##plugins.themes.academic_pro.article.sidebar##

Download
pdf
Statistic
Read Counter : 339 Download : 376

##plugins.themes.academic_pro.article.main##

Abstract

Cervical lymph nodes (CLN) are frequently involved. there is no agreement on which cut-off point for lymph node size should be used in routine clinical practice to differentiate between cervical lymphadenopathy and normal CLN, that the optimal cut-off point of nodal size varies with the patient population. Aim of the study is to estimate Gray-scale Ultra-Sound (US) Cutoff Points of cervical lymph nodes (CLN) size and shape index of lymphomatous CLN of Hodgkinʼs lymphoma(HL), Non Hodgkinʼs lymphoma (NHL) groups in contrast to normal CLN in healthy Iraqi persons, and evaluate the difference among studied groups. This study involved 25 patients with HL, 25 with NHL (both with cervical lymphadenopathy) and 25 healthy subjects. all participants were examined using gray scale US machine. The results were : Means of long axis (L) and short axis (S) of NHL (21.47 mm, 13.23 mm ) and HL (23 mm, 13.59 mm) were significantly higher than healthy subjects (9.08 mm, 3.85 mm). Means of Short/Long axis ratio (S/L) were (0.634, 0.601, 0.424) mm respectively. Cutoff points for (L) of NHL, HL in contrast to control group were 13.85mm, while they were (5.800 and 7.150) mm for (S) and (0.540 and 0.447)mm for S/L respectively. Gray-scale US Cutoff Points of (L), (S) and S/L had strong diagnostic strength in differentiation between lymphomatous CLN and normal CLN in healthy subjects with no significant difference among diseased groups.

Keywords

Cervical lymph node Gray-scale Ultra-sound Hodgkinʼs

##plugins.themes.academic_pro.article.details##

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

How to Cite
Ammar J. Sebahi, Fawaz Al-Aswad, & Yasir H.Motlaq. (2022). Ultra-Sonographic Cut-off points of Cervical lymph nodes size and shape index in Hodgkin’s and Non-Hodgkin’s lymphoma. Texas Journal of Medical Science, 10, 81–89. https://doi.org/10.62480/tjms.2022.vol10.pp81-89
Crossref
Scopus
Google Scholar
Europe PMC

References

  1. Khanna, R., Sharma, A.D., Khanna, S. et al. Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy. World J Surg Onc 9, 29 (2011).
  2. www.wjso.biomedcentral.com/articles/10.1186/1477-7819-9-29
  3. Ramadas AA, Jose R, Varma B, Chandy ML. Cervical lymphadenopathy: Unwinding the hidden truth. Dent Res J (Isfahan). (2017) Jan-Feb;14(1):73-78.
  4. www.ncbi.nlm.nih.gov/pmc/articles/PMC5356393/
  5. M. Yinga , K.S.S. Bhatiab , Y.P. Leeb , H.Y. Yuenb , A.T. Ahuja. Review of ultrasonography of malignant neck nodes: greyscale, Doppler, contrast enhancement and elastography. Cancer Imaging (2013) 13(4), 658669.
  6. www.ncbi.nlm.nih.gov/pmc/articles/PMC3894696/
  7. Sapkota S, Shaikh H. Non-Hodgkin Lymphoma. [Updated 2022 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
  8. www.ncbi.nlm.nih.gov/books/NBK559328/
  9. Osanai H, Kuroiwa H, Uchida K, Kagami H, Yamada K, Taguchi A. Sonographic appearances of cervical lymph nodes in healthy young Japanese adults: Association with age, sex, and body mass index. J Clin Ultrasound 2015; 43(5): 295-301.
  10. www.onlinelibrary.wiley.com/doi/full/10.1002/jcu.22231
  11. Noriyuki Tohnosu; Shoichi Onoda; Kaichi Isono. Ultrasonographic evaluation of cervical lymph node metastases in esophageal cancer with special reference to the relationship between the short to long axis ratio (S/L) and the cancer content. , (1989) 17(2), 101–106.
  12. www.onlinelibrary.wiley.com/doi/abs/10.1002/jcu.1870170206
  13. AT Ahuja [A], Ying M, Ho SY, et al. Ultrasound of malignant cervical lymph nodes. Cancer Imaging. 2008;8(1):48-56.
  14. www.ncbi.nlm.nih.gov/pmc/articles/PMC2324368/
  15. Craig P. Giacomini, R. Brooke Jeffrey, and Lewis K. Shin. Ultrasonographic Evaluation of Malignant and Normal Cervical Lymph Nodes. ELSEVIER, Seminars in Ultrasound, CT and MRI Volume 34, Issue 3, June 2013, Pages 236-247.
  16. www.sciencedirect.com/science/article/abs/pii/S0887217113000449?via%3Dihub
  17. Imani Moghaddam M, Davachi B, Mostaan LV, et al: Evaluation of the sonographic features of metastatic cervical lymph nodes in patients with head and neck malignancy. ournal of Craniofacial Surgery: November 2011 - Volume 22 - Issue 6 - p 2179-2184.
  18. www.journals.lww.com/jcraniofacialsurgery/Abstract/2011/11000/
  19. Rohan K, Ramesh A, Sureshkumar S, et al. Evaluation of B-Mode and Color Doppler Ultrasound in the Diagnosis of Malignant Cervical Lymphadenopathy. Cureus 12(8): e9819; (August 17, 2020).
  20. https://www.cureus.com/articles/38650-evaluation-of-b-mode-and-color-doppler-ultrasound-in-the-diagnosis-of-malignant-cervical-lymphadenopathy
  21. Prinson George, Aria Jyothi Appukuttan. Evaluation of Ultrasonography and Colour Doppler in Cervical Lymphadenopathy Taking Histopathology as Comparison. DOI: 10.14260/ jemds,( 2021),294.
  22. https://jemds.com/data_pdf/Aria%20Jyothi---%20Issue%2019,%20May%2010.pdf
  23. Ying M., Ahuja A. Sonography of neck lymph nodes. Part I: normal lymph nodes. Clin. Radiol. (2003);58(5):351–358.
  24. www.clinicalradiologyonline.net/article/S0009-9260(02)00584-6/fulltext
  25. Joe M. Chan, Lewis K. Shin, and R. Brooke Jeffrey. Ultrasonography of Abnormal Neck Lymph Nodes. Ultrasound Quarterly: March 2007 - Volume 23 - Issue 1 - p 47-54.
  26. www.journals.lww.com/ultrasoundquarterly/Abstract/2007/03000/Ultrasonography_of_Abnormal_Neck_Lymph_Nodes.22.aspx
  27. Rand Sh Al-Ani, Ammar M Mashlah, Mohammad Iyad Al-Hafar. Sonographic assessment of normal cervical lymph nodes in a sample of Syrian population. Journal of Baghdad College of Dentistry, Vol. 25 No. 2 (2013).
  28. https://www.iasj.net/iasj/article/164272
  29. Shahad D. Ali, Taghreed F. Zaidan, Mohammed A. Mahdi. Evaluation of the efficacy of ultrasound in the diagnosis of cervical lymphadenopathy. Journal of baghdad college of dentistry; 2018, Volume 30, Issue 3, Pages 59-67.
  30. https://www.iasj.net/iasj/issue/9786
  31. Chae, S.Y., Jung, H.N., Ryoo, I. et al. Differentiating cervical metastatic lymphadenopathy and lymphoma by shear wave elastography. Sci Rep 9, 12396 (2019).
  32. www.nature.com/articles/s41598-019-48705-0#citeas
  33. Abhishek Gupta; Khaliqur Rahman; Mohammad Shahid; Abhishek Kumar; S. M. Danish Qaseem; S. Abrar Hassan; Farhan Asif Siddiqui . Sonographic assessment of cervical lymphadenopathy: Role of high-resolution and color Doppler imaging. Wiley Online Library (2011).
  34. www.citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.892.3659&rep=rep1&type=pdf
  35. Mohamed A. Mohammad, Tamer A. Kamal, Haney H. Lotfy. Benign Versus Malignant Cervical Lymph Nodes ; Differentiation by Diffusion Weighted MR. DWI, Cervical lymphadenopathy , benign versus malignant, 2022
  36. www.bmfj.journals.ekb.eg/article_208697_db6b3004063a271f6be686b774194515.pdf
  37. Okumuş Ö, Dönmez M, Pekiner FN. Ultrasonographic Appearances of Cervical Lymph Nodes in Healthy Turkish Adults Subpopulation: Preliminary Study. Open Dent J. Jun 30;11:404-412, (2017) .
  38. https://opendentistryjournal.com/VOLUME/11/PAGE/404/