Predictive factors for malignant neoplasms veiled in deep neck infections.
Acta Otolaryngol
; 142(2): 202-205, 2022 Feb.
Article
en En
| MEDLINE
| ID: mdl-35112650
ABSTRACT
Background:
Malignant neoplasms (MNs) in the head and neck are occasionally hidden in deep neck infections (DNIs) that require emergency treatment, which potentially leads to delayed diagnosis of MNs.Objectives:
This study aimed to identify predictive factors that can prevent delays in diagnosing MNs in patients with DNIs.Methods:
We retrospectively analysed data from 83 patients admitted to our hospital who were diagnosed with DNIs.Results:
Four patients (4.8%) had DNIs veiling MNs in the head and neck. Statistical analyses revealed a significant association (p = .0481) of platelet to albumin ratio (PAR; ≥ 98.9 × 103) with hidden MNs in DNIs. Furthermore, concomitant cervical lymphadenopathy, especially multiple lymphadenopathies and excluding abscesses, was higher in patients with DNIs veiling MNs (p = .0142 and p = .0023, respectively).Conclusions andSignificance:
The PAR, which can be easily measured and readily detected, was a potential predictive factor. Moreover, performing fine-needle aspiration for lymphadenopathies could help diagnose hidden MNs in DNIs.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cuello
/
Neoplasias
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Acta Otolaryngol
Año:
2022
Tipo del documento:
Article
País de afiliación:
Japón