Ultrasound Review of Metastatic Lymphadenopathy
Metastatic Lymphadenopathy is a common occurrence now with the earlier detection possible due to advances in imaging sciences. Although, at times the site of original malignancy is known; there are instances when the primary source of malignancy remains unknown. Ultrasound has the potential to non i...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Cukurova University
2013-04-01
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| Series: | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
| Subjects: | |
| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=26342 |
| _version_ | 1797922681401638912 |
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| author | Sushil Ghanshyam Kachewar Smita Balwant Sankaye |
| author_facet | Sushil Ghanshyam Kachewar Smita Balwant Sankaye |
| author_sort | Sushil Ghanshyam Kachewar |
| collection | DOAJ |
| description | Metastatic Lymphadenopathy is a common occurrence now with the earlier detection possible due to advances in imaging sciences. Although, at times the site of original malignancy is known; there are instances when the primary source of malignancy remains unknown. Ultrasound has the potential to non invasively evaluate the affected lymph nodes. Hence we reviewed the ultrasound findings in all fine needle aspiration cytology proven cases of metastatic lymphadenopathy that presented in the imaging department in the last 12 months. Multiple criteria on Grey Scale ultrasound imaging and on Color Doppler ultrasound imaging were used to label metastatic lymphadenopathy. Round nodes without any matting, presence of intranodal necrosis, intranodal calcifications, increased vascularity and elevated Doppler Pulsatility and Resisitivity Indices were the hallmarks of metastatic lymphadenopathy which enabled correct diagnosis with a sensitivity of 85.25% and a sensitivity of 98.36 %. In our review, the most sensitive and specific criteria was the Roundness Index on Gray scale imaging and Resistance to Perfusion on Color Doppler imaging. This review shows how, ultrasound can satisfactorily diagnose metastatic lymphadenopathy and can therefore be used in the diagnosis as well as follow up of such cases. [Cukurova Med J 2013; 38(2.000): 196-201] |
| first_indexed | 2024-04-10T14:35:13Z |
| format | Article |
| id | doaj.art-a9cd63fa2d6e4bbab8f53298eee88215 |
| institution | Directory Open Access Journal |
| issn | 0250-5150 |
| language | English |
| last_indexed | 2024-04-10T14:35:13Z |
| publishDate | 2013-04-01 |
| publisher | Cukurova University |
| record_format | Article |
| series | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
| spelling | doaj.art-a9cd63fa2d6e4bbab8f53298eee882152023-02-15T16:08:38ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502013-04-01382196201Ultrasound Review of Metastatic LymphadenopathySushil Ghanshyam KachewarSmita Balwant SankayeMetastatic Lymphadenopathy is a common occurrence now with the earlier detection possible due to advances in imaging sciences. Although, at times the site of original malignancy is known; there are instances when the primary source of malignancy remains unknown. Ultrasound has the potential to non invasively evaluate the affected lymph nodes. Hence we reviewed the ultrasound findings in all fine needle aspiration cytology proven cases of metastatic lymphadenopathy that presented in the imaging department in the last 12 months. Multiple criteria on Grey Scale ultrasound imaging and on Color Doppler ultrasound imaging were used to label metastatic lymphadenopathy. Round nodes without any matting, presence of intranodal necrosis, intranodal calcifications, increased vascularity and elevated Doppler Pulsatility and Resisitivity Indices were the hallmarks of metastatic lymphadenopathy which enabled correct diagnosis with a sensitivity of 85.25% and a sensitivity of 98.36 %. In our review, the most sensitive and specific criteria was the Roundness Index on Gray scale imaging and Resistance to Perfusion on Color Doppler imaging. This review shows how, ultrasound can satisfactorily diagnose metastatic lymphadenopathy and can therefore be used in the diagnosis as well as follow up of such cases. [Cukurova Med J 2013; 38(2.000): 196-201]http://www.scopemed.org/fulltextpdf.php?mno=26342Lymph node metastases; Ultrasound; Gray ScaleColour DopplerImaging |
| spellingShingle | Sushil Ghanshyam Kachewar Smita Balwant Sankaye Ultrasound Review of Metastatic Lymphadenopathy Çukurova Üniversitesi Tıp Fakültesi Dergisi Lymph node metastases; Ultrasound; Gray Scale Colour Doppler Imaging |
| title | Ultrasound Review of Metastatic Lymphadenopathy |
| title_full | Ultrasound Review of Metastatic Lymphadenopathy |
| title_fullStr | Ultrasound Review of Metastatic Lymphadenopathy |
| title_full_unstemmed | Ultrasound Review of Metastatic Lymphadenopathy |
| title_short | Ultrasound Review of Metastatic Lymphadenopathy |
| title_sort | ultrasound review of metastatic lymphadenopathy |
| topic | Lymph node metastases; Ultrasound; Gray Scale Colour Doppler Imaging |
| url | http://www.scopemed.org/fulltextpdf.php?mno=26342 |
| work_keys_str_mv | AT sushilghanshyamkachewar ultrasoundreviewofmetastaticlymphadenopathy AT smitabalwantsankaye ultrasoundreviewofmetastaticlymphadenopathy |