Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy

World Journal of Surgical Oncology

Research

Mohan Kumar¹  Ram C Shukla²  Avinash Dutt Sharma³  Rahul Khanna³  Seema Khanna³ 

[1] Department of Pathology, Institute of Medical Sciences, Banaras Hindu University, 221 005, Varanasi, India;Department of Radiodiagnosis, Institute of Medical Sciences, Banaras Hindu University, 221 005, Varanasi, India;Department of Surgery, Institute of Medical Sciences, Banaras Hindu University, 221 005, Varanasi, India;

关键词: Cervical Lymph Node;    Core Needle Biopsy;    Fine Needle Aspiration Cytology;    Cervical Lymphadenopathy;    Irregular Margin;   

DOI  :  10.1186/1477-7819-9-29

 received in 2010-05-31, accepted in 2011-02-28,  发布年份 2011

来源: Springer

【 摘 要 】

AimTo evaluate the role of ultrasonography for differentiating cervical lymphadenopathy due to tuberculosis, metastasis and lymphoma.MethodsUltrasonography of the neck nodes was carried out prior to FNAC in 192 patients using a 10 mHz linear transducer. The sonographic findings were then correlated with the definitive tissue diagnosis obtained by FNAC or lymph node biopsy.ResultsThe most significant distinguishing feature was strong internal echoes seen in 84% of tubercular lymph nodes. This finding was found in only 11% of metastatic nodes and absent in lymphomatous nodes. The other findings such as L/S ratio, irregular margins, hypoechoic center, fusion tendency, peripheral halo and absent hilus were helpful in differentiating reactive from diseased nodes but showed considerable overlap in the 3 groups of tubercular, metastatic and lymphoma lymph nodes.ConclusionUltrasonography is noninvasive and can give useful clues in the diagnosis of cervical lymphadenopathy. It should be interpreted in conjunction with FNAC result. Ideally ultra-sonographic guided FNAC should be obtained from the sonographically most representative node. In FNAC indeterminate cases, sonographic features may obviate the need for an invasive lymph node biopsy.

【 授权许可】

CC BY   
© Khanna et al; licensee BioMed Central Ltd. 2011