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Abstract
Purpose: To evaluate the diagnostic values of fine needle aspiration (FNA) in patients with cervical lymphadenopathy.
Methods: A descriptive research of patients with enlarged cervical lymph nodes excisionally biospied in three years 2019 - 2022 at Oncology Department, Hospital of Hue University of medicine and pharmacy were studied retrospectively.
Results: Preoperative firm density evaluation in clinical examination correlated well with the malignant cervical lymph nodes (p = 0,037), but this clinical evaluation may not predict well the patients with tuberculous nodes (p > 0,05). Geographic traits of patients had no relation with tuberculous lymph nodes. Overall, fine needle aspiration can predict correctly 52/59 cases about 88,1% and miss diagnose 11,9% cases of cervical lymphadenopathy. Sensitivity and specificity value of FNA in malignant prediction of cervical lymph nodes were 76,5% and 90,5% respectively with p < 0,05. Nevertheless, fine needle aspiration could not predict accurately tuberculous lymph nodes with low sensitivity 56% and specificity 70,5%.
Conclusion: Palpation in clinical exmination and fine needle aspiration are two valuable approaches in diagnosing malignant cervical lymphadenopathy, should be used routinely. However, those procedures could not replace excisional biopsy in diagnosis of tuberculous lymph nodes.
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| Published | 26-12-2024 | |
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| Issue | No. 91 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.91.9 | |
| Keywords | Hạch cổ, lao hạch, phương pháp chọc hút bằng kim nhỏ, giá trị chẩn đoán Cervical lymphadenopathy, Fine needle aspiration, diagnostic value |
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Copyright (c) 2023 Journal of Clinical Medicine Hue Central Hospital