Predictive Value of Fine Needle Aspiration Biopsy and  Ultrasonography in The Diagnosis of Cervical Lymphadenopathy

Şahin Abdulkadir; Koday Merve; Aktan Bülent; Sakat Muhammed; Kılıç Korhan

doi:https://dx.doi.org/10.26650/Tr-ENT.2023.1227477

Research Article

DOI :10.26650/Tr-ENT.2023.1227477 IUP :10.26650/Tr-ENT.2023.1227477 Full Text (PDF)

Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy

Abdulkadir Şahin, Merve Zeynep Koday, Bülent Aktan, Muhammed Sedat Sakat, Korhan Kılıç

Objective: Cervical lymphadenopathy (LAP) is one of the most common pathologies in adults and children. While ultrasonography (USG) and fine needle aspiration biopsy (FNAB) are the two methods used as diagnostic tests, excisional biopsy is the gold standard method for diagnosis. In this study, we aimed to show the relationship between USG findings and FNAB results with malignancy in patients with LAP. Materials and methods: Patients who visited our clinic with the complaint of cervical LAP between March 2020 and September 2022 and underwent excisional biopsy were included in this retrospective study. The number, distribution, side, size, cortical thickness, conglomeration, and necrosis characteristics of LAP were evaluated on USG. The sensitivity and specificity of the FNAB were calculated in patients in accordance with the histopathological results. Results: Of the patients included in the study, 45 were female and 42 were male. The overall mean age was 32.72 ± 20.02. The sensitivity of the FNAB was 43.5% and the specificity was 90.0%. Advanced age, presence of conglomeration, unilateral LAP, and generalized LAP were found to be statistically significant in terms of malignancy, while cortical thickness, the number and size of LAPs, and necrosis were not statistically significant. Conclusion: FNAB was not found to be a reliable test to rule out malignancy due to low sensitivity for determining malignancy and but was found to be a highly selective test, and the malignancy-suspected result detected the real patients quite successfully. The advanced age, unilateral LAP, generalized distribution, and conglomeration were the parameters supporting malignancy.

Keywords: Cervical lymphadenopathy, excisional biopsy, fine needle aspiration biopsy, ultrasonography

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APA

Şahin, A., Koday, M.Z., Aktan, B., Sakat, M.S., & Kılıç, K. (2023). Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy. The Turkish Journal of Ear Nose and Throat, 33(1), 11-15. https://doi.org/10.26650/Tr-ENT.2023.1227477

AMA

Şahin A, Koday M Z, Aktan B, Sakat M S, Kılıç K. Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy. The Turkish Journal of Ear Nose and Throat. 2023;33(1):11-15. https://doi.org/10.26650/Tr-ENT.2023.1227477

ABNT

Şahin, A.; Koday, M.Z.; Aktan, B.; Sakat, M.S.; Kılıç, K. Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy. The Turkish Journal of Ear Nose and Throat, [Publisher Location], v. 33, n. 1, p. 11-15, 2023.

Chicago: Author-Date Style

Şahin, Abdulkadir, and Merve Zeynep Koday and Bülent Aktan and Muhammed Sedat Sakat and Korhan Kılıç. 2023. “Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy.” The Turkish Journal of Ear Nose and Throat 33, no. 1: 11-15. https://doi.org/10.26650/Tr-ENT.2023.1227477

Chicago: Humanities Style

Şahin, Abdulkadir, and Merve Zeynep Koday and Bülent Aktan and Muhammed Sedat Sakat and Korhan Kılıç. “Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy.” The Turkish Journal of Ear Nose and Throat 33, no. 1 (Sep. 2023): 11-15. https://doi.org/10.26650/Tr-ENT.2023.1227477

Harvard: Australian Style

Şahin, A & Koday, MZ & Aktan, B & Sakat, MS & Kılıç, K 2023, 'Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy', The Turkish Journal of Ear Nose and Throat, vol. 33, no. 1, pp. 11-15, viewed 22 Sep. 2023, https://doi.org/10.26650/Tr-ENT.2023.1227477

Harvard: Author-Date Style

Şahin, A. and Koday, M.Z. and Aktan, B. and Sakat, M.S. and Kılıç, K. (2023) ‘Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy’, The Turkish Journal of Ear Nose and Throat, 33(1), pp. 11-15. https://doi.org/10.26650/Tr-ENT.2023.1227477 (22 Sep. 2023).

MLA

Şahin, Abdulkadir, and Merve Zeynep Koday and Bülent Aktan and Muhammed Sedat Sakat and Korhan Kılıç. “Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy.” The Turkish Journal of Ear Nose and Throat, vol. 33, no. 1, 2023, pp. 11-15. [Database Container], https://doi.org/10.26650/Tr-ENT.2023.1227477

Vancouver

Şahin A, Koday MZ, Aktan B, Sakat MS, Kılıç K. Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy. The Turkish Journal of Ear Nose and Throat [Internet]. 22 Sep. 2023 [cited 22 Sep. 2023];33(1):11-15. Available from: https://doi.org/10.26650/Tr-ENT.2023.1227477 doi: 10.26650/Tr-ENT.2023.1227477

ISNAD

Şahin, Abdulkadir - Koday, MerveZeynep - Aktan, Bülent - Sakat, MuhammedSedat - Kılıç, Korhan. “Predictive Value of Fine Needle Aspiration Biopsy and Ultrasonography in The Diagnosis of Cervical Lymphadenopathy”. The Turkish Journal of Ear Nose and Throat 33/1 (Sep. 2023): 11-15. https://doi.org/10.26650/Tr-ENT.2023.1227477

Volume 33, Issue 12023, P. 11-15

TIMELINE

Submitted	01.01.2023
Accepted	17.03.2023
Published Online	29.03.2023

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