Clinico-pathological correlation study of cervical lymph node masses

Abstract

One hundred and ten cases of cervical lymph node masses were subjected to clinical evaluation and aspiration cytology. Eighty six cases which subsequently underwent open biopsy were subjected to histopathological evaluation. Accuracy, specificity and sensitivity of clinical diagnosis were 86.1%, 93.6% and 91.1% respectively as compared to 88.3%, 97.6% and 93.6% respectively for aspiration cytology. Reliability coupled with other advantages makes aspiration cytology the first line investigation in evaluating cervical lymph node masses reserving open biopsy for certain specific indications. Based on the conclusions a protocol is being recommended for evaluation of cervical lymph node masses. © 1997 Association of Otolaryngologists of India.