Morales-Pérez F, Rodríguez-Nava P, Dena-Espinoza E, Vásquez-Gijón M

Language: Spanish
References: 8
Page: 103-110
PDF size: 787.47 Kb.

ABSTRACT

Background: multislice computed tomography is the most widely used image technique when there is a lesion in the head and neck area at any age. It evaluates locoregional extension and generates a differential diagnosis based on anatomical location.
Objetives: determine the characteristics of the lesion, decide criteria of benignancy and malignancy, and define sensitivity, specificity, and diagnostic precision. We propose a structured report which guarantees the proper interpretation.
Material and Methods: a transverse, observational study. Fifty-two patients were analyzed determining the characteristics of lesions, criteria of benignancy and malignancy, anatomical localization of lesion, and clinical and histopathological correlations.
Results: of malignant lesions 71% were lymphomas, of the benign lesions 42% corresponded to diffuse multinodular goiter and, of the inflammatory processes 50% were abscesses. The spaces most affected were the visceral, masticator, and pharyngeal mucosa. Sensitivity of 93%, 89% specificity, and 90% diagnostic precision were obtained. We propose a structured report that evaluates the characteristics necessary to issue a diagnosis.
Conclusions: multislice computed tomography has the capability to identify benign and malignant lesions of the neck with diagnostic precision of 90%. The systematic use of a structured report will help the radiologist achieve greater diagnostic precision.

REFERENCES

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