Asai S, Miyachi H, Suzuki K, Shimamura K, Ando Y
Department of Clinical Pathology, Tokai University School of Medicine, Tokai University Hospital, Isehara, Japan.
J Ultrasound Med. 2001 May;20(5):533-8. doi: 10.7863/jum.2001.20.5.533.
To assess the usefulness of ultrasonography in the differential diagnosis of cervical tuberculous lymphadenitis versus malignant lymph nodes.
Ultrasonography of cervical lymph nodes was performed with a real-time linear scanner using a 7.5- or 11-MHz probe or both. Ultrasonographic findings were retrospectively reviewed in 73 patients: 49 with malignant lymphoma, 15 with tuberculous lymphadenitis, and 9 with metastatic lymph nodes.
Ultrasonographic features specific to cervical tuberculous lymphadenitis were strong echoes (33.3%) and an echogenic thin layer (86.7%). When the lymph nodes had at least 1 of these 2 features, tuberculous lymphadenitis was diagnosed with a sensitivity of 100% and a specificity of 100%.
Ultrasonographic evaluation of cervical lymph nodes can be useful in the diagnosis of cervical tuberculous lymphadenitis.
评估超声检查在鉴别颈部结核性淋巴结炎与恶性淋巴结方面的实用性。
使用7.5或11兆赫探头或两者，通过实时线性扫描仪对颈部淋巴结进行超声检查。对73例患者的超声检查结果进行回顾性分析：49例为恶性淋巴瘤，15例为结核性淋巴结炎，9例为转移性淋巴结。
颈部结核性淋巴结炎特有的超声特征为强回声（33.3%）和回声薄层高回声（86.7%）。当淋巴结至少具备这两个特征中的一个时，诊断结核性淋巴结炎的敏感性为100%，特异性为100%。
颈部淋巴结的超声评估对颈部结核性淋巴结炎的诊断可能有用。
