TODENTJ-25-03-2019_TODENTJ-11-404
1553507062
Bentham Open
doi@benthamopen.net
Bentham Open
The Open Dentistry Journal
TODENTJ
1874-2106
06
30
2017
11
1
Ultrasonographic Appearances of Cervical Lymph Nodes in Healthy
Turkish Adults Subpopulation: Preliminary Study
Özlem
Okumuş
Merve
Dönmez
Filiz N.
Pekiner
Objectives:
The aim of the study was to assess whether there was any relation between age, gender and body mass index (BMI) and nodal forms and vascular type in healthy Turkish adults.
Study Design:
Three neck areas in 25 wholesome patients who were aged from 21 to 58 years, were assessed by gray-scale and color doppler ultrasonography. Ultrasonographic examinations were performed using an ALOKA Prosound Alpha 6 (Hitachi Aloka Medical Systems, Tokyo, Japan) and the images were obtained with a 7.2 MHz linear array transducer. Hajek’s categorization of cervical lymph nodes for sonographic analysis was used. The ultrasonographic characteristics like size, shape, short axis/long axis ratio (S/L), hilum were evaluated. Ultrasonographic examinations of upper cervical, submandibular and submental lymph nodes were carried out and recorded.
Results:
The mean age of patients was 31.84±12.80 years. The ratios of lymph nodes with avascular pattern were 96% for the upper cervical lymph area, 92% for the submandibular area and 96% for the submental area. The lowest and highest ratios of short to long axis diameter (S/L) were calculated as 0.18 and 0.66 in all areas. Most normal nodes in the study were oval with an S/L ratio of less than 0.5.
Conclusion:
Normal cervical lymph nodes are oval, with an unsharp border and an echogenic hilum but no relation between the age, gender and BMI. Also ultrasonography is an applicable imaging modality for the examination of cervical lymph nodes. However, the deficiency in the number of patients might not allow to generalise our findings to the general populations.
06
30
2017
404
412
TODENTJ-11-404
1
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1553507062
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Ying M, Ahuja A.
Ultrasonography of cervical lymph nodes.
Available from: www.diir.cuhk.edu.hk/specials/lymph_nodes/lymph_nodes.htm
J. Clin. Diagn. Res.
Vj R.
2014
10.7860/JCDR/2014/9328.4737
Vj R, Sa A, Mufeed A, Vadivazhagan , Issac JK.
Characterization of cervicofacial lymph- nodes: A clinical and ultrasonographic study.
J Clin Diagn Res
2014.
Radiography
Ying M.
12
105
2006
10.1016/j.radi.2005.04.004
Ying M, Ahuja AT.
Ultrasound of neck lymph nodes: How to do it and how do they look?
Radiography
2006;
12
(2)
: 105-17.
Arch. Otolaryngol. Head Neck Surg.
Baatenburg de Jong R.J.
117
402
1991
10.1001/archotol.1991.01870160056008
Baatenburg de Jong RJ, Rongen RJ, Verwoerd CD, van Overhagen H, Laméris JS, Knegt P.
Ultrasound-guided fine-needle aspiration biopsy of neck nodes.
Arch Otolaryngol Head Neck Surg
1991;
117
(4)
: 402-4.
Radiology
Hajek P.C.
158
739
1986
10.1148/radiology.158.3.3511503
Hajek PC, Salomonowitz E, Turk R, Tscholakoff D, Kumpan W, Czembirek H.
Lymph nodes of the neck: evaluation with US.
Radiology
1986;
158
(3)
: 739-42.
World J. Surg. Oncol.
Khanna R.
9
29
2011
10.1186/1477-7819-9-29
Khanna R, Sharma AD, Khanna S, Kumar M, Shukla RC.
Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy.
World J Surg Oncol
2011;
9
: 29.
Clin. Radiol.
Ying M.
56
416
2001
10.1053/crad.2000.0680
Ying M, Ahuja A, Brook F, Metreweli C.
Vascularity and grey-scale sonographic features of normal cervical lymph nodes: variations with nodal size.
Clin Radiol
2001;
56
(5)
: 416-9.
Clin. Radiol.
Ahuja A.
58
359
2003
10.1016/S0009-9260(02)00585-8
Ahuja A, Ying M.
Sonography of neck lymph nodes. Part II: abnormal lymph nodes.
Clin Radiol
2003;
58
(5)
: 359-66.
J. Ultrasound Med.
Ying M.
15
431
1996
10.7863/jum.1996.15.6.431
Ying M, Ahuja A, Brook F, Brown B, Metreweli C.
Sonographic appearance and distribution of normal cervical lymph nodes in a Chinese population.
J Ultrasound Med
1996;
15
(6)
: 431-6.
Clin. Radiol.
Ying M.
58
351
2003
10.1016/S0009-9260(02)00584-6
Ying M, Ahuja A.
Sonography of neck lymph nodes. Part I: normal lymph nodes.
Clin Radiol
2003;
58
(5)
: 351-8.
J. Clin. Ultrasound
Osanai H.
43
295
2015
10.1002/jcu.22231
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.
Radiol. Clin. North Am.
Solbiati L.
30
941
1992
Solbiati L, Cioffi V, Ballarati E.
Ultrasonography of the neck.
Radiol Clin North Am
1992;
30
(5)
: 941-54.
[abstract].
J. Clin. Ultrasound
Ying M.
30
1
2002
10.1002/jcu.10022
Ying M, Ahuja A, Brook F.
Sonographic appearances of cervical lymph nodes: Variations by age and sex.
J Clin Ultrasound
2002;
30
(1)
: 1-11.
J. Ultrasound Med.
Ying M.
19
511
2000
10.7863/jum.2000.19.8.511
Ying M, Ahuja A, Brook F, Metreweli C, Metreweli C.
Power Doppler sonography of normal cervical lymph nodes.
J Ultrasound Med
2000;
19
(8)
: 511-7.
Obes. Rev.
Prentice A.M.
2
141
2001
10.1046/j.1467-789x.2001.00031.x
Prentice AM, Jebb SA.
Beyond body mass index.
Obes Rev
2001;
2
(3)
: 141-7.
Ecancermedicalscience
Mazzarella L.
9
554
2015
10.3332/ecancer.2015.554
Mazzarella L.
Why does obesity promote cancer? Epidemiology, biology, and open questions.
Ecancermedicalscience
2015;
9
: 554.
Contemp. Clin. Dent.
Joshi P.S.
5
345
2014
10.4103/0976-237X.137942
Joshi PS, Pol J, Sudesh AS.
Ultrasonography: A diagnostic modality for oral and maxillofacial diseases.
Contemp Clin Dent
2014;
5
(3)
: 345-51.
Med. Ultrason.
Lenghel L.M.
15
29
2013
10.11152/mu.2013.2066.151.lml1uia2
Lenghel LM, Baciuţ G, Botar-Jid C, Vasilescu D, Bojan A, Dudea SM.
Ultrasonographic identification of the anatomical landmarks that define cervical lymph nodes spaces.
Med Ultrason
2013;
15
(1)
: 29-34.
Clin. Tech. Small Anim. Pract.
Nyman H.T.
22
128
2007
10.1053/j.ctsap.2007.05.007
Nyman HT, OBrien RT.
The sonographic evaluation of lymph nodes.
Clin Tech Small Anim Pract
2007;
22
(3)
: 128-37.
Semin. Ultrasound CT MR
Giacomini C.P.
34
236
2013
10.1053/j.sult.2013.04.003
Giacomini CP, Jeffrey RB, Shin LK.
Ultrasonographic evaluation of malignant and normal cervical lymph nodes.
Semin Ultrasound CT MR
2013;
34
(3)
: 236-47.
Radiology
van den Brekel M.W.
177
379
1990
10.1148/radiology.177.2.2217772
van den Brekel MW, Stel HV, Castelijns JA, et al.
Cervical lymph node metastasis: assessment of radiologic criteria.
Radiology
1990;
177
(2)
: 379-84.
Arch. Otolaryngol. Head Neck Surg.
Baatenburg de Jong R.J.
115
689
1989
10.1001/archotol.1989.01860300043013
Baatenburg de Jong RJ, Rongen RJ, Laméris JS, Harthoorn M, Verwoerd CD, Knegt P.
Metastatic neck disease. Palpation vs ultrasound examination.
Arch Otolaryngol Head Neck Surg
1989;
115
(6)
: 689-90.
Radiology
Bruneton J.N.
152
771
1984
10.1148/radiology.152.3.6463260
Bruneton JN, Roux P, Caramella E, Demard F, Vallicioni J, Chauvel P.
Ear, nose, and throat cancer: Ultrasound diagnosis of metastasis to cervical lymph nodes.
Radiology
1984;
152
(3)
: 771-3.
J. Ultrasound Med.
Marchal G.
4
417
1985
10.7863/jum.1985.4.8.417
Marchal G, Oyen R, Verschakelen J, Gelin J, Baert AL, Stessens RC.
Sonographic appearance of normal lymph nodes.
J Ultrasound Med
1985;
4
(8)
: 417-9.
J. Clin. Ultrasound
Tohnosu N.
17
101
1989
10.1002/jcu.1870170206
Tohnosu N, Onoda S, Isono K.
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.
J Clin Ultrasound
1989;
17
(2)
: 101-6.
[abstract].
Invest. Radiol.
Vassallo P.
28
698
1993
10.1097/00004424-199308000-00009
Vassallo P, Edel G, Roos N, Naguib A, Peters PE.
In-vitro high-resolution ultrasonography of benign and malignant lymph nodes. A sonographic-pathologic correlation.
Invest Radiol
1993;
28
(8)
: 698-705.
AJR Am. J. Roentgenol.
Ahuja A.T.
184
1691
2005
10.2214/ajr.184.5.01841691
Ahuja AT, Ying M.
Sonographic evaluation of cervical lymph nodes.
AJR Am J Roentgenol
2005;
184
(5)
: 1691-9.
Ann. Clin. Biochem.
Kawamoto R.
50
457
2013
10.1177/0004563212473445
Kawamoto R, Kusunoki T, Abe M, Kohara K, Miki T.
An association between body mass index and high-sensitivity C-reactive protein concentrations is influenced by age in community-dwelling persons.
Ann Clin Biochem
2013;
50
(Pt 5)
: 457-64.
JAMA
Visser M.
282
2131
1999
10.1001/jama.282.22.2131
Visser M, Bouter LM, McQuillan GM, Wener MH, Harris TB.
Elevated C-reactive protein levels in overweight and obese adults.
JAMA
1999;
282
(22)
: 2131-5.
Clin. Radiol.
Toriyabe Y.
52
927
1997
10.1016/S0009-9260(97)80226-7
Toriyabe Y, Nishimura T, Kita S, Saito Y, Miyokawa N.
Differentiation between benign and metastatic cervical lymph nodes with ultrasound.
Clin Radiol
1997;
52
(12)
: 927-32.
Radiology
Vassallo P.
183
215
1992
10.1148/radiology.183.1.1549675
Vassallo P, Wernecke K, Roos N, Peters PE.
Differentiation of benign from malignant superficial lymphadenopathy: The role of high-resolution US.
Radiology
1992;
183
(1)
: 215-20.