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All Journal Indian Journal of Forensic Medicine & Toxicology
Ahmad Naeem Mahdi
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Public Health

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Efficacy of Clinical Palpation to Detect Cervical Lymph Node Metastasis of Oropharyngeal Cancer Ahmad Naeem Mahdi; Sabah Abdulaziz Issa; Saif Saadedeen Abdulrazaq
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16715

Abstract

Background and Objectives: Before excision of the primary tumor in oropharyngealcancer, a decisionmust be made to treat the cervical lymph nodes (LN) or not. The study aimed to assess the role of clinicalpalpation (CP) for preoperative detection of LN metastasis.Methods: Twenty patients withoropharyngeal squamous cell carcinoma (OSCC), managed by excision of theprimary tumor andneck dissection. The histopathological examination results compared to the preoperativeassessment of the nodes by CP.Results: There were 20 patients involved, 11 males and nine females. The mean age was 54.5 years. Twentyneck dissections were performed; there was 14 LN metastasis as proved by histopathological examination.On CP, true positive was 12, false negative was two, true negative was two and false positive was four.Conclusion: Clinical palpation performed preoperatively is highly advised as it has high diagnosticcapabilities to reach a decision to do neck dissection or not.
Co-Authors Sabah Abdulaziz Issa Saif Saadedeen Abdulrazaq