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Veränderungen peripherer Lymphknoten im Ultraschall

2008; Georg Thieme Verlag; Volume: 6; Issue: 03 Linguagem: Inglês

10.1055/s-2007-1006050

1438-8782

W. Brockmann, R. Maas, Heike Voigt, G. Thoma, S. Schweer,

Head and Neck Cancer Studies

Sonographic examinations of 1 416 patients performed between 1980 and 1983 with particular reference to the inguinal, axillary and neck regions have shown that it is quite possible to effect sonographic differentiation between enlarged lymph nodes with cicatricial indurations after non-specific inflammation on the one hand, and primary lymphomas or metastases of lymph nodes on the other. In many cases, it is also possible to differentiate between the enlargement of a total lymph node (acute inflammatory, primary malignant) and metastases in a lymph node. Positive findings in the soft parts were seen in 278 patients; of these, 175 were confirmed histologically and cytologically (via puncture with sonographic control). One finding was revealed as false positive. In 102 patients the sonographic finding was confirmed by means of lymphographies (n = 12), computed tomography (n = 27) or via the subsequent clinical course, proving the fact that it is also possible to detect sonographically the ability of lymphomas to respond to treatment with antibiotics, cytostatics, and radiation; the effects can be recognised and interpreted via changes of the echo patterns.