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Research Article | Volume 13 Issue:4 (, 2023) | Pages 1524 - 1532
A Study on Histopathological Examination of Neck Swellings in A Tertiary Care Hospital
1
Associate Professor, Department of Pathology, S. C. B. Medical College, Cuttack, India.
Under a Creative Commons license
Open Access
DOI : 10.5083/ejcm
Received
Nov. 8, 2023
Revised
Nov. 23, 2023
Accepted
Dec. 7, 2023
Published
Dec. 30, 2023
Abstract

Neck masses are defined as any swelling or enlargement of the structures between the inferior border of the mandible and the clavicle, and they are a common clinical finding in individuals of all ages. In everyday practice, ENT surgeons encounter a variety of neck masses, and evaluating these neck masses is more difficult due to the variety of differential diagnoses and their comparable presentation. [1, 2] As a result, developing a systematic strategy to diagnosis and management is critical for better treatment outcomes. Objectives: 1. To identify and categorize various neck lesions. 2. To study the frequency of various neck lesions in different age groups and sex in the eastern part of Odisha. 3. To study the frequency of various benign and malignant lesions of the neck. Material & Methods: A prospective hospital based cross-sectional study was conducted in the Department of Pathology, Fakir Mohan Medical College & Hospital (FMMCH), Balesore, Odisha from December 2020 – November 2022. Study population: cases of Neck swellings presented and advised for histopathological examinations.  Sample size:  The study consisted of 50 cases. Study tools and Data collection procedure: A study of 50 cases of Neck swellings was conducted. A clinical data including history and examination was carried out, as shown in the proforma, which is enclosed. The material included incisional and excisional biopsy specimens of various neck swellings received in the Department of Pathology and gross findings like size, shape, colour and consistency was recorded. Results: In the present study out of 16 cases of salivary gland lesions, non-neoplastic lesions are 2 (12.50%) cases and neoplastic lesions are 14 (87.50%) cases. In the present study out of 14 cases of neoplastic lesions of salivary gland, benign lesions are 12 (85.72%) cases and malignant lesions are 2 (14.28%). Conclusion:  The following conclusions were drawn from our study. Out of total 50 cases, 34 (68.00%) were lymph node lesions, 16 (32.00%) were salivary gland lesions. In neck swellings, non-neoplastic lesions were 33 (66.00%) cases and neoplastic lesions were 17 (34.00%) cases. Among lymph node lesions of neck, most common TB lymphadenitis 19 (55.88%) cases followed by reactive lymphadenitis 9 (26.47%) cases.

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