Color Doppler sonography in the evaluation of superficial lymphomatous lymph nodes

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Francesco GiovagnorioVincenzo David

Abstract

We performed a retrospective study to document the sonographic and color Doppler characteristics of lymphomatous superficial lymph nodes. We selected 130 individuals who underwent sonography, color Doppler imaging, fine-needle aspiration biopsy, and surgical removal of the nodes with the final diagnosis of lymphoma (87) and chronic adenitis (43). During sonography, for each node we considered the longitudinal and axial diameters, long/short axis ratio, visibility of the hilum, and the internal echogenicity of the node. During the color and power Doppler examination, we classified the nodes into 3 patterns: type I, "hilar normal"; type II, "hilar activated"; and type III, "peripheral." Sonographic evidence was not significant. With color Doppler sonography, 97% of nodes affected by non-Hodgkin lymphoma, 94% of nodes affected by Hodgkin lymphoma, and 100% of non-neoplastic nodes showed hilar vascularity. Type I seemed more frequently associated with inflammation, and type II was more frequently associated with lymphoma. The presence of peripheric subcapsular vessels, which is typical of metastasis, is definitely rare in lymphoma (with the possible exception of the uncommon subtypes of high-grade lymphomas). The differential diagn...Continue Reading

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Citations

Mar 23, 2007·AJR. American Journal of Roentgenology·Leopoldo RubaltelliRoberto Stramare
May 8, 2008·Dento Maxillo Facial Radiology·S B DangoreR R Bhowate
Dec 24, 2010·AJR. American Journal of Roentgenology·Leopoldo RubaltelliRoberto Stramare
Jan 17, 2014·Journal of Maxillofacial and Oral Surgery·Raghavendra Mahadev NaikRajesh Singh
Jul 13, 2004·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Leopoldo RubaltelliCarlo Riccardo Rossi
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Aug 10, 2016·Polish journal of radiology·Namik Kemal AltinbasCemil Yagci
Dec 24, 2004·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Hong-Jen ChiouCheng-Yen Chang
Jun 28, 2011·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jung Lim YooHae Young Seol
Sep 25, 2007·Journal of Cancer Research and Clinical Oncology·Michael HockeAndreas Stallmach
Jan 22, 2008·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Ying HuangFan-Hua Xu
Apr 30, 2010·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Ming YuXiao-Dong Zhou
Apr 5, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Joo Kyung SimHyun Sook Hong
Jun 28, 2013·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Ji Eun ParkEun-Kyung Kim
May 6, 2021·Journal of Clinical Imaging Science·Rita TavarozziAnna Lombardi
Sep 3, 2021·World Journal of Pediatrics : WJP·Tian-Zhuo YuGao-Yi Yang

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