Display options
Share it on

Pol J Radiol. 2017 May 13;82:263-270. doi: 10.12659/PJR.901072. eCollection 2017.

Role of Computed Tomography (CT) in Localisation and Characterisation of Suprahyoid Neck Masses.

Polish journal of radiology

Rashmeet Kaur, Paramdeep Singh, Navkiran Kaur, Simmi Bhatnagar, Anshul Dahuja

Affiliations

  1. Department of Radiology, Guru Gobind Singh Medical College and Hospital, Baba Farid University of Health Sciences, Faridkot, Punjab, India.
  2. Department of Radiology, Government Medical College and Hospital, Patiala, Punjab, India.
  3. Department of Orthopedics, Guru Gobind Singh Medical College and Hospital, Baba Farid University of Health Sciences, Faridkot, Punjab, India.

PMID: 28580042 PMCID: PMC5439378 DOI: 10.12659/PJR.901072

Abstract

BACKGROUND: Suprahyoid neck lesions are difficult to assess only by means of clinical inspection and therefore imaging techniques are required to precisely evaluate suprahyoid neck spaces. The aim of this study was to evaluate the distinctive role of computed tomography in the assessment of anatomical source and pathological type of masses involving the suprahyoid neck spaces.

MATERIAL/METHODS: Sixty patients presenting with suprahyoid neck masses underwent computed tomography of the neck. The CT findings were correlated with histopathological findings and a final diagnosis was made.

RESULTS: Overall, male preponderance was seen except in the case of parotid space lesions where female predominance was seen. The most common aetiology was squamous cell carcinoma and the majority of cases (30%) were seen in patients aged 41-50 years. The majority of lesions were found in the pharyngeal mucosal space (n=16) with squamous cell carcinoma being the most common pathology. In the parotid space, pleomorphic adenoma and in the prestyloid parapharyngeal space, squamous cell carcinoma were the most common lesions, respectively. In the retropharyngeal space, an equal incidence of malignant and inflammatory aetiologies was seen. Abscesses were the most common lesions in the prevertebral space. The pleomorphic adenoma was the most common benign tumour and was also the second most common tumour in the suprahyoid neck spaces. CT had an excellent correlation with histopathological findings with sensitivity of 96.4%, specificity of 100%, positive predictive value of 100% and a negative predictive value of 91.67%.

CONCLUSIONS: Computed tomography definitely has a major role to play in the evaluation of suprahyoid neck masses as it has an excellent correlation with post-operative histopathological diagnosis.

Keywords: Head and Neck Neoplasms; Neck; Pathology; Tomography, Spiral Computed

Conflict of interest statement

Conflicts of interest None.

References

  1. JNMA J Nepal Med Assoc. 2011 Oct-Dec;51(184):164-70 - PubMed
  2. Laryngoscope. 2016 Feb;126(2):392-8 - PubMed
  3. Semin Roentgenol. 2000 Jan;35(1):63-71 - PubMed
  4. Surg Oncol Clin N Am. 2015 Jul;24(3):455-71 - PubMed
  5. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2012;11:Doc08 - PubMed
  6. Radiology. 2000 Jan;214(1):231-6 - PubMed
  7. AJR Am J Roentgenol. 1991 Jul;157(1):147-54 - PubMed
  8. Onco Targets Ther. 2015 Jun 08;8:1291-313 - PubMed
  9. Dentomaxillofac Radiol. 2000 May;29(3):133-43 - PubMed
  10. Radiology. 1990 Jan;174(1):59-64 - PubMed
  11. J Cancer Res Ther. 2015 Oct;11 Suppl 2:C202-4 - PubMed
  12. Am J Med. 2016 Jan;129(1):e1-2 - PubMed
  13. J Laryngol Otol. 2006 Jan;120(1):47-55 - PubMed
  14. HNO. 2016 Mar;64(3):189-209; quiz 210 - PubMed
  15. Cancer Imaging. 2016 Aug 03;16(1):20 - PubMed
  16. Auris Nasus Larynx. 2016 Apr;43(2):182-6 - PubMed
  17. Zhonghua Zhong Liu Za Zhi. 2015 May;37(5):361-6 - PubMed
  18. Otolaryngol Clin North Am. 2016 Apr;49(2):285-312 - PubMed
  19. Radiology. 1984 Oct;153(1):149-56 - PubMed
  20. J Belge Radiol. 1993 Oct;76(5):307-10 - PubMed
  21. Expert Rev Anticancer Ther. 2015;15(12):1489-501 - PubMed
  22. Indian J Dent. 2015 Jul-Sep;6(3):121-4 - PubMed
  23. Radiol Clin North Am. 2015 Jan;53(1):133-44 - PubMed
  24. Acta Otorhinolaryngol Ital. 2010 Apr;30(2):94-9 - PubMed

Publication Types