Ces radiol. 2007, 61(4):400-408
Ultrasound of the neck: lymph nodes and salivary glandsReview article
- Radiologická klinika LF UK a FN, Hradec Králové
Ultrasound proved to be highly effective for detection, localization, and characterisation of enlarged lymph nodes of the neck. Sonographic features that help with distinguishing between the malignant and benign causes lymphadenopathy, including grey scale and Doppler signs, are discussed. Due to their superficial position, the parotid, the submandibular, and the sublingual glands can be also imaged with ultrasound. In acute inflammatory diseases, sonography can differentiate between obstructive or non-obstructive etiology. Tumours of salivary glands can be visualized with high sensitivity. Like in other imaging methods, the specificity in assessment of the histology of a tumor is low. Ultrasound features of other neck masses as thyroglossal duct cysts, branchial cleft cysts, cystic hygroma and other lesions are discussed. Ultrasonography can be used as a simple and effective tool for guidance of percutaneous punctures of lesions.
Keywords: neck, lymph nodes, salivary glanc, ultrasound
Accepted: November 15, 2007; Published: December 1, 2007 Show citation
References
- Ahuja AT, Evans RM. Practical head and neck ultrasound. London: GMM Publishers 2000; 37-83.
Go to original source...
- Bruneton JN, Balu-Maestro C, Marcy PY, Melia P, Morou MY. Very high frequency (13 MHz) ultrasound examination of the normal neck: detection of normal lymph nodes and thyroid nodules. J Ultrasound Med 1994; 13: 87-90.
Go to original source...
Go to PubMed...
- Som PM. Detection of metastasis in cervical lymph nodes: CT and MR kriteria and differential diagnosis. Am J Roentgenol 1992; 158: 969-981.
Go to original source...
Go to PubMed...
- Hajek PC, Salomonowitz E, Turk R, et al. Lymph nodes of the neck: evaluation with US. Radiology 1986; 158: 739-742.
Go to original source...
Go to PubMed...
- Ying M, Ahuja A, Metreweli C. Diagnostic accuracy of sonographic kriteria for eveluation of cervical lymphadenopathy. J Ultrasound Med 1998; 17: 437-445.
Go to original source...
Go to PubMed...
- Lyshchik A, Higashi T, Asato R, et al. Cervical lymph node metastase: Diagnosis at Sonoelastography - initial experience. Radiology 2007, 243: 258-267.
Go to original source...
Go to PubMed...
- Ying M, Ahuja A. Sonography of neck lymph nodes. Part I: Normal lymph nodes. Clinical Radiology 2003; 58: 351-358.
Go to original source...
Go to PubMed...
- Sakai F, Kioyono K, Sono S, et al. Ultrasonic evaluation of cervical metastatic lymfadenopathy. J Ultrasound Med 1988; 7: 305-310.
Go to original source...
Go to PubMed...
- Shozushima M, Suzuki M, Nakasima Y, et al. Ultrasound diagnosis of lymph node metastasis in head and neck cancer. Dentomaxillofac Radiol 1990; 19: 165-170.
Go to original source...
Go to PubMed...
- Solbiati L, Rizzatto G, Bellotti E, et al. High resolution sonography of cervical lymph nodes in head and neck cancers: kriteria for differentiation of reactive versus malignant nodes. Radiology 1988; 169(P): 113.
- Vassallo P, Wernecke K, Roos N, Peters PE. Differentiation of benign from malignant superficial lymphadenopathy: the role of high resolution US. Radiology 1992; 183: 215-220.
Go to original source...
Go to PubMed...
- Ahuja AT, Ying M, Evans RM, King W, Metreweli C. The application of ultrasound criteria for malignancy in differentiating tuberculous cervical adenitis from metastatic nasopharyngeal carcinoma. Clin Radiol 1995; 50: 391-395.
Go to original source...
Go to PubMed...
- Bruneton JN, Normand F. Cervical lymph nodes. Ultrasonography of the neck. Berlin: Springer-Verlag 1987; 81-92.
Go to original source...
- Semeraro D, Davies JD. The arterial blood supply of human inguinal lymph node. J Anat 1986; 144: 221-233.
- Gadre A, Briner W, O'Learly M. A scanning electron microscope study of the human cevical lymph node. Acta Otolaryngol 1994; 114: 87-90.
Go to original source...
Go to PubMed...
- Shirakawa t, Miyamoto Y, Yamagishi J. Color/power Doppler sonographic differential diagnosis of superficial lymphadenopathy. J Ultrasound Med 2001; 20: 525-532.
Go to original source...
Go to PubMed...
- Chang DB, Yuan A, Yu CJ, Luh KT, Kuo HS, Yang PC. Differentiation of benign and malignant cervical lymph nodes with colour Doppler sonography. Am J Roentgenol 1994; 162: 965-968.
Go to original source...
Go to PubMed...
- Lencioni R, Moretti M, Armillotta N, Bassi AM, Giulio M di, Bartolozzi C. Differentiation of benign and malignant superficial lymphadenopathy: value of high resolution power Doppler US. Radiology 1996; 201(P): 225.
Go to original source...
Go to PubMed...
- Van den Brekel MWM, Castelijns JA, Stel HV, Golding RP, Meyer CNL, Snow GB. Modern imaging techniques and ultrasound quided aspiration cytology for the assessment of neck node metastase: a prospective comparative study. Eur Arcg Otolaryngol 1993; 250: 11-17.
Go to original source...
Go to PubMed...
- Schurawitzki H, Gritzmann N, Fezoulidis J, Karnel F, Kramer J. Value and indications for high-resolution real-time sonography in nontumor salivary gland diseases. Rofo Fortschr Geb Rontgenstr Nuklermed 1987; 146: 527-531.
Go to original source...
Go to PubMed...
- Ching AS, Ahuja AT, King AD, Tse GM, Metreweli C. Comparison of the sonographic features of acalculous and calculous submandibular sialadenitis. J Clin Ultrasound 2001; 29: 332-338.
Go to original source...
Go to PubMed...
- Salaffi F, Argalia G, Carotti M, Giannini FB, Palombi C. Salivary gland ultrasonography in the evaluation of primary Sjogren's syndrome. Comparison with minor salivary gland biopsy. J Rheumatol 2000; 27: 1229-1236.
- Gritzmann N, Hajek P, Karnel F, Fezoulidis J, Turk R. Sonography in salivary calculi: indications and status. Rofo Fortschr Geb Rontgenstr Nuklermed 1985; 142: 559-562.
Go to original source...
Go to PubMed...
- Gritzmann N. Sonography of the salivary glands. Am J Roentgenol 1989; 153: 161-166.
Go to original source...
Go to PubMed...
- Koischwitz D, Gritzmann N. Ulrasound of the neck. Radiol Clin North Am 2000; 38: 1029-1045.
Go to original source...
Go to PubMed...
- Dubois J, Patriquin H. Doppler sonography of head and neck masses in children. Neuroimaging Clin N Am 2000; 10: 215-252.
Go to original source...
- Som PM, Sacher M, Lanzieri CF, et al. Parenchymal cysts of the lower neck. Radiology 1985; 157: 399-406.
Go to original source...
Go to PubMed...
- Zadvinskis DP, Benson MT, Kerr HH, et al. Congenital malformations of the cervicothoracic lymphatics systém: embryology and pathogenesis. Radiographics 1992; 12: 1175-89.
Go to original source...
Go to PubMed...
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