“Melting Lymph Node Sign”: The Endobronchial Ultrasound Pattern Of Cystic Mediastinal Nodal Metastases

Trisolini, Rocco; Natali, Filippo; Livi, Vanina; Ferrari, Marco; Paioli, Daniela; Cancellieri, Alessandra

doi:10.1016/j.athoracsur.2019.03.038

Cited by 2 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pathological nodal sonographic characteristics are round shape, heterogeneous echogenicity, 16 margin indistinct, 17 the presence of coagulation necrosis sign, 18 the absence of central hilar structure, 19 increased color Doppler flow, and the presence of calcification. 20 In total, we evaluated 573 lymph nodes ultrasonically, of which 20 were true-positives, three were false-negatives, and six were false-positive, therefore, intraoperative US of the mediastinal lymph nodes showed: sensitivity, 86%; specificity,…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Pathological nodal sonographic characteristics are round shape, short‐axis diameter, 32 echogenicity (heterogeneous or homogeneous), 16 margin (indistinct or distinct), 17 the absence or presence of coagulation necrosis sign 18 and the absence or presence of central hilar structure, 19 increased color Doppler flow, the absence or presence of calcification, and nodal conglomeration 20 (Figures 4 , 5 ).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Intraoperative ultrasound: “Alternative eye” in lymph nodal dissection in non‐small cell lung cancer

et al. 2022

View full text Add to dashboard Cite

Introduction: Staging of the mediastinum lymph nodes involvement in patients with non-small cell lung cancer (NSCLC) is an important prognostic factor determining the most appropriate multimodality treatment plan. The objective of this study is to assess ultrasound characteristics of mediastinal lymph nodes metastasis and effectiveness of intraoperative ultrasound-guided mediastinal nodal dissection in patients with resected NSCLC. Materials and Methods: All patients undergoing video-assisted thoracoscopic surgery lobectomy and pulmonary lymphadenectomy from November 2020 to March 2022 at the thoracic surgery department of the Vanvitelli University of Naples underwent intraoperative ultrasound-guided mediastinal lymph nodal dissection. Results: This study evaluates whether individual B-mode features and a compounding thereof can be used to accurately and reproducibly predict lymph node malignancy. Discussion: Intraoperative ultrasound, during systematic mediastinal lymph node dissection, is helpful in preventing lesion to mediastinal structures. Pathological nodal sonographic characteristics are round shape, short-axis diameter, echogenicity, margin, the absence or presence of coagulation necrosis sign, and the absence or presence of central hilar structure, increased color Doppler flow, the absence or presence of calcification, and nodal conglomeration. Operating time was not substantially prolonged. The procedure is simple, safe and highly accurate. Conclusions: Ultrasonic techniques allow surgeons to detect the relationship between lymph nodes and surrounding large blood vessels during biopsy, improving the safety and simplicity of the operation, increasing the number of harvested lymph nodes, and reducing the risk of intraoperative injury; it is a fast, easily reproducible, and inexpensive method.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intraoperative ultrasound: “Alternative eye” in lymph nodal dissection in non‐small cell lung cancer

et al. 2022

View full text Add to dashboard Cite

show abstract

“…This occurs most frequently in lymph nodes of head and neck region, followed in decreasing frequency in inguinal, axillary, supraclavicular, and intrathoracic areas. 6,9,18 The primary tumors include papillary thyroid carcinoma, 1,2,3,4 malignant melanoma, 10 rectal adenocarcinoma, 5 pulmonary non-small cell carcinoma (squamous and adenocarcinoma), 6 salivary gland mammary-analogue secretory carcinoma, 7 tonsillar/oro/nasophanynx squamous cell carcinoma, 8,18 vulvar and other cutaneous squamous cell carcinoma, 9 and serous carcinoma of the gynecologic tract. 9 Within the literature for mammary carcinoma, only one previous report was identified.…”

Section: Discussionmentioning

confidence: 99%

“…Although uncommon, some metastatic cancers can present as cystic masses within lymph nodes. Cystic metastatic tumor deposits to lymph nodes have been described in patients with metastatic carcinoma of thyroid, 1,2,3,4 rectum, 5 lung, 6 salivary gland, 7 Waldeyer's ring, 8 and gynecologic tract origin, 9 as well as metastatic melanoma. 10 Cystic lymph node metastases of mammary carcinoma have been rarely reported.…”

Section: Introductionmentioning

confidence: 99%

Metastatic Mammary Carcinoma Presenting as a Large Cystic Axillary Mass: A Report of an Unusual Case

et al. 2023

View full text Add to dashboard Cite

The differential diagnosis of cystic axillary masses is broad and includes intranodal lesions. Cystic metastatic tumor deposits are rare, and have been reported in a few tumor types, most commonly in the head and neck region, but rarely described with metastatic mammary carcinoma. We report a case of a 61-year-old female who presented with a large right axillary mass. Imaging studies revealed a cystic axillary mass and ipsilateral breast mass. She was managed with breast conservation surgery and axillary dissection for invasive ductal carcinoma, no special type, Nottingham grade 2 (21 mm). One of nine lymph nodes contained a cystic nodal deposit (52 mm), which resembled a benign inclusion cyst. Oncotype DX recurrence score for the primary tumor was low (8), conferring a low risk of disease recurrence despite the large size of the nodal metastatic deposit. A cystic pattern of metastatic mammary carcinoma is rare and important to recognize for accurate staging and management decisions.

show abstract

“Melting Lymph Node Sign”: The Endobronchial Ultrasound Pattern Of Cystic Mediastinal Nodal Metastases

Cited by 2 publications

References 5 publications

Intraoperative ultrasound: “Alternative eye” in lymph nodal dissection in non‐small cell lung cancer

Intraoperative ultrasound: “Alternative eye” in lymph nodal dissection in non‐small cell lung cancer

Metastatic Mammary Carcinoma Presenting as a Large Cystic Axillary Mass: A Report of an Unusual Case

Contact Info

Product

Resources

About