Recurrent cervical lymphadenopathy: differential diagnosis with color-duplex sonography
In this prospective study 45 patients with cervical lymphadenopathy treated by operation, radiation and/or chemotherapy were examined by color-duplex sonography. The aim was to investigate the lymph node perfusion and to find out whether differentiation between benign and malignant nodal disease aft...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 1994, Vol.251 (7), p.404-409 |
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| creator | STEINKAMP, H. J MÄURER, J CORNEHL, M KNÖBBER, D HETTWER, H FELIX, R |
| description | In this prospective study 45 patients with cervical lymphadenopathy treated by operation, radiation and/or chemotherapy were examined by color-duplex sonography. The aim was to investigate the lymph node perfusion and to find out whether differentiation between benign and malignant nodal disease after therapy was possible by resistance and pulsatility indices. In 200 of 245 lymph nodes (82%) color-duplex sonography was able to detect perfusion. Using a pulsatility index (PI) threshold of 1.6 and resistance index (RI) threshold of 0.8, differentiation between reactive nodal enlargement and metastases was possible with an accuracy of 96%. Differentiation between lymphomas and metastases by RI and PI was not possible. Qualitative assessment of perfusional patterns was useful in detecting malignancy because reactively enlarged nodes showed greater hilar perfusion whereas metastases showed an increased peripheral perfusion. Lymphomas had both increased central and peripheral perfusions. |
| doi_str_mv | 10.1007/BF00181966 |
| format | Article |
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J ; MÄURER, J ; CORNEHL, M ; KNÖBBER, D ; HETTWER, H ; FELIX, R</creator><creatorcontrib>STEINKAMP, H. J ; MÄURER, J ; CORNEHL, M ; KNÖBBER, D ; HETTWER, H ; FELIX, R</creatorcontrib><description>In this prospective study 45 patients with cervical lymphadenopathy treated by operation, radiation and/or chemotherapy were examined by color-duplex sonography. The aim was to investigate the lymph node perfusion and to find out whether differentiation between benign and malignant nodal disease after therapy was possible by resistance and pulsatility indices. In 200 of 245 lymph nodes (82%) color-duplex sonography was able to detect perfusion. Using a pulsatility index (PI) threshold of 1.6 and resistance index (RI) threshold of 0.8, differentiation between reactive nodal enlargement and metastases was possible with an accuracy of 96%. Differentiation between lymphomas and metastases by RI and PI was not possible. Qualitative assessment of perfusional patterns was useful in detecting malignancy because reactively enlarged nodes showed greater hilar perfusion whereas metastases showed an increased peripheral perfusion. Lymphomas had both increased central and peripheral perfusions.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/BF00181966</identifier><identifier>PMID: 7857628</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adipose Tissue - diagnostic imaging ; Biological and medical sciences ; Blood Flow Velocity - physiology ; Carcinoma, Squamous Cell - blood supply ; Carcinoma, Squamous Cell - diagnostic imaging ; Carcinoma, Squamous Cell - secondary ; Carcinoma, Squamous Cell - therapy ; Connective Tissue - diagnostic imaging ; Diagnosis, Differential ; Follow-Up Studies ; Histiocytosis, Langerhans-Cell - diagnostic imaging ; Humans ; Lymph Nodes - blood supply ; Lymph Nodes - diagnostic imaging ; Lymphatic Diseases - diagnostic imaging ; Lymphatic Diseases - pathology ; Lymphatic Diseases - physiopathology ; Lymphatic Diseases - therapy ; Lymphatic Metastasis - diagnostic imaging ; Lymphatic Metastasis - pathology ; Lymphatic Metastasis - physiopathology ; Lymphoma - diagnostic imaging ; Medical sciences ; Myeloproliferative Disorders - diagnostic imaging ; Neck ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Prospective Studies ; Pulsatile Flow - physiology ; Recurrence ; Regional Blood Flow - physiology ; Sensitivity and Specificity ; Ultrasonography, Doppler, Color ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; Vascular Resistance - physiology</subject><ispartof>European archives of oto-rhino-laryngology, 1994, Vol.251 (7), p.404-409</ispartof><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-a92de806247d68880eb4259deb2de708ed8ac40c7fc0145349597c47df7c78e63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,4025,27928,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3358634$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7857628$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>STEINKAMP, H. J</creatorcontrib><creatorcontrib>MÄURER, J</creatorcontrib><creatorcontrib>CORNEHL, M</creatorcontrib><creatorcontrib>KNÖBBER, D</creatorcontrib><creatorcontrib>HETTWER, H</creatorcontrib><creatorcontrib>FELIX, R</creatorcontrib><title>Recurrent cervical lymphadenopathy: differential diagnosis with color-duplex sonography</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>In this prospective study 45 patients with cervical lymphadenopathy treated by operation, radiation and/or chemotherapy were examined by color-duplex sonography. The aim was to investigate the lymph node perfusion and to find out whether differentiation between benign and malignant nodal disease after therapy was possible by resistance and pulsatility indices. In 200 of 245 lymph nodes (82%) color-duplex sonography was able to detect perfusion. Using a pulsatility index (PI) threshold of 1.6 and resistance index (RI) threshold of 0.8, differentiation between reactive nodal enlargement and metastases was possible with an accuracy of 96%. Differentiation between lymphomas and metastases by RI and PI was not possible. Qualitative assessment of perfusional patterns was useful in detecting malignancy because reactively enlarged nodes showed greater hilar perfusion whereas metastases showed an increased peripheral perfusion. Lymphomas had both increased central and peripheral perfusions.</description><subject>Adipose Tissue - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity - physiology</subject><subject>Carcinoma, Squamous Cell - blood supply</subject><subject>Carcinoma, Squamous Cell - diagnostic imaging</subject><subject>Carcinoma, Squamous Cell - secondary</subject><subject>Carcinoma, Squamous Cell - therapy</subject><subject>Connective Tissue - diagnostic imaging</subject><subject>Diagnosis, Differential</subject><subject>Follow-Up Studies</subject><subject>Histiocytosis, Langerhans-Cell - diagnostic imaging</subject><subject>Humans</subject><subject>Lymph Nodes - blood supply</subject><subject>Lymph Nodes - diagnostic imaging</subject><subject>Lymphatic Diseases - diagnostic imaging</subject><subject>Lymphatic Diseases - pathology</subject><subject>Lymphatic Diseases - physiopathology</subject><subject>Lymphatic Diseases - therapy</subject><subject>Lymphatic Metastasis - diagnostic imaging</subject><subject>Lymphatic Metastasis - pathology</subject><subject>Lymphatic Metastasis - physiopathology</subject><subject>Lymphoma - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Myeloproliferative Disorders - diagnostic imaging</subject><subject>Neck</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Prospective Studies</subject><subject>Pulsatile Flow - physiology</subject><subject>Recurrence</subject><subject>Regional Blood Flow - physiology</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>Vascular Resistance - physiology</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMFLwzAUh4Moc04v3oUexINQTZo0Sb3pcCoMBFE8lix5XSNdU5NW7X9vx4qeHrzv43f4EDol-IpgLK7vFhgTSTLO99CUMMpiJhK-j6Y4oyJmTIhDdBTCB8Y4ZRmdoImQqeCJnKL3F9Cd91C3kQb_ZbWqoqrfNKUyULtGtWV_ExlbFLB17ECNVevaBRuib9uWkXaV87Hpmgp-ouBqt_aqKftjdFCoKsDJeGfobXH_On-Ml88PT_PbZaxpmrSxyhIDEvOECcOllBhWLEkzA6vhL7AEI5VmWItCY8JSyrI0E3qQC6GFBE5n6GK323j32UFo840NGqpK1eC6kAshEolJMoiXO1F7F4KHIm-83Sjf5wTn24r5f8VBPhtXu9UGzJ86Zhv4-chVGIoVXtXahj-N0lRyyugvTsh6iw</recordid><startdate>1994</startdate><enddate>1994</enddate><creator>STEINKAMP, H. 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J ; MÄURER, J ; CORNEHL, M ; KNÖBBER, D ; HETTWER, H ; FELIX, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-a92de806247d68880eb4259deb2de708ed8ac40c7fc0145349597c47df7c78e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adipose Tissue - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity - physiology</topic><topic>Carcinoma, Squamous Cell - blood supply</topic><topic>Carcinoma, Squamous Cell - diagnostic imaging</topic><topic>Carcinoma, Squamous Cell - secondary</topic><topic>Carcinoma, Squamous Cell - therapy</topic><topic>Connective Tissue - diagnostic imaging</topic><topic>Diagnosis, Differential</topic><topic>Follow-Up Studies</topic><topic>Histiocytosis, Langerhans-Cell - diagnostic imaging</topic><topic>Humans</topic><topic>Lymph Nodes - blood supply</topic><topic>Lymph Nodes - diagnostic imaging</topic><topic>Lymphatic Diseases - diagnostic imaging</topic><topic>Lymphatic Diseases - pathology</topic><topic>Lymphatic Diseases - physiopathology</topic><topic>Lymphatic Diseases - therapy</topic><topic>Lymphatic Metastasis - diagnostic imaging</topic><topic>Lymphatic Metastasis - pathology</topic><topic>Lymphatic Metastasis - physiopathology</topic><topic>Lymphoma - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Myeloproliferative Disorders - diagnostic imaging</topic><topic>Neck</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Prospective Studies</topic><topic>Pulsatile Flow - physiology</topic><topic>Recurrence</topic><topic>Regional Blood Flow - physiology</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>Vascular Resistance - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>STEINKAMP, H. 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In 200 of 245 lymph nodes (82%) color-duplex sonography was able to detect perfusion. Using a pulsatility index (PI) threshold of 1.6 and resistance index (RI) threshold of 0.8, differentiation between reactive nodal enlargement and metastases was possible with an accuracy of 96%. Differentiation between lymphomas and metastases by RI and PI was not possible. Qualitative assessment of perfusional patterns was useful in detecting malignancy because reactively enlarged nodes showed greater hilar perfusion whereas metastases showed an increased peripheral perfusion. Lymphomas had both increased central and peripheral perfusions.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>7857628</pmid><doi>10.1007/BF00181966</doi><tpages>6</tpages></addata></record> |
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| ispartof | European archives of oto-rhino-laryngology, 1994, Vol.251 (7), p.404-409 |
| issn | 0937-4477 1434-4726 |
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| subjects | Adipose Tissue - diagnostic imaging Biological and medical sciences Blood Flow Velocity - physiology Carcinoma, Squamous Cell - blood supply Carcinoma, Squamous Cell - diagnostic imaging Carcinoma, Squamous Cell - secondary Carcinoma, Squamous Cell - therapy Connective Tissue - diagnostic imaging Diagnosis, Differential Follow-Up Studies Histiocytosis, Langerhans-Cell - diagnostic imaging Humans Lymph Nodes - blood supply Lymph Nodes - diagnostic imaging Lymphatic Diseases - diagnostic imaging Lymphatic Diseases - pathology Lymphatic Diseases - physiopathology Lymphatic Diseases - therapy Lymphatic Metastasis - diagnostic imaging Lymphatic Metastasis - pathology Lymphatic Metastasis - physiopathology Lymphoma - diagnostic imaging Medical sciences Myeloproliferative Disorders - diagnostic imaging Neck Non tumoral diseases Otorhinolaryngology. Stomatology Prospective Studies Pulsatile Flow - physiology Recurrence Regional Blood Flow - physiology Sensitivity and Specificity Ultrasonography, Doppler, Color Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology Vascular Resistance - physiology |
| title | Recurrent cervical lymphadenopathy: differential diagnosis with color-duplex sonography |
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