Chronic cervical lymphadenopathy in children: Role of ultrasonography
Aim: To assess the usefulness of ultrasonography in the differentiation of causes of chronic cervical lymphadenopathy in children. Materials and Methods: Children with palpable cervical lymph nodes were included. An ultrasonographic examination was performed to delineate multiple lymph nodes, irregu...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | Journal of Indian Association of Pediatric Surgeons |
| Subjects: | |
| Online Access: | http://www.jiaps.com/article.asp?issn=0971-9261;year=2012;volume=17;issue=2;spage=58;epage=62;aulast=Pandey |
| _version_ | 1818845402708836352 |
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| author | Anand Pandey Shiv N Kureel Jigyasa Pandey Ashish Wakhlu Jiledar Rawat Tej Bali Singh |
| author_facet | Anand Pandey Shiv N Kureel Jigyasa Pandey Ashish Wakhlu Jiledar Rawat Tej Bali Singh |
| author_sort | Anand Pandey |
| collection | DOAJ |
| description | Aim: To assess the usefulness of ultrasonography in the differentiation of causes of chronic cervical lymphadenopathy in children. Materials and Methods: Children with palpable cervical lymph nodes were included. An ultrasonographic examination was performed to delineate multiple lymph nodes, irregular margins, tendency towards fusion, internal echos, the presence of strong echoes and echogenic thin layer. Results: The total number of patients was 120. Echogenic thin layer and strong internal echoes were specific for tuberculosis. Long axis to short axis (L/S) ratio was more than 2 in most of the tubercular nodes (85.71%). Hilus was present in 50 (73.53%) tubercular lymphadenitis, 12 (40%) lymphoma and 10 (62.5%) cases with metastatic lymph nodes. Hypoechoic center was present in 60 (88.24%) tubercular lymphadenitis cases followed by 62.5% metastatic and 60% malignant lymphoma cases. Conclusions: Ultrasonography is a non-invasive tool for lymph nodal evaluation in children. It may be used to differentiate cervical lymphadenopathy with different etiologies in children. When correlated clinically, it may avoid biopsy in a patient. |
| first_indexed | 2024-12-19T05:29:06Z |
| format | Article |
| id | doaj.art-cd4b64edd3204787be6e4db468058faa |
| institution | Directory Open Access Journal |
| issn | 0971-9261 1998-3891 |
| language | English |
| last_indexed | 2024-12-19T05:29:06Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Pediatric Surgeons |
| spelling | doaj.art-cd4b64edd3204787be6e4db468058faa2022-12-21T20:34:17ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912012-01-01172586210.4103/0971-9261.93963Chronic cervical lymphadenopathy in children: Role of ultrasonographyAnand PandeyShiv N KureelJigyasa PandeyAshish WakhluJiledar RawatTej Bali SinghAim: To assess the usefulness of ultrasonography in the differentiation of causes of chronic cervical lymphadenopathy in children. Materials and Methods: Children with palpable cervical lymph nodes were included. An ultrasonographic examination was performed to delineate multiple lymph nodes, irregular margins, tendency towards fusion, internal echos, the presence of strong echoes and echogenic thin layer. Results: The total number of patients was 120. Echogenic thin layer and strong internal echoes were specific for tuberculosis. Long axis to short axis (L/S) ratio was more than 2 in most of the tubercular nodes (85.71%). Hilus was present in 50 (73.53%) tubercular lymphadenitis, 12 (40%) lymphoma and 10 (62.5%) cases with metastatic lymph nodes. Hypoechoic center was present in 60 (88.24%) tubercular lymphadenitis cases followed by 62.5% metastatic and 60% malignant lymphoma cases. Conclusions: Ultrasonography is a non-invasive tool for lymph nodal evaluation in children. It may be used to differentiate cervical lymphadenopathy with different etiologies in children. When correlated clinically, it may avoid biopsy in a patient.http://www.jiaps.com/article.asp?issn=0971-9261;year=2012;volume=17;issue=2;spage=58;epage=62;aulast=PandeyCervical lymphadenopathylymphomatuberculosisultrasonography |
| spellingShingle | Anand Pandey Shiv N Kureel Jigyasa Pandey Ashish Wakhlu Jiledar Rawat Tej Bali Singh Chronic cervical lymphadenopathy in children: Role of ultrasonography Journal of Indian Association of Pediatric Surgeons Cervical lymphadenopathy lymphoma tuberculosis ultrasonography |
| title | Chronic cervical lymphadenopathy in children: Role of ultrasonography |
| title_full | Chronic cervical lymphadenopathy in children: Role of ultrasonography |
| title_fullStr | Chronic cervical lymphadenopathy in children: Role of ultrasonography |
| title_full_unstemmed | Chronic cervical lymphadenopathy in children: Role of ultrasonography |
| title_short | Chronic cervical lymphadenopathy in children: Role of ultrasonography |
| title_sort | chronic cervical lymphadenopathy in children role of ultrasonography |
| topic | Cervical lymphadenopathy lymphoma tuberculosis ultrasonography |
| url | http://www.jiaps.com/article.asp?issn=0971-9261;year=2012;volume=17;issue=2;spage=58;epage=62;aulast=Pandey |
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