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Palpation vs Ultrasound Examination

Robert J. Baatenburg de Jong, MD; Robert J. Rongen, MD; Johan S. Laméris, MD, PhD; Machiel Harthoorn, MD; Carel D. A. Verwoerd, MD, PhD; Paul Knegt, MD, PhD

Arch Otolaryngol Head Neck Surg. 1989;115(6):689-690.

Abstract
• Nodal disease is a diagnostic problem in head and neck oncology. Current methods for investigation of the neck are not satisfactory as far as differentiation between necks with positive nodes and those with negative nodes is concerned. In the present study, the results of palpation and ultrasound examination were compared with histopathologic examination results of 120 neck dissection specimens. Furthermore, the value of ultrasound examination, combined with cytologic examination, of neck nodes was evaluated. Ultrasound examination was characterized by high sensitivity, ie, 96.8%; specificity was 32.0%. When the results of ultrasound-guided fine-needle aspiration biopsy were added to the ultrasound findings, specificity was as high as 92.9%. From these results, it was concluded that ultrasound examination with fine-needle aspiration biopsy is an accurate method for assessment of the neck in head and neck oncology.

(Arch Otolaryngol Head Neck Surg 1989;115:689-690)

Author Affiliations
From the Department of Ear, Nose, and Throat Surgery (Drs Baatenburg de Jong, Harthoorn, Verwoerd, and Knegt) and Radiology (Dr Laméris), University Hospital, Rotterdam, the Netherlands, and the Department of Radiology, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands (Dr Rongen).

Footnotes
Accepted for publication Oct 19, 1988.

Read before the Second International Conference on Head and Neck Oncology, Boston, Aug 1, 1988.

Reprint requests to Department of Ear, Nose, and Throat, University Hospital Rotterdam, Dr Molewaterplein 40, 3015 GD Rotterdam, the Netherlands (Dr Baatenburg de Jong).

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