Cervical Ultrasound (US) and US-guided Lymph Node Biopsy as a Routine Procedure for Staging of Lung Cancer

Prosch, Helmut; Strasser, Gerhard F.; Sonka, C.; Oschatz, Elisabeth; Mashaal, S.; Mohn-Staudner, Andrea; Mostbeck, G.

doi:10.1055/s-2007-963215

Cited by 52 publications

(33 citation statements)

References 11 publications

(24 reference statements)

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“…Lymph nodes farther in the cranial direction are defined as distant metastases (M1 station). Ultrasound is superior to both palpation and CT in identifying enlarged supraclavicular lymph nodes (Fultz et al 2002;Prosch et al 2007Prosch et al , 2008van Overhagen et al 2004).…”

Section: Lung Tumorsmentioning

confidence: 98%

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Ultrasound of the Pleurae and Lungs

Dietrich

Mathis²,

Cui

et al. 2015

Ultrasound in Medicine & Biology

125

111

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The value of ultrasound techniques in examination of the pleurae and lungs has been underestimated over recent decades. One explanation for this is the assumption that the ventilated lungs and the bones of the rib cage constitute impermeable obstacles to ultrasound. However, a variety of pathologies of the chest wall, pleurae and lungs result in altered tissue composition, providing substantially increased access and visibility for ultrasound examination. It is a great benefit that the pleurae and lungs can be non-invasively imaged repeatedly without discomfort or radiation exposure for the patient. Ultrasound is thus particularly valuable in follow-up of disease, differential diagnosis and detection of complications. Diagnostic and therapeutic interventions in patients with pathologic pleural and pulmonary findings can tolerably be performed under real-time ultrasound guidance. In this article, an updated overview is given presenting not only the benefits and indications, but also the limitations of pleural and pulmonary ultrasound.

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Section: Lung Tumorsmentioning

confidence: 98%

“…Malignant nodes also appear as round to oval inhomogeneous structures with irregular margins and vascularization. They typically exhibit extracapsular growth and infiltration into vessels and the surrounding tissues (Prosch et al 2007). Despite those sonomorphologic criteria, the degree of malignancy remains uncertain.…”

Section: Ultrasound Of the Chest Wallmentioning

confidence: 99%

Ultrasound of the Pleurae and Lungs

Dietrich

Mathis²,

Cui

et al. 2015

Ultrasound in Medicine & Biology

125

111

View full text Add to dashboard Cite

show abstract

“…2 Fractures of the rib (a fracture gap or a cortical step and a hematoma) can be seen well on ultrasound (Fig 2). Fracture diagnosis by ultrasonography is not only much more sensitive than conventional X-rays, but also demonstrates accompanying soft tissue lesions and easily a pleural effusion or a pneumothorax.…”

Section: Licensed Under CC By 40 International License Which Permitsmentioning

confidence: 99%

Chest Ultrasound- Update 2018

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Mathis

2018

Nep J Radiology

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The scope of applications of chest ultrasound has been significantly widened in the last few years. Effusions as little as 5 ml can be identified without problems in a standing or sitting position laterodorsal in the angle between the chest wall and the diaphragm.Portable ultrasound systems are being used to an increasing extent in preclinical sonography, at the site of trauma, in the ambulance of the emergency physician or in helicopters. In the emergency room, at the intensive care unit and in clinical routine, chest ultrasound has proved its worth as a strategic instrument to be used directly after the clinical investigation. Several diagnoses such as pneumothorax, (no sliding sign, no B-lines, no lung pulse, lung point) pneumonia (liver like consolidation with bronchoaerogram) rib fractures (step in cortical bone and hematoma) pulmonary embolism (typical subpleural lesions) can be established immediately. In combination with echocardiography and leg vein compression ultrasound (triple organ ultrasound), the accuracy is more than 90%. The evidence of interstitial syndrome has shown a significant correlation with extravascular lung water in cases of pulmonary edema and noncardiogenic pulmonary edema.Chest ultrasound helps in the diagnosis and staging of lung cancer. Contrast ultrasound (CEUS) is a new tool for the differentiation of sub pleural lung lesions. Ultrasound guided interventions (biopsy, drainage) are very successful. The rate of complications is low when the procedure is performed by trained therapists.Ultrasound is a fixed element of several international guidelines.

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“…Der US ist sowohl der Palpation als auch der CT im Nachweis vergrößerter supraklavikulärer Lymphknoten überlegen [28]. Die höchste Prävalenz an supraklavikulären Lymphknotenmetastasen findet sich bei Patienten mit einem mediastinalen N 3-Stadium (44 % -51 %) oder bei Patienten, bei denen sich bereits Fernmetastasen finden (32 % -40%) [28,30]. Die Malignitätskriterien supraklavikulärer Lymphknoten sind in • " Tab.…”

Section: Supraclavicular Lymph Nodesunclassified