Bruneton J N, Roux P, Caramella E, Demard F, Vallicioni J, Chauvel P
Radiology. 1984 Sep;152(3):771-3. doi: 10.1148/radiology.152.3.6463260.
We present the results of a study on the value of ultrasound in the detection of metastasis to the cervical lymph nodes in connection with cancer of the ear, nose, and throat. Comparison of clinical, ultrasound, and histological findings for 100 patients who underwent surgery revealed that clinical examination had a sensitivity of 78% versus 92.6% for ultrasound. All 18 cases of thrombosis of the internal jugular vein were detected by ultrasound. Clinical staging of the disease was modified in 28 of these patients based on ultrasound findings, including three false positive findings. Ultrasonographic follow-up at three months for a second group of 110 patients who did not undergo neck dissection provided prognostic information, since lesion stability or progression was correlated with death in less than one year in 41 of 43 patients. Ultrasound is of primary value in providing information of an anatomic nature, including the detection of subclinical lymph nodes, volumetric evaluation, and determination of vascular connections, particularly detection of internal jugular venous thrombosis. Furthermore, for patients whose necks have been thickened as a result of radiotherapy, ultrasound allows assessment of local status.
我们展示了一项关于超声在检测耳鼻喉癌颈部淋巴结转移中的价值的研究结果。对100例接受手术的患者的临床、超声和组织学检查结果进行比较，发现临床检查的敏感性为78%，而超声检查为92.6%。所有18例颈内静脉血栓形成均被超声检测到。其中28例患者的疾病临床分期根据超声检查结果进行了修正，包括3例假阳性结果。对另一组110例未接受颈部清扫术的患者进行了三个月的超声随访，提供了预后信息，因为在43例患者中有41例病变的稳定或进展与不到一年的死亡相关。超声在提供解剖学信息方面具有重要价值，包括检测亚临床淋巴结、体积评估以及确定血管连接，特别是检测颈内静脉血栓形成。此外，对于因放疗导致颈部增厚的患者，超声可以评估局部状况。
