Evaluation of Ultrasonography in Diagnosis of Neck Metastatic and Lymphoma Lymph Nodes_West China Medical Journal

Authors：

YI Shanlin , WANG Qiong , CAO Qingyan

Department of Ultrasound, Nanxishan Hospital, Guilin, Guangxi 541002, P.R.China;

Corresponding author：

Keywords：

超声检查; 转移性; 淋巴瘤性; 淋巴结; 颈

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【摘要】目的探讨超声在诊断颈部转移性与淋巴瘤性淋巴结中的应用价值。方法 2007年1月-2008年12月对经病理证实的102例患者120个颈部淋巴结，应用二维超声、能量多普勒显像（PDI）分为两组:转移性淋巴结68个，淋巴瘤性淋巴结52个。对淋巴结长短比（L/S）、结构及血流分布状态进行分析。结果两组淋巴结门消失、局部液化灶、中央血流率比较差异有统计学意义（P lt;0.05），两组出现淋巴结形态不规则、皮质回声减低、淋巴门型血流、周围型血流率比较差异有统计学意义（P lt;0.05）。两组的L/S≤2淋巴结无统计学差异（P gt;0.05）。结论超声检查对颈部转移性淋巴结与淋巴瘤性淋巴结的鉴别诊断有较高价值。
【Abstract】 Objective To explore the application value of the ultrasound in diagnosis of metastatic and lymphoma lymph nodes of the neck. Methods From January 2007 to December 2008, 120 neck lymph nodes of 102 patients confirmed by pathology were divided into two groups, including 68 metastatic lymph nodes and 52 lymphoma lymph nodes. The reports of two groups were performed using two-dimensional ultrasonography and power Doppler imaging (PDI). The long-short axis ratio (L/S), structure, blood flow pattern of lymph nodes were studied. Results The rate of the lymph door disappearance, inner liquefacient position and central blood stream in two groups had statistical difference (P lt;0.05). The rate of irregular form, diminution of cortical resonance, blood stream of lymph door and peripheral flow in two groups had statistical difference (P lt;0.05), but the difference of their L/S≤2 had no statistical significance (P gt;0.05). Conclusion The ultrasonography is a valuable method for diagnosing between neck metastatic nodes and lymphoma lymph nodes.

Citation： YI Shanlin,WANG Qiong,CAO Qingyan. Evaluation of Ultrasonography in Diagnosis of Neck Metastatic and Lymphoma Lymph Nodes. West China Medical Journal, 2010, 25(7): 1297-1299. doi: Copy

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1. Hajek PC, Salomonowitz E, Turk R, et al. Lymph nodes of the neck: evaluation with US[J]. Radiology, 1986, 158(3): 739-742.
2. Yang WT, Chang J, Metreweli C. Patients with breast cancer: differences in color Doppler flow and gray-scale US features of benign and malignant axillary lymph nodes[J]. Radiology, 2000, 215(2): 568-573.
3. 傅先水, 唐杰, 苏莉, 等. 彩色多普勒血流显像在浅表肿大淋巴结鉴别诊断中的应用[J]. 中华超声影像学杂志, 2003, 12(7): 420-422.
4. Kuna SK, Bracic I, Tesic V, et al. Ultrasonographic differentiation of benign from malignant neck lymphadenopathy in thyroid cancer[J]. J Ultrasound Med, 2006, 25(12): 1531-1537.
5. 李佳, 杨漪, 刘明瑜, 等. 高频超声在非霍奇金淋巴瘤浅表淋巴结病变中的应用价值[J]. 中国超声医学杂志, 2008, 24(4): 336-338.
6. Esen G. Ultrasound of superficial lymph nodes[J]. Eur J Radiol, 2006, 58(3): 345-359.
7. 张龙方, 段云友, 姚克纯, 等. 能量多普勒血流显像在浅表肿大淋巴结良恶性鉴别诊断中的应用[J]. 临床超声医学杂志, 2007, 9(2): 79-82.
8. Giovagnorio F, Galluzzo M, Andreoli C, et al. Color Doppler sonography in the evaluation of superficial lymphomatous lymph nodes[J]. J Ultrasound Med, 2002, 21(4): 403-408.

West China Medical Journal

Evaluation of Ultrasonography in Diagnosis of Neck Metastatic and Lymphoma Lymph Nodes

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