Title: Ultrasonic Diagnosis and Identification of Superficial Cervical Painless Lymph Nodes Enlargement
Abstract: Objective To investigate the value of ultrasound in the diagnosis and identification of superficial cervical painless lymph nodes enlargement.Methods 300 patients(656 lymph nodes with cervical painless enlargement) admitted to our hospital from November 2006 to October 2010 were divided into benign group(110 cases of reactive hyperplasia with 235 lymph nodes and 25 cases of tuberculosis with 60 lymph nodes) and malignant group(including 67 cases of lymphoma with 155 lymph nodes,98 cases of metastatic carcinoma with 206 lymph nodes) according to their pathology.Results The ultrasound had 508 cases of conclusive diagnosis(77.4%),94 cases of inconclusive diagnosis(14.3%) and 54 cases of no diagnostic results(8.3%).Among the 508 lymph nodes having conclusive diagnosis,the numbers of reactive hyperplasia,metastatic carcinoma,lymphoma and tuberculosis of lymph nodes were 213(41.9%),169(33.3%),98(19.3%) and 28(5.5%),respectively.The short diameter,L/S ratio,PSV and RI between the four types of diseases showed statistically significant differences(P0.01).The short diameters in patients with reactive hyperplasia and tuberculosis were shorter than those with lymphoma and metastatic carcinoma.The L/S ratio in patients with reactive hyperplasia,tuberculosis,metastatic carcinoma and lymphoma reduced sequentially.The PSV and RI of patients with tuberculosis,lymphoma and metastatic carcinoma were higher than those with reactive hyperplasia,while the PSV and RI of patients with lymphoma and metastatic carcinoma were higher than those with tuberculosis(P0.05).Conclusion The ultrasound results of the four types of diseases in patients with cervical superficial painless lymph nodes enlargement have significant differences but with intersections.Ultrasonic check can be selected as priority method and can make positive diagnosis for most of the patients with typical characteristics.
Publication Year: 2013
Publication Date: 2013-01-01
Language: en
Type: article
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