scholarly journals The spectrum of various palpable lesions in head and neck region in a tertiary care hospital-FNAC study

2020 ◽  
Vol 3 (1) ◽  
pp. 380-384
Author(s):  
Dr. Pulak Raj ◽  
Dr. Brij Mohan Kumar Singh ◽  
Dr. Arijit Bishnu
Keyword(s):  
Head And Neck ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Neck Region ◽  
Care Hospital ◽  
Head And Neck Region

scholarly journals Varied Presentations of Non-Hodgkin Lymphoma in Head and Neck Region

2020 ◽  
Vol 28 (1) ◽  
pp. 30-36
Author(s):  
Chiranjib Das ◽  
Pritam Chatterjee
Keyword(s):  
Head And Neck ◽  
Hodgkin Lymphoma ◽  
Nk Cell ◽  
Tertiary Care ◽  
Cervical Lymphadenopathy ◽  
Neck Region ◽  
Care Hospital ◽  
Head And Neck Region ◽  
Non Hodgkin Lymphoma ◽  
A Prospective Study

Introduction Majority of lymphomas involving the head and neck are Non-Hodgkin lymphoma (NHL). Most of them present as cervical lymphadenopathy. The objectives of this study are to present the problems encountered in the diagnosis of extra-nodal NHL in head and neck region and show the importance of thorough clinical examination and proper investigation. Materials and Methods A prospective study was done in the department of ENT in a tertiary care hospital of West Bengal from July 2015 to June 2018. Patients diagnosed as NHL on the basis of histopathology and immunohistochemistry were included in this study. Patients who were lost in follow up were excluded from the study. Patients were treated with chemotherapy and radiotherapy by Oncologist. All patients were followed up routinely both by Otorhinolaryngologist and Oncologist.     Results There were 26 male and 11 female patients in this study. Patients were between 22 years to 76 years of age with highest incidence in 6th decade of life. Patients presented with only cervical lymphadenopathy; asymmetrical tonsillar enlargement with cervical lymphadenopathy; unilateral tonsillar enlargement only; huge inta-oral mass with stridor; parotid gland swelling; thyroid swelling with multiple cervical lymphadenopathy; epistaxis, palatal ulcer and cheek swelling; severe trismus with inconspicuous retro-mandibular mass. Majority of patients did well with chemoradiotherapy. Two patients succumbed to death, one with huge intra-oral NHL and another with nasal T/NK-cell lymphoma.  Conclusion Good knowledge of the clinical characteristics of extra-nodal NHL and the methods to establish the diagnosis are essential for a correct and timely therapy of the disease.

scholarly journals A study of FNAC of head and neck region at a tertiary level hospital

2021 ◽  
Vol 6 (2) ◽  
pp. 91-96
Author(s):  
Jyoti P Sapre ◽  
Kirti N Vyas ◽  
Alpeshkumar M Maru
Keyword(s):  
Salivary Gland ◽  
Minimally Invasive ◽  
Lymph Nodes ◽  
Head And Neck ◽  
Soft Tissues ◽  
Subcutaneous Tissue ◽  
Tertiary Care ◽  
Neck Region ◽  
Care Hospital ◽  
Head And Neck Region

Swellings in the Head and Neck region are very common and are evaluated with the help of a detailed clinical history, physical examination and investigations like FNAC, USG, CT scan or excisional biopsy. Fine Needle Aspiration Cytology (FNAC) is a simple, quick, inexpensive and minimally invasive OPD procedure used in the diagnosis of different swellings of Lymph nodes, thyroid, salivary gland and soft tissues in the Head and Neck region.We did this study with the purpose of identifying the frequency and distribution of different pathologies found in FNAC done in patients presenting with a swelling in the Head and Neck region as per the site, age, sex and type of the lesion.A retrospective study was conducted on the patients presenting with swelling in the Head and Neck region at the Pathology department of a tertiary care hospital between the duration of 1 August 2019 to 30 April 2021. FNAC was performed on total 260 patients.Out of 260 cases, 157 cases (60.4%) were from Lymph nodes, 50 cases (19.2%) from thyroid gland, 27 cases (10.3%) from skin and subcutaneous tissue, 23 cases (8.84%) from salivary gland and 3 cases (1.1%) were inconclusive due to inadequate material aspiration. 149 cases (57.98%) were inflammatory, 70 cases (27.24%) benign and 38 cases (14.78%) were found to be malignant.FNAC is a simple, quick, inexpensive, minimally invasive OPD procedure and used as first line of investigation in the diagnosis of swellings in the Head and Neck region.

scholarly journals Intralesional Sclerotherapy with Polidocanol in the Management of Head and Neck Vascular Lesions

2016 ◽  
Vol 24 (3) ◽  
pp. 136-140
Author(s):  
Arindam Das ◽  
Anindita Sengupta ◽  
Debashis Ghosh ◽  
Deepjoy Bose ◽  
Subhadip Dhara ◽  
...  
Keyword(s):  
Head And Neck ◽  
Local Anesthetic ◽  
Tertiary Care ◽  
Neck Region ◽  
Cost Effective ◽  
Surgical Excision ◽  
Vascular Lesions ◽  
Care Hospital ◽  
Therapeutic Modalities ◽  
First Choice

Introduction Vascular lesions (Hemangioma or vascular malformation) in the head and neck region are quite common and need therapeutic intervention if they become symptomatic or cosmetically unacceptable. Different therapeutic modalities including cryotherapy, corticosteroids, laser therapy, sclerotherapy, surgery and/or embolization are available. Advances in laser surgery as well as sclerotherapy techniques have improved our ability to treat extensive lesions. Surgical excision sometimes becomes very difficult due to massive per-operative bleeding and proximity to major neurovascular structures. In this study we have tried to find a simpler, easily available, safe and cost-effective therapy to treat these vascular lesions. Materials and Method         A pilot case study was conducted in a tertiary care hospital in Kolkata for a period of one year. Polidocanol was selected as the sclerosing agent for treatment of head and neck vascular lesions for its safety and its local anesthetic effect. 3% Polidocanol was injected in 20 lesions. Result 20 patients with head and neck vascular lesions treated with polidocanol sclerotherapy were followed up for 12 months. The study included 20 patients (12 female and 8 male) with mean age 20.3 years (range 6-62 years). Of these 20 patients 14 had 90% to 100% result and in 6 patients we obtained only mild improvement. Discussion Sclerotherapy is now becoming the first choice of treatment in head and neck vascular lesions. Polidocanol is a mixture of 5% ethyl alcohol and 95% hydroxypolyethoxydodecane, the detergent action of which induces a rapid overhydration of endothelial cells, leading to vascular injury and regression of vascular lesions. As the same time it is a local anesthetic, so treatment is painless. Conclusion It is a less invasive, cost effective, painless OPD based management for head and neck vascular lesions having good functional and aesthetic outcome.

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