A T Ahuja1, M Ying, H Y Yuen, C Metreweli. 1. Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong. aniltahuja@cuhk.edu.hk
Abstract
AIMS: A pseudo-cystic appearance and posterior enhancement are previously reported to be diagnostic sonographic features of lymph node involvement in non-Hodgkin's lymphoma. This study was undertaken to determine whether these ultrasonic features remain with the use of high-resolution transducers. MATERIAL AND METHODS: A review of ultrasound examinations in 32 patients with proven lymphomatous cervical lymphadenopathy (27 non-Hodgkin's lymphoma, five Hodgkin's disease) was performed. A total of 95 lymph nodes were assessed for size, shape, posterior enhancement and internal architecture. All examinations were performed with the same high-resolution transducer and by the same sonologist. RESULTS: Lymphomatous nodes (irrespective of type) are frequently heterogeneous (68-86%), have a micronodular pattern (63-69%) and less commonly demonstrate posterior enhancement (9-26%). CONCLUSION: Using a high-resolution ultrasonic transducer, cervical nodes involved with lymphoma (irrespective of type) commonly demonstrate a heterogeneous micronodular pattern. The pseudocystic appearance of nodes with posterior enhancement in non-Hodgkin's nodes is seen infrequently. Copyright 2001 The Royal College of Radiologists.
AIMS: A pseudo-cystic appearance and posterior enhancement are previously reported to be diagnostic sonographic features of lymph node involvement in non-Hodgkin's lymphoma. This study was undertaken to determine whether these ultrasonic features remain with the use of high-resolution transducers. MATERIAL AND METHODS: A review of ultrasound examinations in 32 patients with proven lymphomatous cervical lymphadenopathy (27 non-Hodgkin's lymphoma, five Hodgkin's disease) was performed. A total of 95 lymph nodes were assessed for size, shape, posterior enhancement and internal architecture. All examinations were performed with the same high-resolution transducer and by the same sonologist. RESULTS:Lymphomatous nodes (irrespective of type) are frequently heterogeneous (68-86%), have a micronodular pattern (63-69%) and less commonly demonstrate posterior enhancement (9-26%). CONCLUSION: Using a high-resolution ultrasonic transducer, cervical nodes involved with lymphoma (irrespective of type) commonly demonstrate a heterogeneous micronodular pattern. The pseudocystic appearance of nodes with posterior enhancement in non-Hodgkin's nodes is seen infrequently. Copyright 2001 The Royal College of Radiologists.
Authors: Hans-Joachim Mentzel; Ansgar Malich; Karim Kentouche; Martin Freesmeyer; Joachim Böttcher; Gerlind Schneider; Bernd Gruhn; Susanna Vogt; Felix Zintl; Roselle Anderson; Werner A Kaiser Journal: Pediatr Radiol Date: 2003-05-01
Authors: Esther H Y Hung; James F Griffith; Stefanie W Y Yip; Marina Ivory; Jeremiah C H Lee; Alex W H Ng; Cina S L Tong Journal: Skeletal Radiol Date: 2020-01-03 Impact factor: 2.199