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EVALUATION OF CERVICAL LYMPH NODES IN DENTISTRY BY ULTRASONOGRAPHY: A RETROSPECTIVE STUDY

Year 2023, , 46 - 49, 28.02.2023

Ahmet Faruk Erturk , İlknur Özcan

https://doi.org/10.26650/JARHS2023-1124301

Abstract

Objective: Cervical lymph nodes are often involved in some disease states. The most common causes of cervical lymphadenopathy are tuberculosis, distant metastasis, and lymphoma. Ultrasonography is often used to map and characterize cervical lymph nodes. This study was designed to evaluate the role of ultrasonography in imaging cervical lymph nodes in patients undergoing ultrasonography (US) for various reasons. Materials and Methods: Among the patients who came to our clinic between 01.01.2020 and 01.01.2021, 25 people who had US for any reason and had lymph nodes in the regions where US was examined were included in our study. The lymph nodes of the patients were evaluated for 4-four different regions, right and left. Results: Transverse diameters of lymph nodes in the right and left submandibular regions were considerably bigger than the others. Conclusion: As a result, we think that ultrasonographic examination of cervical lymph nodes can provide important information in terms of diagnosis and, especially with the widespread use of USG in the field of dentistry, physicians can also examine cervical lymph nodes in the head and neck region to help make an early diagnosis of metastases of oral cancers or other primary cancers.

Keywords

Lymphadenopathy Local Lymph Node Assay Ultrasonography

References

  • 1. Stagnitti A, Marini A, Impara L, Drudi F, Odoardi GL. Duplex Doppler ultrasound study of the temporomandibular joint. J Ultrasound 2012;15(2):111-4. google scholar
  • 2. Katzberg RW. Is ultrasonography of the temporomandibular joint ready for prime time? Is there a “window” of opportunity? J Oral Maxillofac Surg 2012;70(6):1310-4. google scholar
  • 3. Whaites E, Drage N. Essentials of dental radiography and radiology. 2013: Elsevier Health Sciences.p.218-20. google scholar
  • 4. Landes CA, Goral W, Mack MG, Sader R. 3-D sonography for diagnosis of osteoarthrosis and disk degeneration of the temporomandibular joint, compared with MRI. Ultrasound Med Biol 2006;32(5):627-32. google scholar
  • 5. Khanna R, Sharma AD, Khanna S, M. Kumar, Shukla RC. Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy. World J Surg Oncol 2011;9:29. google scholar
  • 6. Gyorki D, Boyle J, Ganly I, Morris L, Shaha A, Singh B, et al. Incidence and location of positive nonsentinel lymph nodes in head and neck melanoma. Eur J Surg Oncol (EJSO) 2014;40(3):305-10. google scholar
  • 7. Yang JR, Song Y, Jia YL, Ruan LT. Application of multimodal ultrasonography for differentiating benign and malignant cervical lymphadenopathy. Jpn J Radiol 2021;39(10):938-45. google scholar
  • 8. Ying M, Ahuja A, Brook F. Accuracy of sonographic vascular features in differentiating different causes of cervical lymphadenopathy. Ultrasound Med Biol 2004;30(4):441-7. google scholar
  • 9. Esen G. Ultrasound of superficial lymph nodes. Eur J Radiol 2006;58(3):345-59. google scholar
  • 10. Bruneton J, Rubaltelli L. Lymph nodes in: Solbiati L e Rizzato G (Ed), Ultrasound of superficial structures. Edimburgh, Churchill Livingstone, 1995. google scholar
  • 11. Van den Brekel M, Castelijns JA, Stel HV, Luth W, Valk J, Van der Waal I. et al., Occult metastatic neck disease: detection with US and US-guided fine-needle aspiration cytology. Radiology 1991;180(2):457-61. google scholar
  • 12. Vassallo P, Wernecke K, Roos N, Peters P. Differentiation of benign from malignant superficial lymphadenopathy: the role of highresolution US. Radiology 1992;183(1):215-20. google scholar
  • 13. Feu J, Tresserra F, Fabregas R, Navarro B, Grases P, Suris J, et al. Metastatic breast carcinoma in axillary lymph nodes: in vitro US detection. Radiology 1997; 205(3):831-5. google scholar
  • 14. Yang WT, Chang J, Metreweli C. Patients with breast cancer: differences in color Doppler flow and gray-scale US features of benign and malignant axillary lymph nodes. Radiology 2000;215(2):568-73. google scholar
  • 15. Esen G, Gurses B, Yilmaz MH, Ilvan S, Ulus S, Celik V, et al. Gray scale and power Doppler US in the preoperative evaluation of axillary metastases in breast cancer patients with no palpable lymph nodes. Eur Radiol 2005;15(6):1215-23. google scholar
  • 16. Ahuja A, Ying M. Sonography of neck lymph nodes. Part II: abnormal lymph nodes. Clin Radiol 2003;58(5):359-66. google scholar
  • 17. Brountzos EN, Panagiotou IE, Bafaloukos DI, Kelekis DA. Ultrasonographic detection of regional lymph node metastases in patients with intermediate or thick malignant melanoma. Oncol Rep 2003;10(2):505-10. google scholar

DİŞ HEKİMLİĞİNDE SERVİKAL LENF NODLARININ ULTRASONOGRAFİ İLE DEĞERLENDİRİLMESİ: RETROSPEKTİF ÇALIŞMA

Year 2023, , 46 - 49, 28.02.2023

Ahmet Faruk Erturk , İlknur Özcan

https://doi.org/10.26650/JARHS2023-1124301

Abstract

Amaç: Servikal lenf nodları sıklıkla bir dizi hastalık durumlarında rol oynar. Servikal lenfadenopatinin en sık görülen nedenleri tüberküloz, uzak metastaz ve lenfomadır. Ultrasonografi sıklıkla servikal lenf nodlarını incelemek ve karakterize etmek için kullanılır. Bu çalışma, çeşitli nedenlerle ultrasonografi (USG) yapılan hastalarda servikal lenf nodlarını görüntülemede ultrasonografinin rolünü değerlendirmek için tasarlanmıştır. Gereç ve Yöntem: Araştırmamıza 01.01.2020 ve 01.01.2021 tarihleri arasında kliniğimize müracaat eden hastalar arasından herhangi bir nedenle USG yapılmış ve USG bakılan bölgelerde lenf nodları görülmüş 25 kişi dahil edilmiştir. Hastaların lenf nodları 4 ayrı bögle için sağ ve sol olmak üzere değerlendirilmiştir. Bulgular: Sağ ve sol submandibular bölgeledeki lenf nodlarının transversal çapları diğerlerine göre oldukça yüksek görülmüştür. Sağ submandibular lenf nodlarının vertikal yüksekliklerinin diğerlerine göre daha fazla olduğu görülmüştür. Sonuç: Sonuç olarak servikal lenf nodlarının ultrasonografik incelemesinin tanı açısından önemli bilgiler verebileceği ve özellikle diş hekimliği alanında USG’nin yaygınlaşmasıyla hekimlerin baş-boyun bölgesindeki servikal lenf nodlarını da inceleyerek oral kanserlerin ya da diğer primer kanserlerin metastazları konusunda erken tanı konulabilmesine yardımcı olabileceği düşüncesindeyiz.

Keywords

Lenfadenopati Lokal Lenf Nodu Muayenesi Ultrasonografi

References

  • 1. Stagnitti A, Marini A, Impara L, Drudi F, Odoardi GL. Duplex Doppler ultrasound study of the temporomandibular joint. J Ultrasound 2012;15(2):111-4. google scholar
  • 2. Katzberg RW. Is ultrasonography of the temporomandibular joint ready for prime time? Is there a “window” of opportunity? J Oral Maxillofac Surg 2012;70(6):1310-4. google scholar
  • 3. Whaites E, Drage N. Essentials of dental radiography and radiology. 2013: Elsevier Health Sciences.p.218-20. google scholar
  • 4. Landes CA, Goral W, Mack MG, Sader R. 3-D sonography for diagnosis of osteoarthrosis and disk degeneration of the temporomandibular joint, compared with MRI. Ultrasound Med Biol 2006;32(5):627-32. google scholar
  • 5. Khanna R, Sharma AD, Khanna S, M. Kumar, Shukla RC. Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy. World J Surg Oncol 2011;9:29. google scholar
  • 6. Gyorki D, Boyle J, Ganly I, Morris L, Shaha A, Singh B, et al. Incidence and location of positive nonsentinel lymph nodes in head and neck melanoma. Eur J Surg Oncol (EJSO) 2014;40(3):305-10. google scholar
  • 7. Yang JR, Song Y, Jia YL, Ruan LT. Application of multimodal ultrasonography for differentiating benign and malignant cervical lymphadenopathy. Jpn J Radiol 2021;39(10):938-45. google scholar
  • 8. Ying M, Ahuja A, Brook F. Accuracy of sonographic vascular features in differentiating different causes of cervical lymphadenopathy. Ultrasound Med Biol 2004;30(4):441-7. google scholar
  • 9. Esen G. Ultrasound of superficial lymph nodes. Eur J Radiol 2006;58(3):345-59. google scholar
  • 10. Bruneton J, Rubaltelli L. Lymph nodes in: Solbiati L e Rizzato G (Ed), Ultrasound of superficial structures. Edimburgh, Churchill Livingstone, 1995. google scholar
  • 11. Van den Brekel M, Castelijns JA, Stel HV, Luth W, Valk J, Van der Waal I. et al., Occult metastatic neck disease: detection with US and US-guided fine-needle aspiration cytology. Radiology 1991;180(2):457-61. google scholar
  • 12. Vassallo P, Wernecke K, Roos N, Peters P. Differentiation of benign from malignant superficial lymphadenopathy: the role of highresolution US. Radiology 1992;183(1):215-20. google scholar
  • 13. Feu J, Tresserra F, Fabregas R, Navarro B, Grases P, Suris J, et al. Metastatic breast carcinoma in axillary lymph nodes: in vitro US detection. Radiology 1997; 205(3):831-5. google scholar
  • 14. Yang WT, Chang J, Metreweli C. Patients with breast cancer: differences in color Doppler flow and gray-scale US features of benign and malignant axillary lymph nodes. Radiology 2000;215(2):568-73. google scholar
  • 15. Esen G, Gurses B, Yilmaz MH, Ilvan S, Ulus S, Celik V, et al. Gray scale and power Doppler US in the preoperative evaluation of axillary metastases in breast cancer patients with no palpable lymph nodes. Eur Radiol 2005;15(6):1215-23. google scholar
  • 16. Ahuja A, Ying M. Sonography of neck lymph nodes. Part II: abnormal lymph nodes. Clin Radiol 2003;58(5):359-66. google scholar
  • 17. Brountzos EN, Panagiotou IE, Bafaloukos DI, Kelekis DA. Ultrasonographic detection of regional lymph node metastases in patients with intermediate or thick malignant melanoma. Oncol Rep 2003;10(2):505-10. google scholar
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research Articles
Authors

Ahmet Faruk Erturk 0000-0002-4404-1547

İlknur Özcan 0000-0001-9006-5630

Publication Date February 28, 2023
Submission Date May 31, 2022
Published in Issue Year 2023

Cite

MLA Erturk, Ahmet Faruk and İlknur Özcan. “DİŞ HEKİMLİĞİNDE SERVİKAL LENF NODLARININ ULTRASONOGRAFİ İLE DEĞERLENDİRİLMESİ: RETROSPEKTİF ÇALIŞMA”. Sağlık Bilimlerinde İleri Araştırmalar Dergisi, vol. 6, no. 1, 2023, pp. 46-49, doi:10.26650/JARHS2023-1124301.