissue (n = 7, 9.5%) and neural tissue (n = 6, 8.1%) origin. Other soft-tissue swellings were 20.3%. The overall sensitivity, specificity, positive predictive value, negative predictive value and radiological (USG) diagnosis accuracy to differentiate between benign and malignant are very similar to gold standard histopathological examination. Conclusion: Lymph node swellings were the most common swelling involving the neck region. USG diagnosis is highly sensitive for diagnosing malignant swellings but less good at confirming benign swellings. Radiological diagnosis is not a substitute for conventional surgical histopathology but is regarded as a precious complement in diagnosis. Newer diagnostic techniques are required to be infallible and accurate for further management.

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Distribution of non-thyroid neck swellings and their clinicopathological correlation

Chaturvedi,

Patel,

Chaturvedi

et al. 2024

Journal of Family Medicine and Primary Care

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Background: Neck swellings are frequently found and can present the vast pathological spectrum from simple benign to highly malignant, which sometimes can pose a diagnostic dilemma. They are broadly classified as developmental, inflammatory, and neoplastic on the basis of etiology. The aim of the study is to assess the distribution of neck swelling according to etiology and its relation to age groups, as well as to assess their clinicopathological correlation as benign and malignant. Materials and Methods: The study was conducted from January 2020 to February 2023 on the basis of retrospective and prospective sampling. All the patients with neck swellings, except thyroid, who had undergone an excisional or incisional biopsy, were included in this study. Data was collected from in-patient records for retrospective sampling, and fine-needle aspiration cytology (FNAC), radiological investigation, and excisional or incisional biopsy were performed for prospective sampling after proper history and examination. Cytological and pathological correlation was analyzed as benign and malignant. Sensitivity and specificity were calculated. (P value <0.001 considered significant) Results: Out of the 74 patients, 16% were categorized as developmental, 31% as inflammatory, and 53% as neoplastic (benign 64%, malignant 36%). The most common cause was an epidermoid cyst (50%) among developmental swellings, reactive lymphadenitis (48%), and tuberculosis (35%) among inflammatory, pleomorphic adenoma among benign neoplasm and metastasis to lymph node among malignant swelling. Malignant lesions mainly occur in the older age group, more than 40 years of age. The overall sensitivity, specificity, and accuracy of FNAC, to differentiate from benign to malignant, is very similar to histopathological examination. Conclusion: Different age groups breed different etiology, so age needs to be the prime demographic factor to be established. Pediatric and younger generations of neck swelling are usually inflammatory and developmental, in contrast to the older category, in which malignancy is far more prevalent, hence demanding more caution in evaluation. FNAC is a diagnostic tool that has become highly sensitive for malignant lesions; though in no sense can it replace histopathology, it can still be valuable in diagnostic and screening dilemmas of neck swelling.

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Benign neck swellings: a clinico-radio-pathological study

Cited by 3 publications

References 8 publications

An unusual case of lateral neck swelling: schwannoma revisited

An unusual case of lateral neck swelling: schwannoma revisited

Distribution of Non-thyroid Neck Swellings according to Tissue of Origin and Their Radio-pathological Correlation

Distribution of non-thyroid neck swellings and their clinicopathological correlation

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