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Differentiating Benign from Malignant Cervical Lymph Nodes with Sonoelastography

Received: 3 May 2017    Accepted: 3 June 2017    Published: 18 October 2017
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Abstract

In the clinical practice, there is many overlap in diagnostic criteria between benign and malignant lymph nodes by grayscale and Doppler sonography. This study was carried out on 30 patients who suffered from enlarged cervical lymph nodes examined with B-mode US, Doppler US and Sonoelastography in the Sonoelastography unit of the Radiology department of Tanta university hospitals to prospectively estimate the accuracy of sonoelastography in the differentiation between benign and malignant cervical lymph nodes. Sonoelastography had the highest sensitivity (92.1%), specificity (95.5%) and accuracy (93.3%) in the differentiation between benign and malignant cervical lymph nodes, so Sonoelastography is a promising technique that is easy and rapid non-invasive to perform and help identifying cervical lesions that are likely to be malignant to avoid hazards that found in tissue biopsy especially in patients with bleeding disorders.

Published in International Journal of Medical Imaging (Volume 5, Issue 4)
DOI 10.11648/j.ijmi.20170504.11
Page(s) 42-46
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Lymphadenopathy, Elastography, Sonoelastography

References
[1] Alam F, Naito K, Horiguchi J, et al., (2008): “Accuracy of sonographicelastography in the differential diagnosis of enlarged cervical lymph nodes: comparison with conventional B-mode sonography”. Am J Roentgenol; 191: 604–10.
[2] Liao L, Wang T, Young Y, et al., (2010): “Real-time and computerized sonographic scoring system for predicting malignant cervical lymphadenopathy”. Head Neck journal; 32: 594–598.
[3] Ahuja A, Ying M, Ho S, et al., (2008): “Ultrasound of malignant cervical lymph nodes”. Cancer Imaging; 8 (1): 48–56.
[4] Sureshkannan P, Vijayprabhu A, and John R. (2011): “Role of ultrasound in detection of metastatic neck nodes in patients with oral cancer”. Indian J Dent Res; 22 (3): 419–423.
[5] Zhang Y, Lv Q, Yin Y, et al., (2009): “The value of ultrasound elastography in differential diagnosis of superficial lymph nodes”. Front Med China; 3 (3): 368–374.
[6] Mahsa G, Mehdi M, Kamran A, et al., (2014): “Sonoelastography for differentiating benign and malignant cervical lymph nodes: A Systematic Review and Meta-Analysis”. Int J Preventive Med.; 5 (12): 1521–1528.
[7] Teng DK, Wang H, Lin YQ, et al., (2012): “Value of ultrasound elastography in assessment of enlarged cervical lymph nodes”. Asian Pac J Cancer Prev.; 13: 2081–2085.
[8] Hefeda M, and Badawy M. (2014): “Can ultrasound elastography distinguish metastatic from reactive lymph nodes in patients with primary head and neck cancers?”. The Egyptian Journal of Radiology and Nuclear Medicine; 45 (3): 715–722.
[9] Lyshchik A, Higashi T, Asato R, et al., (2007): “Cervical lymph node metastases: diagnosis at sonoelastography: initial experience”. Radiology; 243 (1): 258 –267.
[10] Cheng K, Choi Y, Shim W, et al. (2016): Virtual touch tissue imaging quantification shear wave elastography: prospective assessment of cervical lymph nodes. Ultrasound in medicine & biology, 42 (2), 378-386.
[11] Choi J, Lee J and Baek J. (2015): Ultrasound elastography for evaluation of cervical lymph nodes. Ultrasonography, 34 (3), 157-164.
[12] Tugut E1, Celenk C, Tanrivermis Sayit A, et al. (2017): Efficiency of B-mode Ultrasound and Strain Elastography in Differentiating Between Benign and Malignant Cervical Lymph Nodes. Ultrasound Q. 2017 May 25. doi: 10.1097/RUQ.0000000000000302.
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  • APA Style

    Abdelmoniem Mahmoud Mohie-Eldine, Nabila El-Gazzar, Emad Mohamed Mashaly, Reda Abd-Elsameea Alarabawy, Sherief Abd-ElSalam. (2017). Differentiating Benign from Malignant Cervical Lymph Nodes with Sonoelastography. International Journal of Medical Imaging, 5(4), 42-46. https://doi.org/10.11648/j.ijmi.20170504.11

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    ACS Style

    Abdelmoniem Mahmoud Mohie-Eldine; Nabila El-Gazzar; Emad Mohamed Mashaly; Reda Abd-Elsameea Alarabawy; Sherief Abd-ElSalam. Differentiating Benign from Malignant Cervical Lymph Nodes with Sonoelastography. Int. J. Med. Imaging 2017, 5(4), 42-46. doi: 10.11648/j.ijmi.20170504.11

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    AMA Style

    Abdelmoniem Mahmoud Mohie-Eldine, Nabila El-Gazzar, Emad Mohamed Mashaly, Reda Abd-Elsameea Alarabawy, Sherief Abd-ElSalam. Differentiating Benign from Malignant Cervical Lymph Nodes with Sonoelastography. Int J Med Imaging. 2017;5(4):42-46. doi: 10.11648/j.ijmi.20170504.11

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  • @article{10.11648/j.ijmi.20170504.11,
      author = {Abdelmoniem Mahmoud Mohie-Eldine and Nabila El-Gazzar and Emad Mohamed Mashaly and Reda Abd-Elsameea Alarabawy and Sherief Abd-ElSalam},
      title = {Differentiating Benign from Malignant Cervical Lymph Nodes with Sonoelastography},
      journal = {International Journal of Medical Imaging},
      volume = {5},
      number = {4},
      pages = {42-46},
      doi = {10.11648/j.ijmi.20170504.11},
      url = {https://doi.org/10.11648/j.ijmi.20170504.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20170504.11},
      abstract = {In the clinical practice, there is many overlap in diagnostic criteria between benign and malignant lymph nodes by grayscale and Doppler sonography. This study was carried out on 30 patients who suffered from enlarged cervical lymph nodes examined with B-mode US, Doppler US and Sonoelastography in the Sonoelastography unit of the Radiology department of Tanta university hospitals to prospectively estimate the accuracy of sonoelastography in the differentiation between benign and malignant cervical lymph nodes. Sonoelastography had the highest sensitivity (92.1%), specificity (95.5%) and accuracy (93.3%) in the differentiation between benign and malignant cervical lymph nodes, so Sonoelastography is a promising technique that is easy and rapid non-invasive to perform and help identifying cervical lesions that are likely to be malignant to avoid hazards that found in tissue biopsy especially in patients with bleeding disorders.},
     year = {2017}
    }
    

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    T1  - Differentiating Benign from Malignant Cervical Lymph Nodes with Sonoelastography
    AU  - Abdelmoniem Mahmoud Mohie-Eldine
    AU  - Nabila El-Gazzar
    AU  - Emad Mohamed Mashaly
    AU  - Reda Abd-Elsameea Alarabawy
    AU  - Sherief Abd-ElSalam
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    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
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    EP  - 46
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20170504.11
    AB  - In the clinical practice, there is many overlap in diagnostic criteria between benign and malignant lymph nodes by grayscale and Doppler sonography. This study was carried out on 30 patients who suffered from enlarged cervical lymph nodes examined with B-mode US, Doppler US and Sonoelastography in the Sonoelastography unit of the Radiology department of Tanta university hospitals to prospectively estimate the accuracy of sonoelastography in the differentiation between benign and malignant cervical lymph nodes. Sonoelastography had the highest sensitivity (92.1%), specificity (95.5%) and accuracy (93.3%) in the differentiation between benign and malignant cervical lymph nodes, so Sonoelastography is a promising technique that is easy and rapid non-invasive to perform and help identifying cervical lesions that are likely to be malignant to avoid hazards that found in tissue biopsy especially in patients with bleeding disorders.
    VL  - 5
    IS  - 4
    ER  - 

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Author Information
  • Radiological Department, Tanta University, Tanta, Egypt

  • Tropical Medicine Departement, Tanta University, Tanta, Egypt

  • Radiological Department, Tanta University, Tanta, Egypt

  • Radiological Department, Tanta University, Tanta, Egypt

  • Tropical Medicine Departement, Tanta University, Tanta, Egypt

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