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《Journal of Xinjiang Medical University》 2008-09
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High-frequency Doppler ultrasonography for evaluation of cervical lymphadenopathy diagnosis

Dilinur·Maimaitiming,MA Fu-cheng(Department of Ultrasonography,Affiliated Tumor Hospital,Xinjiang Medical University,Urumqi 830011,China)  
Objective:To evaluate the usefulness of color Doppler ultrasononraphy in differential diagnosis of cervical lymphadenopathy by depicting the intranodal vascular pattern.Methods:One hundred and twenty lymph node lesions in 113 patients who underwent color Doppler flow imaninn were grouped as reactive lymphadenitis,tuberculosis,lymphoma,and metastasis.The vascular patterns of hilar type,central type,peripheral type and mixed type were assessed.Results:Most reactive lymph nodes(92.0%)and lymphomatous nodes(75.6%)showed hilar vessels,lymphomatous nodes also frequently demonstrated peripheral vessels(75.6%).Central vessels or peripheral vessels were frequent in metastatic nodes(60.0% and 57.5% respectively).The intranodal vascular distribution in tuberculous nodes was simulated malignant disease.Avascularity was observed in 2 of 25 reactive lymph nodes and 1 of 14 tuberculous nodes.ConcIusions:Central vessels or peripheral vessels were mainly found in malignant lymphadenopathy,and the presence of hilar vessels is suggestive of beninn lymphadenopathy.IIowever,there is overlap of appearance between benign and malignant disease.
【CateGory Index】: R445.1;R55
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Chinese Journal Full-text Database 2 Hits
1 QIAN Xiao-li,SI Qin,TONG Wei,MU Hong-yan,HUANG Sheng-xi,LV Xiao-ping.Department of Special Examinations,81 Hospital of PLA,Nanjing 210002,China;Clinical application of high-frequency color doppler ultrasonography in qualitative diagnosis for superficial lymph nodes[J];Chinese Clinical Oncology;2007-06
2 ;Imaging Advances in Diagnosis of Cervical Lymph Node Lesions[J];Journal of Practical Radiology;2008-10
Chinese Journal Full-text Database 1 Hits
1 ZHOU Jian-qiao,ZHAN Wei-wei.Department of Ultrasonography, Ruijin Hospital, Shanghai Second Medical University, Shanghai 200025, China;Color Doppler ultrasonography for evaluation of cervical lymphadenopathy[J];Chinese Journal of Ultrasonography;2005-07
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