Martin Daniel A, Hogg Jeffery P
Department of Radiology, West Virginia University, Morgantown, WV 26506, USA.
Curr Probl Diagn Radiol. 2010 Mar-Apr;39(2):62-73. doi: 10.1067/j.cpradiol.2009.08.003.
This article provides a review of the anatomic classification and staging of nodal disease in the neck through the use of tables, illustrations, and sample imaging cases. The article reinforces knowledge of nodal disease in the neck while reviewing imaging examples of common and uncommon disease entities in this region. We review nodal disease in the neck using American Joint Committee on Cancer staging criteria. We illustrate anatomy of the nodal levels of the neck with accompanying examples of selected cases. These are presented in an integrated manner, highlighting items of importance to radiologists. The accompanying images and clinical scenarios aid recognition with an emphasis on differential diagnosis. Case examples include a broad range of pathologically and clinically proven disease entities involving lymph node disease in the neck accumulated from 1999 to 2008 at a tertiary referral center. The anatomical relationships and major disease processes for this location are reviewed and illustrated with example images from commonly used imaging modalities for this region. Examples of cases discussed include lymphoma, metastatic neoplasms such as head/neck squamous cell carcinoma and esthesioneuroblastoma, and inflammatory and infectious processes such as mononucleosis. The reader will gain or refresh information about the anatomical relationships and demarcations of the nodal levels of the neck as well as disease entities that frequently present with neck adenopathy. This information is useful both in clinical practice and in preparation for certifying examinations. The images provided aid recognition with an emphasis on clinical context and differential diagnosis. A succinct review of patterns of nodal disease of the neck with anatomic orientation using illustrations of typical and atypical disease entities in this region enhance and reinforce understanding of this often complex area of imaging.
本文通过表格、插图及示例影像病例，对颈部淋巴结疾病的解剖学分类及分期进行了综述。在回顾该区域常见及罕见疾病实体的影像示例时，本文强化了对颈部淋巴结疾病的认识。我们使用美国癌症联合委员会的分期标准来回顾颈部淋巴结疾病。我们通过所选病例的示例来说明颈部淋巴结分区的解剖结构。这些内容以综合的方式呈现，突出了对放射科医生重要的要点。附带的图像和临床病例有助于识别，重点在于鉴别诊断。病例示例包括1999年至2008年在一家三级转诊中心积累的一系列经病理和临床证实的涉及颈部淋巴结疾病的疾病实体。本文回顾了该部位的解剖关系和主要疾病过程，并用该区域常用成像方式的示例图像进行了说明。讨论的病例示例包括淋巴瘤、转移性肿瘤，如头颈部鳞状细胞癌和嗅神经母细胞瘤，以及炎症和感染性疾病，如单核细胞增多症。读者将获得或更新有关颈部淋巴结分区的解剖关系和界限以及经常表现为颈部腺病的疾病实体的信息。这些信息在临床实践和认证考试准备中均有用。提供的图像有助于识别，重点在于临床背景和鉴别诊断。通过该区域典型和非典型疾病实体的插图，对颈部淋巴结疾病模式进行简洁的解剖学导向综述，可增强并巩固对这一通常较为复杂的影像领域的理解。
