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| Ultrasonographic Diagnosis of Cervical Tuberculous Lymphadenitis |
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| Ho Seung Lee Ho Seung Lee, M.D., Yong Seon Pyeun, M.D., Sang Wook Lee, M.D.,Myung Ho Rho, M.D. |
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| Department of Radiology, Masan Samsung Hospital, Sungkyunkwan University School of Medicine |
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| PURPOSE : To evaluate findings of gray-scale and color Doppler sonography in cervical tuberculous lymphadenitis
(CTA).
MATERIALS and METHODS : We retrospectively reviewed sonograms of tuberculous lymph nodes in eighty one patients
confirmed by ultrasound-guided cutting-needle biopsy. We evaluated number, laterality, size and shape,
distribution, echogenic hilus, chogeneity, echogenicity, nodal border, surrounding soft tissue thickening, matting,
calcification on gray-scale sonograms. On color images, we analyzed the patterns of vascularity in thirty two
nodes.
RESULTS : Multiple (79%) and unilateral (90%) lymph nodes enlargement were seen. The largest diameter was from
10 mm to 33 mm (mean: 19 mm). Most commonly involving area was posterior triangle (83%), followed by involvement
of internal jugular chain (49%) and supraclavicular fossa (36%). In only 5 of 81 (6%) patient, the echogenic
hilum was seen. The homogeneous (83%), low echogenic lymph nodes (86%) with well defined border
(82%) was characteristic findings. In 11 of 14 heterogeneous echogeneity and 9 of 15 ill defined or irregular
border of lymph nodes, abscess formation was proven by aspiration. On color Doppler sonogram, avascular
(28%) and hilar vascular (9%) lymph nodes were seen. Whereas little (31%) and some peripheral vascularity
(13%) and mixed patterns (19%) were noted in high percentage.
CONCLUSION : The characteristic sonographic findings of CTA were multiple, round or oval, homogeneous, quiet
lower echoic, well defined, non-matting lymph nodes at the posterior cervical triangle or internal jugular chain
or supraclavicular fosssa with avascular or little vascularity. In cold abscesses, an inhomogeneous echotexture
with irregular or ill defined border were characteristic findings. |
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| Keyword : Tuberculosis. Lymphatic system, US. Neck, US |
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pdf파일 : k20200213.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2001 ; 20 (3) : p.213 - 219
