The Role of Contrast-Enhanced Ultrasound in the Differential Diagnosis of Tuberous Vas Deferens Tuberculosis and Metastatic Inguinal Lymph Nodes
Purpose: To retrospective analysis and summary the features of tuberous vas deferens tuberculosis (VD TB) and inguinal metastatic lymph nodes (MLN) in routine ultrasound (US) and contrast-enhanced US (CEUS) as well as to assess the utility of CEUS in differentiating between the two diseases. Methods...
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MDPI AG
2023-05-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/10/1762 |
| _version_ | 1797600445314629632 |
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| author | Wenzhi Zhang Tu Ni Wei Tang Gaoyi Yang |
| author_facet | Wenzhi Zhang Tu Ni Wei Tang Gaoyi Yang |
| author_sort | Wenzhi Zhang |
| collection | DOAJ |
| description | Purpose: To retrospective analysis and summary the features of tuberous vas deferens tuberculosis (VD TB) and inguinal metastatic lymph nodes (MLN) in routine ultrasound (US) and contrast-enhanced US (CEUS) as well as to assess the utility of CEUS in differentiating between the two diseases. Methods: The US and CEUS findings of patients with pathologically confirmed tuberous VD TB (<i>n</i> = 17) and inguinal MLN (<i>n</i> = 28), including the number of lesions, presence of bilateral disease, differences in internal echogenicity, a conglomeration of lesions, and blood flow within the lesions, were retrospectively analyzed. Results: Routine US showed no significant difference in the number of lesions, nodule size, internal echogenicity, sinus tract, or skin rupture; however, significant differences were observed between the two conditions in the conglomeration of lesions (χ<sup>2</sup> = 6.455; <i>p</i> = 0.023) and the degree, intensity, and echogenicity pattern on CEUS (χ<sup>2</sup> = 18.865, 17.455, and 15.074, respectively; <i>p</i> = 0.000 for all). Conclusions: CEUS can show the blood supply of the lesion, and judge the physical condition of the lesion better than US. Homogeneous, centripetal, and diffuse enhancement should prompt a diagnosis of inguinal MLN, whereas lesions with heterogeneous and diffuse enhancement on CEUS should be considered as VD TB. CEUS has great diagnostic value in differentiating between tuberous VD TB and inguinal MLN. |
| first_indexed | 2024-03-11T03:48:14Z |
| format | Article |
| id | doaj.art-f53e0488d44d4ce69999d16487de01b1 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T03:48:14Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-f53e0488d44d4ce69999d16487de01b12023-11-18T01:04:48ZengMDPI AGDiagnostics2075-44182023-05-011310176210.3390/diagnostics13101762The Role of Contrast-Enhanced Ultrasound in the Differential Diagnosis of Tuberous Vas Deferens Tuberculosis and Metastatic Inguinal Lymph NodesWenzhi Zhang0Tu Ni1Wei Tang2Gaoyi Yang3Department of Ultrasonography, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine (Hangzhou Red Cross Hospital), Hangzhou 310003, ChinaDepartment of Ultrasonography, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine (Hangzhou Red Cross Hospital), Hangzhou 310003, ChinaDepartment of Ultrasonography, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine (Hangzhou Red Cross Hospital), Hangzhou 310003, ChinaDepartment of Ultrasonography, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine (Hangzhou Red Cross Hospital), Hangzhou 310003, ChinaPurpose: To retrospective analysis and summary the features of tuberous vas deferens tuberculosis (VD TB) and inguinal metastatic lymph nodes (MLN) in routine ultrasound (US) and contrast-enhanced US (CEUS) as well as to assess the utility of CEUS in differentiating between the two diseases. Methods: The US and CEUS findings of patients with pathologically confirmed tuberous VD TB (<i>n</i> = 17) and inguinal MLN (<i>n</i> = 28), including the number of lesions, presence of bilateral disease, differences in internal echogenicity, a conglomeration of lesions, and blood flow within the lesions, were retrospectively analyzed. Results: Routine US showed no significant difference in the number of lesions, nodule size, internal echogenicity, sinus tract, or skin rupture; however, significant differences were observed between the two conditions in the conglomeration of lesions (χ<sup>2</sup> = 6.455; <i>p</i> = 0.023) and the degree, intensity, and echogenicity pattern on CEUS (χ<sup>2</sup> = 18.865, 17.455, and 15.074, respectively; <i>p</i> = 0.000 for all). Conclusions: CEUS can show the blood supply of the lesion, and judge the physical condition of the lesion better than US. Homogeneous, centripetal, and diffuse enhancement should prompt a diagnosis of inguinal MLN, whereas lesions with heterogeneous and diffuse enhancement on CEUS should be considered as VD TB. CEUS has great diagnostic value in differentiating between tuberous VD TB and inguinal MLN.https://www.mdpi.com/2075-4418/13/10/1762contrast-enhanced ultrasoundvas deferenstuberculosismetastaticlymph nodes |
| spellingShingle | Wenzhi Zhang Tu Ni Wei Tang Gaoyi Yang The Role of Contrast-Enhanced Ultrasound in the Differential Diagnosis of Tuberous Vas Deferens Tuberculosis and Metastatic Inguinal Lymph Nodes Diagnostics contrast-enhanced ultrasound vas deferens tuberculosis metastatic lymph nodes |
| title | The Role of Contrast-Enhanced Ultrasound in the Differential Diagnosis of Tuberous Vas Deferens Tuberculosis and Metastatic Inguinal Lymph Nodes |
| title_full | The Role of Contrast-Enhanced Ultrasound in the Differential Diagnosis of Tuberous Vas Deferens Tuberculosis and Metastatic Inguinal Lymph Nodes |
| title_fullStr | The Role of Contrast-Enhanced Ultrasound in the Differential Diagnosis of Tuberous Vas Deferens Tuberculosis and Metastatic Inguinal Lymph Nodes |
| title_full_unstemmed | The Role of Contrast-Enhanced Ultrasound in the Differential Diagnosis of Tuberous Vas Deferens Tuberculosis and Metastatic Inguinal Lymph Nodes |
| title_short | The Role of Contrast-Enhanced Ultrasound in the Differential Diagnosis of Tuberous Vas Deferens Tuberculosis and Metastatic Inguinal Lymph Nodes |
| title_sort | role of contrast enhanced ultrasound in the differential diagnosis of tuberous vas deferens tuberculosis and metastatic inguinal lymph nodes |
| topic | contrast-enhanced ultrasound vas deferens tuberculosis metastatic lymph nodes |
| url | https://www.mdpi.com/2075-4418/13/10/1762 |
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