三级医疗中心良性颈部肿物治疗的前瞻性研究

Parth V. Pomal, N. Bhalodiya, Chaitry K. Shah, Sharvil M. Nimavat, Maitri D. Parmar, Yash A. Gandhi
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摘要

背景:在评估颈部肿胀时,必须仔细询问病史和进行体格检查,其中患者的年龄、肿胀的部位、大小和持续时间是诊断的关键点。本研究的目的是研究我们三级医院中颈部肿胀最常见的病因,并评估本地区以颈部肿胀为表现的常见病理变化及其临床、放射学和细胞病理学相关性,以了解病变的性质和诊断工具在找到明确诊断及相应治疗方面的准确性:本前瞻性研究共纳入了 100 名自 2019 年 7 月至 2021 年 1 月的颈部肿胀患者。他们接受了详细的临床病史、临床检查、血液学和激素检查、放射学和细胞学检查。对一些特殊病例还进行了特殊检查。对超声波检查、细针穿刺细胞学检查(FNAC)和组织病理学检查(HPE)进行了比较,以评估它们作为颈部肿物诊断工具的准确性。 结果:我们在研究中发现,为了准确诊断和治疗,建议采用基于病史、临床检查、超声波检查、FNAC 和 HPE 的综合方法,然后进行手术和/或药物治疗。甲状腺肿物是颈部肿物中最常见的实体,女性在良性颈部肿物中占多数:尽管内科治疗在良性颈部肿物的治疗中发挥着重要作用,但外科治疗仍是首选。
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A prospective study of management of benign neck swellings at tertiary care centre
Background: Careful medical history and physical examination is must while evaluating neck swelling in which the patient’s age, the location, size, and duration of swelling are crucial points for diagnosis. The objectives of this study were to study the commonest cause of neck swelling in our tertiary hospital set up and to assess the common pathologies presenting as neck swellings in our region and their clinical, radiological and cytopathological correlation to understand the nature of the lesion and accuracy of the diagnostic tools in finding a definitive diagnosis and its respective management. Methods: Total 100 patients from July 2019 to January 2021 of neck swelling were included in this prospective study. They were subjected to detailed clinical history, clinical examination, haematological and hormonal investigation, radiological and cytological investigations. Special investigations were done for some specific cases. Ultrasonography, fine needle aspiration cytology (FNAC) and histopathological examinations (HPE) were compared with each other to evaluate their accuracy as a diagnostic tool for neck swellings.   Results: During our study we found that for accurate diagnosis and treatment combined approach based on history, clinical examination, ultrasonography, FNAC and HPE followed by surgical and/or medical management is recommended. Thyroid swellings were most common entity found in neck swelling with female dominating benign neck swellings. Conclusions: Although medical management has its own role in management of benign neck swelling, surgical management consists of treatment of choice.
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