A CLINICAL STUDY OF EXTRA-THYROIDAL NECK SWELLINGS
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Keywords
Extra-thyroidal neck swellings, cervical lymphadenopathy, FNAC, tuberculosis, metastatic neck nodes
Abstract
Extra-thyroidal neck swellings comprise a diverse group of congenital, inflammatory, and neoplastic conditions. The neck frequently serves as a site for lymphatic spread of head and neck malignancies, making early diagnosis crucial.
Aim: To study the epidemiological profile, etiological spectrum, and diagnostic utility of fine needle aspiration cytology (FNAC) in extra-thyroidal neck swellings.
Materials and Methods: A prospective clinical study was conducted on 60 patients presenting with extra-thyroidal neck swellings at Uttar Pradesh University of Medical Sciences, Saifai, between February 2018 and August 2019. Patients above 7 years of age with histologically proven non-thyroidal neck swellings were included. Clinical examination, imaging, FNAC, and histopathology were employed for diagnosis.
Results: Of the 60 patients, 36 (60%) were males and 24 (40%) were females. Lymph node swellings constituted the majority (71.66%). Tuberculous lymphadenitis was the most common diagnosis (28.33%), followed by metastatic cervical lymphadenopathy (23.33%). FNAC was diagnostic in most cases. Unknown primary tumors accounted for 35.71% of metastatic neck nodes.
Conclusion: Extra-thyroidal neck swellings are predominantly lymph nodal in origin. Tuberculosis remains a common cause in younger patients, while malignancy must be excluded in older individuals. FNAC is an effective initial diagnostic tool in the evaluation of neck swellings.
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Dr. Jaypal Singh
Assistant Professor ENT, GMC Orai, Jalaun, UP- 285001, Email – [email protected]
Dr. Mahendra Kumar Saroj
Assistant Professor ENT, MVASMC, Mirzapur UP-231001, Email – [email protected],
Dr. Sharada H
Associate Professor, Department of Shalakya Tantra, Institute of Ayurveda Major S D Singh University, Farrukhabad, UP- 209749, Email- [email protected]
