BibTex RIS Cite

Ultrasound Study of Tubercular Lymphadenopathy

Year 2013, Volume: 38 Issue: 2, 189 - 195, 01.06.2013

Abstract

Tubercular lymphadenopathy is a common entity. Etiologically it can be divided into primary tubercular lymphadenopathy and secondary tubercular lymphadenopathy. Ultrasound can satisfactorily demonstrate the involved lymph nodes. Hence we reviewed the ultrasound findings in all fine needle aspiration cytology proven cases of tubercular lymphadenopathy that presented in the imaging department in the last 12 months. Nine different criteria on Grey Scale ultrasound imaging and three different criteria on Color Doppler ultrasound imaging were used to different tubercular nodes from metastatic lymphadenopathy. Matting, presence of intranodal necrosis-caseation, intranodal calcifications, minimal vascularity and reduced Doppler Pulsatility and Resisitivity Indices were the hallmarks of tubercular lymphadenopathy which enabled correct diagnosis with a sensitivity of 85.25% and a specificity of 98.36 %. Thus ultrasound can satisfactorily differentiate between tubercular and metastatic lymphadenopathy.

References

  • Som P. Lymph Nodes of the Neck.Radiology. 1987; 165: 593-600.
  • Stevens A, Lowe J. Human Histology-Immune System. 1997; 2: 117-135.
  • Arey LB. Human Histology-The Lymph Nodes. 1974; 41: 148-151.
  • Ross MM, Romrell LJ, Kaye GI. Histology –A text and Atlas-Lymph Nodes. 1995; 3: 342-346.
  • DePena CA, Tassel PV, Lee YA. Lymphoma of Head and Neck. Radiologic Clinics of North America.1990; 28:723-43.
  • Ahuja A, Ying M, Yang T et al. The Use of Sonography in Differentiating Cervical Lymphomatous Lymph Nodes from Cervical Metastatic Lymph Nodes. Clinical Radiology. 1996; 51: 186-190.
  • Ying M, Ahuja AT, Evans R et al. Cervical Lymphadenopathy: Sonographic Differentiation between Tuberculous Nodes and Nodal Metastases from Non-Head and Neck Carcinomas. Journal of Clinical Ultrasound. 1998; 8: 383-9.
  • Ahuja A, Ying M., Evans R et al. The Application of Ultrasound Criteria for Malignancy in Differentiating Tuberculous Cervical Adenitis from Metastatic Nasopharyngeal Carcinoma. Clinical Radiology. 1995; 50: 391-5.
  • Steinkemp HJ, Maurer J, Cornebl M, Recurrent Cervical Lymphadenopathy: Differential diagnosis with color-duplex sonography. Eur Arch Otorhinolaryngol. 1994; 251: 404-9.
  • Koischwitz D, Gritzmann D. Ultrasound Of The Neck. Radiologic Clinics Of North America. 2000; 38: 1029Na CG, Lim AK, Byun GS et al. Differential diagnosis of Cervical Lymphadenopathy: Usefulness of Color Doppler Sonography. The American Journal of Radiology. 1997; 168: 1311-6.
  • Sakai O, Curtin H, Romo LV et al. Lymph Node Pathology Benign Proliferative, Lymphoma, And Metastatic Disease. Radiological Clinics of North America. 2000; 38: 979-98.
  • Gritzmann N, Hollerweger A, Macheiner P et al. Sonography of Soft Tissue Masses of the Neck. Journal of Clinical Ultrasound. 2002; 30: 356-73.
  • Wu, Chang, Hsu et al. Usefulness of Doppler Spectral Analysis and Power Doppler Sonography in the differentiation of cervical Lymphadenopathies.American Journal of Roentgenology. 1998; 171: 503-9.
  • Steinkemp HJ, Mueffelmann M, Bock JC et al. Differential diagnosis of lymph node lesions: a semi quantitative approach with color Doppler ultrasound. The British Journal of Radiology. 1998; 71: 828-33.
  • Yazışma Adresi / Address for Correspondence: Dr. Sushil Ghanshyam Kachewar Rural Medical College PIMS (DU), Loni, Maharashtra, INDIA geliş tarihi/received :24.10.2012 kabul tarihi/accepted:30.11.2012

Tüberküler Lenfadenopatide Ultrasound Çalışması

Year 2013, Volume: 38 Issue: 2, 189 - 195, 01.06.2013

Abstract

Tüberküler lenfadenopati yaygın bir antitedir. Etyolojik olarak primer ve sekonder olmak üzere iki gruba ayrılabilir. Ultrasound ile tutulan lenf nodu demonstre edilebilir. Biz son 12 ay süresince iğne aspirasyon biyopsisi ile tüberküloz lenfadenopati olarak tanınan olguların ultrasound bulgularını gözden geçirdik. Gri skalada 9 farklı kriter, renkli Doppler ultrasoundda ise 3 farklı kriter tüberküler lenfadenopatiyi metastatik lenfadenopatiden ayırt edilmede kullanılmıştır. Intranodal nekroz-kazeifikasyon, intranodal kalsifikasyon, minimal vaskülarite ve azalmış Doppler pulsatilite ve resisitivite endeksleri tüberküloz lenfadenopati tanısı için 85.25% duyarlılık ve 98.36% özgüllük ile doğru tanının konulmasına yardımcı olmaktadır. Bu nedenle ultrasound tüberküloz lenfadenopatiyi metastatic lenfadenopatiden ayırt etmede tatmin edeivi bir yöntemdir.

References

  • Som P. Lymph Nodes of the Neck.Radiology. 1987; 165: 593-600.
  • Stevens A, Lowe J. Human Histology-Immune System. 1997; 2: 117-135.
  • Arey LB. Human Histology-The Lymph Nodes. 1974; 41: 148-151.
  • Ross MM, Romrell LJ, Kaye GI. Histology –A text and Atlas-Lymph Nodes. 1995; 3: 342-346.
  • DePena CA, Tassel PV, Lee YA. Lymphoma of Head and Neck. Radiologic Clinics of North America.1990; 28:723-43.
  • Ahuja A, Ying M, Yang T et al. The Use of Sonography in Differentiating Cervical Lymphomatous Lymph Nodes from Cervical Metastatic Lymph Nodes. Clinical Radiology. 1996; 51: 186-190.
  • Ying M, Ahuja AT, Evans R et al. Cervical Lymphadenopathy: Sonographic Differentiation between Tuberculous Nodes and Nodal Metastases from Non-Head and Neck Carcinomas. Journal of Clinical Ultrasound. 1998; 8: 383-9.
  • Ahuja A, Ying M., Evans R et al. The Application of Ultrasound Criteria for Malignancy in Differentiating Tuberculous Cervical Adenitis from Metastatic Nasopharyngeal Carcinoma. Clinical Radiology. 1995; 50: 391-5.
  • Steinkemp HJ, Maurer J, Cornebl M, Recurrent Cervical Lymphadenopathy: Differential diagnosis with color-duplex sonography. Eur Arch Otorhinolaryngol. 1994; 251: 404-9.
  • Koischwitz D, Gritzmann D. Ultrasound Of The Neck. Radiologic Clinics Of North America. 2000; 38: 1029Na CG, Lim AK, Byun GS et al. Differential diagnosis of Cervical Lymphadenopathy: Usefulness of Color Doppler Sonography. The American Journal of Radiology. 1997; 168: 1311-6.
  • Sakai O, Curtin H, Romo LV et al. Lymph Node Pathology Benign Proliferative, Lymphoma, And Metastatic Disease. Radiological Clinics of North America. 2000; 38: 979-98.
  • Gritzmann N, Hollerweger A, Macheiner P et al. Sonography of Soft Tissue Masses of the Neck. Journal of Clinical Ultrasound. 2002; 30: 356-73.
  • Wu, Chang, Hsu et al. Usefulness of Doppler Spectral Analysis and Power Doppler Sonography in the differentiation of cervical Lymphadenopathies.American Journal of Roentgenology. 1998; 171: 503-9.
  • Steinkemp HJ, Mueffelmann M, Bock JC et al. Differential diagnosis of lymph node lesions: a semi quantitative approach with color Doppler ultrasound. The British Journal of Radiology. 1998; 71: 828-33.
  • Yazışma Adresi / Address for Correspondence: Dr. Sushil Ghanshyam Kachewar Rural Medical College PIMS (DU), Loni, Maharashtra, INDIA geliş tarihi/received :24.10.2012 kabul tarihi/accepted:30.11.2012
There are 15 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Sushil Ghanshyam Kachewar This is me

Smita Balwant Sankaye This is me

Publication Date June 1, 2013
Published in Issue Year 2013 Volume: 38 Issue: 2

Cite

MLA Kachewar, Sushil Ghanshyam and Smita Balwant Sankaye. “Tüberküler Lenfadenopatide Ultrasound Çalışması”. Cukurova Medical Journal, vol. 38, no. 2, 2013, pp. 189-95.