A practical approach to ultrasound of cervical lymph nodes

A. Ahuja, Tin Cheung Ying, W. King, C. Metreweli

Research output: Journal article publicationJournal articleAcademic researchpeer-review

71 Citations (Scopus)

Abstract

Although the role of high resolution ultrasound (US) in evaluating cervical nodes is well established, it is often combined with fine needle aspiration cytology (FNAC). As a result, US appearances that help in distinguishing the various causes of cervical adenopathy are often overlooked and not emphasized. The aim of this study is to re-emphasize to the sonologist the US clues that may help in differentiating the aetiology of abnormal cervical nodes. We, therefore, present the spectrum of US appearances of lymph nodes. One hundred and forty patients (702 abnormal nodes) with known pathology were compared with 100 normal subjects (1211 nodes). After identifying an abnormal node, US features that further help in distinguishing between the various pathologies are the distribution of lymphadenopathy, echogenicity, calcification, distal enhancement, intranodal cystic necrosis, matting and soft tissue oedema.
Original languageEnglish
Pages (from-to)245-256
Number of pages12
JournalJournal of Laryngology and Otology
Volume111
Issue number3
Publication statusPublished - 12 May 1997
Externally publishedYes

Keywords

  • Lymph nodes
  • Ultrasonography

ASJC Scopus subject areas

  • Otorhinolaryngology

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