Sakai O, Curtin H D, Romo L V, Som P M
Department of Radiology, Jichi Medical School and Hospital, Tochigi, Japan.
Radiol Clin North Am. 2000 Sep;38(5):979-98, x. doi: 10.1016/s0033-8389(05)70216-5.
The evaluation of cervical lymph nodes is one of the main indications for performing CT and MR imaging of the neck. Imaging may be done for evaluation of an unknown neck mass, but more commonly the neck is imaged to evaluate potential metastasis from a known mucosal malignancy. CT and MR imaging characteristics of both malignant and nonmalignant nodal diseases are reviewed and the differential diagnosis of nodal pathologies for specific imaging findings are discussed. A recently proposed imaging-based nodal classification for metastatic nodal diseases from head and neck cancer is also described.
颈部淋巴结评估是进行颈部CT和磁共振成像(MR)的主要指征之一。成像检查可用于评估不明颈部肿块,但更常见的是对颈部进行成像,以评估已知黏膜恶性肿瘤的潜在转移情况。本文回顾了恶性和非恶性淋巴结疾病的CT和MR成像特征,并讨论了针对特定成像表现的淋巴结病变鉴别诊断。还介绍了一种最近提出的基于成像的头颈部癌转移性淋巴结疾病分类方法。