Differentiation of tuberculosis from lymphomas in neck lymph nodes with multidetector-row computed tomography
BACKGROUND: Tuberculosis (TB) of the cervical lymph nodes may mimic lymphoma.OBJECTIVE: To evaluate multidetector-row computed tomographic (MDCT) imaging criteria for differentiating between the two diseases.MATERIALS AND METHODS: We retrospectively reviewed the anatomical distribution and CT enhanc...
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| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2012-12, Vol.16 (12), p.1686-1691 |
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| container_title | The international journal of tuberculosis and lung disease |
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| creator | Chen, J. Yang, Z-G. Shao, H. Xiao, J-H. Deng, W. Wen, L-Y. Tang, S-S. |
| description | BACKGROUND: Tuberculosis (TB) of the cervical lymph nodes may mimic lymphoma.OBJECTIVE: To evaluate multidetector-row computed tomographic (MDCT) imaging criteria for differentiating between the two diseases.MATERIALS AND METHODS: We retrospectively reviewed the anatomical distribution
and CT enhancement patterns of the nodes in 81 patients, 27 (33%) with untreated TB and 54 (67%) with untreated lymphomas involving cervical lymph nodes. Of the patients with lymphomas, 19 (35%) had Hodgkin's disease and 35 (65%) had non-Hodgkin's lymphoma.RESULTS: TB predominantly involved
the upper cervical nodes. The supraclavicula fossa nodes on MDCT were involved more often in Hodgkin's disease (n = 15, 79%) and non-Hodgkin's lymphoma (n = 25, 71%) than in TB (n = 3, 11%). Tuberculous lymphadenopathy commonly showed peripheral enhancement, frequently
with a multilocular appearance. Peripheral enhancement was significantly more frequent in TB (n = 19, 70%) than in Hodgkin's disease (n = 1, 5%) and non-Hodgkin's lymphoma (n = 1, 3%), but homogeneous enhancement was less common in the TB group.CONCLUSION: Our findings
indicate that a specific enhancement pattern of lymphadenopathy seen on MDCT was useful in differentiating between untreated TB and lymphomas of the cervical lymph nodes. |
| doi_str_mv | 10.5588/ijtld.12.0204 |
| format | Article |
| fullrecord | <record><control><sourceid>pubtec_pasca</sourceid><recordid>TN_cdi_pascalfrancis_primary_26624100</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ingid>iuatld/ijtld/2012/00000016/00000012/art00023</ingid><sourcerecordid>iuatld/ijtld/2012/00000016/00000012/art00023</sourcerecordid><originalsourceid>FETCH-LOGICAL-c492t-731c9c532f254991d9c59cd1d01975f31f97edbd3d58bc3943df6139ff46b5063</originalsourceid><addsrcrecordid>eNqFkc2P1CAYhxujcdfVo1fDxcRLR14obTmaXb-STUyMngnlY4axhRHobsa_Xjqd1ZORCy_kyQ_e96mql4A3jPX9W7fPo94A2WCCm0fVJfTA6o4T_LjUmHQ17YBfVM9S2mNMAKB7Wl0QChRIhy-r6cZZa6Lx2cnsgkfBojwPJqp5DMklZGOY0HicDrswyYScR96oH-sN8kGbhO5d3qFpHrPTJhuVQ6xjuEcqTIc5G41ymMI2ysPu-Lx6YuWYzIvzflV9__D-2_Wn-vbLx8_X725r1XCS646C4opRYglrOAddDlxp0Bh4xywFyzujB0016wdFeUO1bYFya5t2YLilV9WbNfcQw8_ZpCwml5QZR-lNmJMA0jPcc4y7_6PQ0J6zhtCC1iuqYkgpGisO0U0yHgVgscgQJxklXSwyCv_qHD0Pk9F_6IfpF-D1GZBJydFG6ZVLf7m2JQ3ghfu6cs5viykp9mGOvgxQOCXcLE-PFteLanEHrS8_IEU27gkT0DAqtLGyCBJZRrH9JdKpm5t_ha6JazMEL-2cFrQPBREy5lKUmN-Z0cWy</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1143895423</pqid></control><display><type>article</type><title>Differentiation of tuberculosis from lymphomas in neck lymph nodes with multidetector-row computed tomography</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Chen, J. ; Yang, Z-G. ; Shao, H. ; Xiao, J-H. ; Deng, W. ; Wen, L-Y. ; Tang, S-S.</creator><creatorcontrib>Chen, J. ; Yang, Z-G. ; Shao, H. ; Xiao, J-H. ; Deng, W. ; Wen, L-Y. ; Tang, S-S.</creatorcontrib><description>BACKGROUND: Tuberculosis (TB) of the cervical lymph nodes may mimic lymphoma.OBJECTIVE: To evaluate multidetector-row computed tomographic (MDCT) imaging criteria for differentiating between the two diseases.MATERIALS AND METHODS: We retrospectively reviewed the anatomical distribution
and CT enhancement patterns of the nodes in 81 patients, 27 (33%) with untreated TB and 54 (67%) with untreated lymphomas involving cervical lymph nodes. Of the patients with lymphomas, 19 (35%) had Hodgkin's disease and 35 (65%) had non-Hodgkin's lymphoma.RESULTS: TB predominantly involved
the upper cervical nodes. The supraclavicula fossa nodes on MDCT were involved more often in Hodgkin's disease (n = 15, 79%) and non-Hodgkin's lymphoma (n = 25, 71%) than in TB (n = 3, 11%). Tuberculous lymphadenopathy commonly showed peripheral enhancement, frequently
with a multilocular appearance. Peripheral enhancement was significantly more frequent in TB (n = 19, 70%) than in Hodgkin's disease (n = 1, 5%) and non-Hodgkin's lymphoma (n = 1, 3%), but homogeneous enhancement was less common in the TB group.CONCLUSION: Our findings
indicate that a specific enhancement pattern of lymphadenopathy seen on MDCT was useful in differentiating between untreated TB and lymphomas of the cervical lymph nodes.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>DOI: 10.5588/ijtld.12.0204</identifier><identifier>PMID: 23131270</identifier><language>eng</language><publisher>Paris, France: International Union Against Tuberculosis and Lung Disease</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bacterial diseases ; Biological and medical sciences ; Biopsy ; Cervical Lymph Node ; Chi-Square Distribution ; Child ; Child, Preschool ; Computed Tomography ; Diagnosis, Differential ; Female ; Hematologic and hematopoietic diseases ; Hodgkin Disease - diagnostic imaging ; Hodgkin Disease - pathology ; Human bacterial diseases ; Humans ; Infant ; Infectious diseases ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Lymph Nodes - diagnostic imaging ; Lymph Nodes - pathology ; Lymphoma ; Lymphoma, Non-Hodgkin - diagnostic imaging ; Lymphoma, Non-Hodgkin - pathology ; Male ; Medical sciences ; Middle Aged ; Multidetector Computed Tomography ; Mycobacterium ; Neck ; Pneumology ; Predictive Value of Tests ; Retrospective Studies ; Sensitivity and Specificity ; Tuberculosis ; Tuberculosis and atypical mycobacterial infections ; Tuberculosis, Lymph Node - diagnostic imaging ; Tuberculosis, Lymph Node - pathology ; Young Adult</subject><ispartof>The international journal of tuberculosis and lung disease, 2012-12, Vol.16 (12), p.1686-1691</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-731c9c532f254991d9c59cd1d01975f31f97edbd3d58bc3943df6139ff46b5063</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26624100$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23131270$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, J.</creatorcontrib><creatorcontrib>Yang, Z-G.</creatorcontrib><creatorcontrib>Shao, H.</creatorcontrib><creatorcontrib>Xiao, J-H.</creatorcontrib><creatorcontrib>Deng, W.</creatorcontrib><creatorcontrib>Wen, L-Y.</creatorcontrib><creatorcontrib>Tang, S-S.</creatorcontrib><title>Differentiation of tuberculosis from lymphomas in neck lymph nodes with multidetector-row computed tomography</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>BACKGROUND: Tuberculosis (TB) of the cervical lymph nodes may mimic lymphoma.OBJECTIVE: To evaluate multidetector-row computed tomographic (MDCT) imaging criteria for differentiating between the two diseases.MATERIALS AND METHODS: We retrospectively reviewed the anatomical distribution
and CT enhancement patterns of the nodes in 81 patients, 27 (33%) with untreated TB and 54 (67%) with untreated lymphomas involving cervical lymph nodes. Of the patients with lymphomas, 19 (35%) had Hodgkin's disease and 35 (65%) had non-Hodgkin's lymphoma.RESULTS: TB predominantly involved
the upper cervical nodes. The supraclavicula fossa nodes on MDCT were involved more often in Hodgkin's disease (n = 15, 79%) and non-Hodgkin's lymphoma (n = 25, 71%) than in TB (n = 3, 11%). Tuberculous lymphadenopathy commonly showed peripheral enhancement, frequently
with a multilocular appearance. Peripheral enhancement was significantly more frequent in TB (n = 19, 70%) than in Hodgkin's disease (n = 1, 5%) and non-Hodgkin's lymphoma (n = 1, 3%), but homogeneous enhancement was less common in the TB group.CONCLUSION: Our findings
indicate that a specific enhancement pattern of lymphadenopathy seen on MDCT was useful in differentiating between untreated TB and lymphomas of the cervical lymph nodes.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Cervical Lymph Node</subject><subject>Chi-Square Distribution</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Computed Tomography</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hodgkin Disease - diagnostic imaging</subject><subject>Hodgkin Disease - pathology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Lymph Nodes - diagnostic imaging</subject><subject>Lymph Nodes - pathology</subject><subject>Lymphoma</subject><subject>Lymphoma, Non-Hodgkin - diagnostic imaging</subject><subject>Lymphoma, Non-Hodgkin - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography</subject><subject>Mycobacterium</subject><subject>Neck</subject><subject>Pneumology</subject><subject>Predictive Value of Tests</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Tuberculosis</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Tuberculosis, Lymph Node - diagnostic imaging</subject><subject>Tuberculosis, Lymph Node - pathology</subject><subject>Young Adult</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc2P1CAYhxujcdfVo1fDxcRLR14obTmaXb-STUyMngnlY4axhRHobsa_Xjqd1ZORCy_kyQ_e96mql4A3jPX9W7fPo94A2WCCm0fVJfTA6o4T_LjUmHQ17YBfVM9S2mNMAKB7Wl0QChRIhy-r6cZZa6Lx2cnsgkfBojwPJqp5DMklZGOY0HicDrswyYScR96oH-sN8kGbhO5d3qFpHrPTJhuVQ6xjuEcqTIc5G41ymMI2ysPu-Lx6YuWYzIvzflV9__D-2_Wn-vbLx8_X725r1XCS646C4opRYglrOAddDlxp0Bh4xywFyzujB0016wdFeUO1bYFya5t2YLilV9WbNfcQw8_ZpCwml5QZR-lNmJMA0jPcc4y7_6PQ0J6zhtCC1iuqYkgpGisO0U0yHgVgscgQJxklXSwyCv_qHD0Pk9F_6IfpF-D1GZBJydFG6ZVLf7m2JQ3ghfu6cs5viykp9mGOvgxQOCXcLE-PFteLanEHrS8_IEU27gkT0DAqtLGyCBJZRrH9JdKpm5t_ha6JazMEL-2cFrQPBREy5lKUmN-Z0cWy</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Chen, J.</creator><creator>Yang, Z-G.</creator><creator>Shao, H.</creator><creator>Xiao, J-H.</creator><creator>Deng, W.</creator><creator>Wen, L-Y.</creator><creator>Tang, S-S.</creator><general>International Union Against Tuberculosis and Lung Disease</general><general>International Union against Tuberculosis and Lung Disease</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>20121201</creationdate><title>Differentiation of tuberculosis from lymphomas in neck lymph nodes with multidetector-row computed tomography</title><author>Chen, J. ; Yang, Z-G. ; Shao, H. ; Xiao, J-H. ; Deng, W. ; Wen, L-Y. ; Tang, S-S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492t-731c9c532f254991d9c59cd1d01975f31f97edbd3d58bc3943df6139ff46b5063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Cervical Lymph Node</topic><topic>Chi-Square Distribution</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Computed Tomography</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Hodgkin Disease - diagnostic imaging</topic><topic>Hodgkin Disease - pathology</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Lymph Nodes - diagnostic imaging</topic><topic>Lymph Nodes - pathology</topic><topic>Lymphoma</topic><topic>Lymphoma, Non-Hodgkin - diagnostic imaging</topic><topic>Lymphoma, Non-Hodgkin - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multidetector Computed Tomography</topic><topic>Mycobacterium</topic><topic>Neck</topic><topic>Pneumology</topic><topic>Predictive Value of Tests</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Tuberculosis</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Tuberculosis, Lymph Node - diagnostic imaging</topic><topic>Tuberculosis, Lymph Node - pathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, J.</creatorcontrib><creatorcontrib>Yang, Z-G.</creatorcontrib><creatorcontrib>Shao, H.</creatorcontrib><creatorcontrib>Xiao, J-H.</creatorcontrib><creatorcontrib>Deng, W.</creatorcontrib><creatorcontrib>Wen, L-Y.</creatorcontrib><creatorcontrib>Tang, S-S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, J.</au><au>Yang, Z-G.</au><au>Shao, H.</au><au>Xiao, J-H.</au><au>Deng, W.</au><au>Wen, L-Y.</au><au>Tang, S-S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differentiation of tuberculosis from lymphomas in neck lymph nodes with multidetector-row computed tomography</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>16</volume><issue>12</issue><spage>1686</spage><epage>1691</epage><pages>1686-1691</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>BACKGROUND: Tuberculosis (TB) of the cervical lymph nodes may mimic lymphoma.OBJECTIVE: To evaluate multidetector-row computed tomographic (MDCT) imaging criteria for differentiating between the two diseases.MATERIALS AND METHODS: We retrospectively reviewed the anatomical distribution
and CT enhancement patterns of the nodes in 81 patients, 27 (33%) with untreated TB and 54 (67%) with untreated lymphomas involving cervical lymph nodes. Of the patients with lymphomas, 19 (35%) had Hodgkin's disease and 35 (65%) had non-Hodgkin's lymphoma.RESULTS: TB predominantly involved
the upper cervical nodes. The supraclavicula fossa nodes on MDCT were involved more often in Hodgkin's disease (n = 15, 79%) and non-Hodgkin's lymphoma (n = 25, 71%) than in TB (n = 3, 11%). Tuberculous lymphadenopathy commonly showed peripheral enhancement, frequently
with a multilocular appearance. Peripheral enhancement was significantly more frequent in TB (n = 19, 70%) than in Hodgkin's disease (n = 1, 5%) and non-Hodgkin's lymphoma (n = 1, 3%), but homogeneous enhancement was less common in the TB group.CONCLUSION: Our findings
indicate that a specific enhancement pattern of lymphadenopathy seen on MDCT was useful in differentiating between untreated TB and lymphomas of the cervical lymph nodes.</abstract><cop>Paris, France</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>23131270</pmid><doi>10.5588/ijtld.12.0204</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Bacterial diseases Biological and medical sciences Biopsy Cervical Lymph Node Chi-Square Distribution Child Child, Preschool Computed Tomography Diagnosis, Differential Female Hematologic and hematopoietic diseases Hodgkin Disease - diagnostic imaging Hodgkin Disease - pathology Human bacterial diseases Humans Infant Infectious diseases Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis Lymph Nodes - diagnostic imaging Lymph Nodes - pathology Lymphoma Lymphoma, Non-Hodgkin - diagnostic imaging Lymphoma, Non-Hodgkin - pathology Male Medical sciences Middle Aged Multidetector Computed Tomography Mycobacterium Neck Pneumology Predictive Value of Tests Retrospective Studies Sensitivity and Specificity Tuberculosis Tuberculosis and atypical mycobacterial infections Tuberculosis, Lymph Node - diagnostic imaging Tuberculosis, Lymph Node - pathology Young Adult |
| title | Differentiation of tuberculosis from lymphomas in neck lymph nodes with multidetector-row computed tomography |
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