Role of Color Doppler Ultrasound in Predicting Malignancy in Cervical Lymph Nodes
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2016, Vol 5, Issue 4
Abstract
ABSTRACT Introduction: Cervical lymphadenopathy is a common finding in clinical practice. There are various causes, which can be broadly divided into benign and malignant. Ultrasound with color Doppler is a safe, non-invasive and widely available tool for detection and characterization of cervical lymph nodes. It can provide an insight into vascularity and flow pattern within a lymph node, thereby serving as a surrogate marker for vascular alterations seen with malignancy. Aim: To evaluate the role of color Doppler ultrasound in predicting malignancy in cervical lymph nodes. Materials and Methods: As a part of this prospective study, we performed ultrasound with color Doppler on 60 patients (34 males and 26 females). Inclusion criteria for the study was any patient with palpable abnormality in the neck who was detected to have cervical lymphadenopathy on ultrasound and color Doppler examination and subsequently had FNAC or excisional biopsy. Results: Out of 98 lymph nodes evaluated in 60 patients, 30 lymph nodes in 22 patients demonstrated malignancy on pathology. Out of these 30 lymph nodes, 24 demonstrated peripheral or mixed vascularity. The Resistivity Index (RI) values in benign lymph nodes ranged from 0.40 to 0.82 with a mean of 0.60 + 0.10. RI values in malignant lymph nodes ranged from 0.56 to 0.88 with a mean of 0.74 + 0.08. Conclusion: Color Doppler ultrasound plays an important adjunct role to ultrasound in differentiating benign from malignant lymph nodes. It adds to the diagnostic confidence of predicting malignancy in cervical lymph nodes. However, Color Doppler ultrasound can not replace histopathology for differentiation of benign and malignant cervical lymph nodes.
Authors and Affiliations
Kanika Gupta, Tushar Chandra, Bhuvaneswari Venkatesan, Payal Tripathi
Keywords
Related Articles
- EP ID EP480819
- DOI 10.7860/IJARS/2016/23816:2209
- Views 111
- Downloads 0
Computed Tomography-Guided Core Needle Biopsy of The Thoracic Lesions: A One Year Observational Study
Introduction: The evaluation and diagnosis of the thoracic lesions by conventional methods leads to increased morbidity. Computed tomography (CT)-guided core biopsy is minimally invasive, accurate for needle puncture loc...
Morphological Analysis of Proximal Gastrocnemius Muscle – A Study in Thirty Adult Human Cadavers
ABSTRACT Introduction: The calf mussles are formed by large gastrocnemius muscle and smaller soleus muscles. The “belly” of calf muscle is an example of fusiform muscle. It is formed by gastrocnemius muscle which is havi...
Pseudomyxoma Peritonei: Radiological Aspect
Pseudomyxoma peritonei is one of the complications of mucin secreting tumours arising from appendix or ovary. Malignancy of biliary tree, urachus and colon may also have similar presentation. It can also be a post operat...
Some Variable Facts of Liver: Embryological and Clinical Perspective
ABSTRACT Introduction: Liver is largest gland in the body and shows rare variation. Additional fissure, additional lobes, enlarged papillary process, variations of gall bladder are more common. Morphological variations h...
Imaging Findings with 3D CT Angiographic Reconstruction of Carotico-cavernous Fistula-A Case Report
Carotico Cavernous Fistula (CCF) is an abnormal communication between the carotid arteries and the cavernous sinus. They are divided into direct or indirect types based on the etiology. Direct CCFs present with acute and...