Kuhn F P, Mika M, Schild H, Klose K
Rofo. 1983 Apr;138(4):435-9. doi: 10.1055/s-2008-1055756.
Sonography was performed in 206 patients with space-occupying processes in the region of the lateral soft parts of the neck, of the parotid gland or the submandibular gland (3.5; 7.5 and/or 8-10 MHz real-time contact field scanner). This sonographic examination enabled differentiation of 166 solid from 40 cystic space-occupying masses: 102 lymphatic node enlargements, 12 primary tumours of the neck, 24 neck cysts, one thymus and epidermoid cyst, on carotid aneurysm, diseases of the salivary glands (35 neoplasias, 8 cysts, 9 inflammatory tumours, 6 cases of sialolithiasis, 5 abscesses, 2 intracapsular lymphomas). The following valuable additional information was gained from sonography in respect of surgical treatment: 1. In the region of the lateral soft parts of the neck, it was possible to effect a clear differential diagnosis of the original findings based on palpation; differential diagnostic clarification of the tumour volume; spatial location of fixed tumours of the neck in relation to the adjacent soft parts of the neck, such as vessels, musculature etc.; quantification of tumour regression subsequent to chemotherapy or radiotherapy. 2. In case of diseases of the salivary glands, differentiation between salivary calculi, neoplasia, inflammation and cyst; extension of tumour; localisation of processes in the immediate vicinity; preoperative localisation of salivary calculi.
对206例颈部外侧软组织、腮腺或颌下腺区域有占位性病变的患者进行了超声检查（使用3.5、7.5和/或8 - 10兆赫实时接触式探头扫描仪）。这项超声检查能够区分166个实性和40个囊性占位性肿块：102个淋巴结肿大、12个颈部原发性肿瘤、24个颈部囊肿、1个胸腺和表皮样囊肿、1个颈动脉动脉瘤、唾液腺疾病（35个肿瘤、8个囊肿、9个炎性肿瘤、6例涎石病、5个脓肿、2个包膜内淋巴瘤）。超声检查在手术治疗方面还提供了以下有价值的额外信息：1. 在颈部外侧软组织区域，基于触诊结果能够对最初发现进行明确的鉴别诊断；明确肿瘤体积的鉴别诊断；颈部固定肿瘤相对于颈部相邻软组织（如血管、肌肉组织等）的空间位置；化疗或放疗后肿瘤消退的量化评估。2. 对于唾液腺疾病，能够区分涎石、肿瘤、炎症和囊肿；明确肿瘤范围；确定紧邻区域病变的位置；术前确定涎石的位置。
