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Dissertation Chapters | Radiology and Medical Imaging Sciences | India | Volume 13 Issue 7, July 2024 | Popularity: 5.9 / 10

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CT Evaluation of Neck Masses

Anjana Trivedi, Maulik Jethva, Manthan Solanki, Shikhar Mishra

Abstract: Background & Objectives: Neck pathologies are common ailments. For acute treatment to be given to patient accurate diagnosis of benign or malignant lesion needs to be established using imaging modalities. MDCT is widely available and relatively cheap imaging modality which can localize and characterize mass lesions. Objectives: To assess the role of contrast enhanced CT scan neck in evaluation of neck lesions: Location, morphological characteristics and enhancement pattern of neck lesions. Outline the extent and adjacent structure involvement of neck lesions. Materials and Methods: Total number of 100 patients were included in study and CECT was performed. Studies were acquired on plain scans and after nonionic contrast administration. Special attention was allotted to local tissue invasion, vascular thrombosis, bony invasion and enhancement patterns. Results: Our study showed 36 benign and 64 malignant lesions. Wherever possible the diagnosis was confirmed with help of histopathology. Post radiation necrosis was wrongly diagnosed as recurrent mass lesion in one case. Also one case which was diagnosed as benign lesion turned out to be carcinoma of buccal mucosa on histopathological analysis. MDCT showed accuracy of 97% while diagnosing lesions. Interpretation and conclusion: CT is an important and versatile tool in localizing and characterizing neck lesions and help in determining the accurate modality of treatment.

Keywords: Neck pathologies, imaging modalities, contrast enhanced CT, Benign and malignant lesions, MDCT accuracy

Edition: Volume 13 Issue 7, July 2024

Pages: 1241 - 1256

DOI: https://www.doi.org/10.21275/SR24712162921

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