[Color Doppler ultrasound studies of benign and malignant lymph nodes].
Color-coded duplex sonography is being increasingly used in the head and neck as another method for diagnosis of such disorders as stenosis of arteries or veins or hemangiomas. A possible additional advantage of testing is the ability to differentiate benign from malignant tumors. Since the underlying cause of a suspicious lesion is most important for treatment strategies, we investigated histologically-proven benign and malignant cervical lymph nodes for determining the value of color-coded duplex sonography. In the present study, 135 patients (45 women and 90 men; ages 30-63 years) with palpable cervical lymph nodes were examined with both ultrasound and color-coded duplex sonography. Afterwards, lymph nodes were removed by open biopsies or neck dissections. The histological results were then compared to perfusion velocities and pulsation indices from the color-coded duplex sonography. However, no significant differences were found between the benign and malignant nodes. When comparing perfusion and color, each group was seen to be non-homogeneous and no typical distribution of vascularization was demonstrable. Findings showed that color-coded duplex sonography is currently not an accurate indicator of lymph node pathology.
Benzel
W
W
Klinik und Poliklinik für Hals-Nasen-Ohren-Kranke, Universität des Saarlandes Homburg/Saar.
Zenk
J
J
Winter
M
M
Iro
H
H
D000328:Adult; D001783:Blood Flow Velocity / Q000502:physiology; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005260:Female; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008198:Lymph Nodes / Q000098:blood supply / Q000000981:diagnostic imaging*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D009367:Neoplasm Staging; D011237:Predictive Value of Tests; D018615:Ultrasonography, Doppler, Color
Farbdopplersonographische Untersuchungen von benignen und malignen Halslymphknoten.