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Value of ultrasonography in differential diagnosis and treatment of cervical lymph nodes |
WANG Wen-li, HAN Ling-min |
Qingdao Commercial Worker’s Hospital, Qingdao Shandong 266011, China |
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Abstract Objective: To explore the value of ultrasonography in differentiating malignant and benign cervical lymph nodes and guiding therapy. Methods: Seventy-three cases with cervical lymph nodes were retrospectively reviewed with ultrasonic images before and after pathological diagnosis. Follow-up of lymph node changes was performed on malignant cases. Results: Among all the patients, twelve cases were benign, seven cases were lymphoma and 54 cases were metastases. Among diverse imaging characteristics, some differentiation features included lymph node morphology, diameter, corticomedullary boundary and blood flow distribution. For lymph node metastasis and lymphoma, the changes of cervical lymph nodes during follow-up studies were easy and important observation indexes. Conclusion: Ultrasonography plays a simple, noninvasive, high efficient and economic role in diagnosis and differential diagnosis of cervical lymph nodes. It is also a good monitoring method for follow-up in patients with malignant cervical lymph nodes. Ultrasonography can be used as a routine examination method for cervical lymph nodes.
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Received: 19 April 2016
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