Laparoscopic ultrasonography of abdominal lymph nodes: correlation with pathologic findings

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
O M van DeldenD J Gouma

Abstract

The value of laparoscopic ultrasonographic criteria for distinguishing benign from malignant lymph nodes was assessed. The following criteria were evaluated in 41 lymph nodes: (1) long axis diameter, (2) short axis diameter, (3) long axis-short axis ratio, (4) nodal border delineation, (5) presence of hyperechoic hilar reflection, (6) echogenicity, and (7) inhomogeneity. Pathologic examination showed malignant infiltration in 11 lymph nodes and the absence of malignant infiltration in 30 lymph nodes. The presence of a hyperechoic center or a long axis-short axis ratio more than 2 suggested the absence of malignant infiltration, whereas inhomogeneity was suggestive of malignant infiltration. The other criteria did not seem useful in distinguishing benign from malignant lymph nodes.

Citations

Jan 6, 2001·The British Journal of Radiology·P N Wells
Mar 16, 2001·Journal of Endourology·S F Matin, I S Gill
Apr 30, 2009·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Petra AgtheMichael E Herrtage
Dec 10, 1998·Journal of Endourology

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