Ear, nose, and throat cancer: ultrasound diagnosis of metastasis to cervical lymph nodes.

Bruneton, J.; Roux, Pieter Le; Caramella, E; Démard, F; Vallicioni, J; Chauvel, P

doi:10.1148/radiology.152.3.6463260

Cited by 169 publications

(61 citation statements)

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“…Ultrasonic features of malignant lymphomas particularly in infiltration of cervical lymph nodes have been described as involvement of multiple nodes [3,10], round shape [11], homogeneous or a slightly echogenic internal echo [1,3], tubular structure [9], and posterior enhancement [10,11]. In this study, we confirmed some of these features, such as involvement of multiple nodes and posterior enhancement as common among various histopathological subtypes.…”

Section: Discussionsupporting

confidence: 84%

“…It has been useful in differentiating malignant lymphoma from other diseases such as metastatic mass [1][2][3], in determining the stage of the lymphoma, and in monitoring responsiveness to treatment [4]. Because malignant lymphomas comprise a variety of histopathological subtypes with different responsiveness to treatment and prognosis, a final diagnosis and subtyping is ordinarily done by a histopathological examination of biopsy specimens.…”

Section: Introductionmentioning

confidence: 99%

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Infiltration of cervical lymph nodes by B‐ and T‐cell non‐Hodgkin's lymphoma and Hodgkin's lymphoma: Preliminary ultrasonic findings

et al. 2001

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Ultrasonography has been used in the evaluation of enlarged lymph nodes in patients with malignant lymphoma, which comprises a variety of histopathological subtypes. We assessed ultrasonic findings of infiltration in cervical lymph nodes of 47 patients with previously untreated malignant lymphoma and correlated them with histopathological subtypes. Common findings among various histopathological subtypes were hypoechoic masses, spot and/or line echoes, involvement of multiple nodes, and posterior enhancement. In addition, each histopathological subtype showed characteristic findings: Hodgkin's disease had a contour with a lobular pattern (9/10 cases), septum-like echo (9/10 cases), and tubular structure (9/10 cases) in the internal echo, reflecting histopathologically fibrous connective tissue surrounding lymph nodes and small vessels. In B-cell lymphoma, there was characteristically a tendency for lymph node fusion (19/28 cases) and spot and/or line echoes (17/28 cases), reflecting histopathological replacement and destruction of the structure of lymph node and capsule by proliferation of lymphocytes. These findings were strengthened in diffuse large B-cell lymphoma. T-cell lymphoma was distinguished from other types of lymphoma by the presence of a hilum-like echo (6/9 cases), reflecting histopathologically prominent vascularization in lymph nodes accompanied by a dilated hilum area. In summary, this preliminary study suggests that ultrasonic findings of infiltration of cervical lymph nodes in major subtypes of malignant lymphoma could reflect characteristic histopathological structures, therefore providing information helpful for differentiating them. Am. J. Hematol. 67:234-239, 2001.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Infiltration of cervical lymph nodes by B‐ and T‐cell non‐Hodgkin's lymphoma and Hodgkin's lymphoma: Preliminary ultrasonic findings

et al. 2001

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“…A sensitivity of 92.6% for the same was seen in a study comparing clinical, US, and histological findings for 100 patients. 23 Thus, US has a high sensitivity and specificity in diagnosing all types of neck swellings -congenital, inflammatory, benign and malignant. It correctly diagnosed 89 out of 100 neck swellings in this study.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of efficacy of Ultrasound in diagnosis of Neck Swellings

Rastogi

Sharma

Gauba

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Neck swellings are a common cause of dilemma to clinicians. Accurate diagnosis of neck swellings is of paramount importance. This study evaluated patients with neck swellings to study their ultrasonographic features and correlated the ultrasound findings with the final diagnosis.Methods: 100 patients with neck swellings were evaluated clinically and divided into four groups– congenital, inflammatory, benign and malignant. Thereafter, they underwent high-resolution Ultrasound (US) and the ultrasonographic features of each type of swelling were studied. A final diagnosis was established after further evaluation using FNAC, further imaging, surgical intervention in the form of incision and drainage or excision/incisional biopsy with histopathological examination or successful non-surgical treatment. Ultrasound findings were compared with final diagnosis. Results: For swellings of inflammatory nature, this study showed the sensitivity, specificity, PPV and NPV of US to be 87.2%, 96.6%, 94.4%, 91.9% respectively. For benign swellings, sensitivity, specificity, PPV and NPV was 97.5%, 91.3%, 88.6% and 98.1% respectively. Sensitivity of US in diagnosing malignant lesions of the neck was 87.5% with a specificity of 98.7%, PPV 93.3% and NPV 97.5%. Sensitivity of US in detecting thyroid malignancy in the present study was 83.3% and in diagnosing malignant lymph nodes was 87.5%.Conclusions: Ultrasound is the ideal modality for initial imaging for neck swellings. Later on, as per the need and Ultrasound findings, one can go in for further haematological investigations, Fine Needle Aspiration Cytology and Radiological investigations.

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“…6,9,16,17 High resolution ultrasound (US) is reported to be more sensitive than clinical examination (92 per cent versus 70 per cent) in detecting and differentiating benign from malignant nodes. 18 Furthermore, the specificity of US combined with guided FNAC has been reported to be as high as 92.7 per cent. 19 However, Ahuja and colleagues' study of patients with nasopharyngeal carcinoma found that, for up to three months after radiotherapy, apart from a decrease in node size and the appearance of oedema, other features of previously abnormal nodes (i.e.…”

Section: Discussionmentioning

confidence: 99%

Residual cervical lymphadenopathy after definitive treatment of nasopharyngeal carcinoma: fine needle aspiration cytology, computed tomography and histopathological findings

et al. 2010

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Background: Patients with nasopharyngeal carcinoma may have residual cervical lymphadenopathy after definitive treatment of the primary tumour and regional cervical nodal disease. Whether such lymphadenopathy truly represents persistent disease is unclear. There are few published studies addressing this clinical problem.Methods: We retrospectively and systematically reviewed the clinical records of 12 patients with nasopharyngeal carcinoma who had presented to a tertiary academic hospital, over an 11-year period, with suspected persistent cervical nodal disease after definitive radiotherapy or concurrent chemoradiotherapy. Findings on fine needle aspiration cytology and computed tomography scanning were correlated with final histopathological results.Results: The incidence of negative neck dissection was 41.7 per cent. The positive and negative predictive values of fine needle aspiration cytology in identifying disease were 100 and 42.9 per cent, respectively. Computed tomography scanning had a positive predictive value of 58.3 per cent in identifying disease.Conclusion: In patients treated definitively for nasopharyngeal carcinoma, residual cervical lymphadenopathy may not represent persistent disease. Head and neck surgeons involved in the management of these patients should bear in mind the current limitations of fine needle aspiration cytology and computed tomography in confirming the diagnosis pre-operatively. Salvage neck dissection may over-treat some of these patients.

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Ear, nose, and throat cancer: ultrasound diagnosis of metastasis to cervical lymph nodes.

Cited by 169 publications

References 0 publications

Infiltration of cervical lymph nodes by B‐ and T‐cell non‐Hodgkin's lymphoma and Hodgkin's lymphoma: Preliminary ultrasonic findings

Infiltration of cervical lymph nodes by B‐ and T‐cell non‐Hodgkin's lymphoma and Hodgkin's lymphoma: Preliminary ultrasonic findings

Evaluation of efficacy of Ultrasound in diagnosis of Neck Swellings

Residual cervical lymphadenopathy after definitive treatment of nasopharyngeal carcinoma: fine needle aspiration cytology, computed tomography and histopathological findings

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