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Original Article
Online Published: 29 Sep 2022
 


A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography

Shruti Patil, Sidhesh Revathi Murugaiyan, Pravitha Baskar, Divyameenupreetha Ashok, Muhsina Aboobaker, Sindhu Bairavi Moongilmadai Raju.


Abstract
Cervical lymphadenopathy is not a diagnosis but it is a sign or symp-tom. The etiology could be inflammatory or degenerative or neoplastic. Cervical lymph node evaluation plays a vital role in patients with head and neck cancers because the results determine the prognosis and choice of therapy. Ultrasonography can be used to assess the mor-phology, site, number, size and vascularity of cervical lymph node. However, the ultrasound criteria for metastatic lymph nodes are con-troversial. Sonoelastography is a novel imaging modality introduced as a non-invasive technique for evaluating cervical lymph nodes and to map the elastic properties of examined soft tissue. Neck lymph nodes are easily accessible and can be efficiently compressed against under-lying anatomical structures, with use of an ultrasound transducer for elastographic tissue characterization. The detail about the rigidity of a lymph node gives us the direction for percutaneous biopsy and nodal dissection under ultrasound guidance. Use of this information can also improve patient follow-up by enabling detection of cancer recurrence at an early stage. The study aims to differentiate benign and malignant cervical lymph nodes by observing the morphology, vascular Pattern and strain ratio cut-off value. In this trial 40 patients with cervical lym-phadenopathy were studied and the study concluded that Ultrasound elastography is a specific test unlike B-mode ultrasonography in dif-ferentiating benign and malignant cervical lymphadenopathy. The strain ratio cut-off value for benign vs malignant lymphadenopathy is 1.78. Thus Sonoelastography along with B-mode ultrasound increases the rate of detection of malignancy.

Key words: B-mode ultrasonography, Cervical lymphnode, Sonoelastography, Strain cut-off ratio


 
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How to Cite this Article
Pubmed Style

Patil S, Murugaiyan SR, Baskar P, Ashok D, Aboobaker M, Raju SBM. A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography. J Med Allied Sci. 2021; 11(2): 172-177. doi:10.5455/jmas.63227

Web Style

Patil S, Murugaiyan SR, Baskar P, Ashok D, Aboobaker M, Raju SBM. A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography. https://jmas.in/?mno=63227 [Access: September 12, 2024]. doi:10.5455/jmas.63227

AMA (American Medical Association) Style

Patil S, Murugaiyan SR, Baskar P, Ashok D, Aboobaker M, Raju SBM. A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography. J Med Allied Sci. 2021; 11(2): 172-177. doi:10.5455/jmas.63227


Vancouver/ICMJE Style

Patil S, Murugaiyan SR, Baskar P, Ashok D, Aboobaker M, Raju SBM. A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography. J Med Allied Sci. (2021), [cited September 12, 2024]; 11(2): 172-177. doi:10.5455/jmas.63227


Harvard Style

Patil, S., Murugaiyan, . S. R., Baskar, . P., Ashok, . D., Aboobaker, . M. & Raju, . S. B. M. (2021) A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography. J Med Allied Sci, 11 (2), 172-177. doi:10.5455/jmas.63227


Turabian Style

Patil, Shruti, Sidhesh Revathi Murugaiyan, Pravitha Baskar, Divyameenupreetha Ashok, Muhsina Aboobaker, and Sindhu Bairavi Moongilmadai Raju. 2021. A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography. Journal of Medical and Allied Sciences, 11 (2), 172-177. doi:10.5455/jmas.63227


Chicago Style

Patil, Shruti, Sidhesh Revathi Murugaiyan, Pravitha Baskar, Divyameenupreetha Ashok, Muhsina Aboobaker, and Sindhu Bairavi Moongilmadai Raju. "A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography." Journal of Medical and Allied Sciences 11 (2021), 172-177. doi:10.5455/jmas.63227


MLA (The Modern Language Association) Style

Patil, Shruti, Sidhesh Revathi Murugaiyan, Pravitha Baskar, Divyameenupreetha Ashok, Muhsina Aboobaker, and Sindhu Bairavi Moongilmadai Raju. "A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography." Journal of Medical and Allied Sciences 11.2 (2021), 172-177. Print. doi:10.5455/jmas.63227


APA (American Psychological Association) Style

Patil, S., Murugaiyan, . S. R., Baskar, . P., Ashok, . D., Aboobaker, . M. & Raju, . S. B. M. (2021) A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography. Journal of Medical and Allied Sciences, 11 (2), 172-177. doi:10.5455/jmas.63227


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