Ultrasonography of Neck Lymph Nodes in Children

M Ying; YYP Lee; KT Wong; VYF Leung; AT Ahuja

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Ultrasonography of Neck Lymph Nodes in Children

机译：儿童颈部淋巴结的超声检查

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Ultrasound is an ideal imaging tool for initial assessment of cervical lymph nodes in children. Grey scale ultrasound helps to evaluate the morphology of cervical nodes, whereas power Doppler ultrasound assesses the nodal vasculature. On grey scale ultrasound, useful sonographic features that help in identifying pathologic nodes include round contour, absence of echogenic hilus, intranodal necrosis, calcification, ill-defined borders, matting, and adjacent soft tissue oedema. On power Doppler ultrasound, evaluation of vascular pattern of lymph nodes helps to differentiate malignant and benign nodes. Ultrasound-guided fine-needle aspiration cytology is becoming popular in paediatric patients, and ultrasound-guided core biopsy is also possible in this group of patients under local anaesthesia. This article reviews these topics to provide an overview of ultrasonography of cervical lymphadenopathy in children.

机译：超声是用于儿童颈淋巴结初步评估的理想成像工具。灰度超声有助于评估颈淋巴结的形态，而功率多普勒超声则可评估淋巴结的血管系统。在灰度超声上，有助于识别病理学结节的有用的超声检查特征包括圆形轮廓，无回声光斑，结节内坏死，钙化，边界不清晰，消光和邻近的软组织水肿。在功率多普勒超声检查中，评估淋巴结的血管形态有助于区分恶性和良性淋巴结。超声引导的细针穿刺细胞学检查在儿科患者中变得越来越普遍，并且在局部麻醉下，这组患者也可以进行超声引导的穿刺活检。本文回顾了这些主题，以概述儿童颈淋巴结病的超声检查。

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《Hong Kong Journal of Paediatrics》 |2009年第1期|共8页
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M Ying; YYP Lee; KT Wong; VYF Leung; AT Ahuja;
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中图分类儿科学;
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1. Usefulness and limitations in ultrasonography for diagnosing neck lymph node metastases in patients with hypopharyngeal squamous cell carcinoma: comparison with pathological findings following neck dissection [J] . Beppu T, Sasaki T, Kawabata K, 日本耳鼻咽喉科学会会報 . 2005,第8期

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2. Usefulness and limitations in ultrasonography for diagnosing neck lymph node metastases in patients with hypopharyngeal squamous cell carcinoma: comparison with pathological findings following neck dissection [J] . Beppu T, Sasaki T, Kawabata K, 日本耳鼻咽喉科学会会報 . 2005,第8期

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4. The Features of Lymph Node Metastasis of Differentiated Thyroid Carcinoma and the Choice of Lateral Neck Lymph Nodes Dissection [C] . Zhihui Sun, Jia Liu, Peisong Wang, International Conference on Information Technology in Medicine and Education . 2016

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Ultrasonography of Neck Lymph Nodes in Children

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