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Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy

AIM: To evaluate the role of ultrasonography for differentiating cervical lymphadenopathy due to tuberculosis, metastasis and lymphoma. METHODS: Ultrasonography of the neck nodes was carried out prior to FNAC in 192 patients using a 10 mHz linear transducer. The sonographic findings were then correl...

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Autores principales: Khanna, Rahul, Sharma, Avinash Dutt, Khanna, Seema, Kumar, Mohan, Shukla, Ram C
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3050765/
https://www.ncbi.nlm.nih.gov/pubmed/21356049
http://dx.doi.org/10.1186/1477-7819-9-29
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author Khanna, Rahul
Sharma, Avinash Dutt
Khanna, Seema
Kumar, Mohan
Shukla, Ram C
author_facet Khanna, Rahul
Sharma, Avinash Dutt
Khanna, Seema
Kumar, Mohan
Shukla, Ram C
author_sort Khanna, Rahul
collection PubMed
description AIM: To evaluate the role of ultrasonography for differentiating cervical lymphadenopathy due to tuberculosis, metastasis and lymphoma. METHODS: Ultrasonography 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. RESULTS: The 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. CONCLUSION: Ultrasonography 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.
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spelling pubmed-30507652011-03-09 Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy Khanna, Rahul Sharma, Avinash Dutt Khanna, Seema Kumar, Mohan Shukla, Ram C World J Surg Oncol Research AIM: To evaluate the role of ultrasonography for differentiating cervical lymphadenopathy due to tuberculosis, metastasis and lymphoma. METHODS: Ultrasonography 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. RESULTS: The 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. CONCLUSION: Ultrasonography 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. BioMed Central 2011-02-28 /pmc/articles/PMC3050765/ /pubmed/21356049 http://dx.doi.org/10.1186/1477-7819-9-29 Text en Copyright ©2011 Khanna et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Khanna, Rahul
Sharma, Avinash Dutt
Khanna, Seema
Kumar, Mohan
Shukla, Ram C
Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy
title Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy
title_full Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy
title_fullStr Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy
title_full_unstemmed Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy
title_short Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy
title_sort usefulness of ultrasonography for the evaluation of cervical lymphadenopathy
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3050765/
https://www.ncbi.nlm.nih.gov/pubmed/21356049
http://dx.doi.org/10.1186/1477-7819-9-29
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