Diagnostic value of some microcalcifications with suspected malignancy on mammograms

Nguyen Thanh Thuy1, Nguyen Thi Ngoc Anh1, Nguyen Thi To Ngan1, Pham Minh Thong1,
1 Bach Mai Hospital

Main Article Content

Abstract

SUMMARY


Background: The purpose of the study was to evaluate the characters
and efficacy of B Mode and color Doppler ultrasound (CDUS) in diagnosis malignant cervical lymph nodes.
Materials and Methods: In this cross-sectional prospective study, during a period of 12 months, performed on 85 patients including two groups: group I includes 63 patients with cervical lymphadenopathy with suspected lymph nodes on US and group II includes 22 patients with clinically suspected lymph nodes (not have any suspicious characteristics
in US) were prospectively evaluated with B-mode and CDUS. Statistical
analysis was carried out with histopathological or cytological diagnosis
as gold standard.
Results: We conducted ultrasound in 85 patients,. To compare with the pathology results of the disease, there are 56 metastatic lymph nodes, 04 lymphoma nodes, 01 plasmocyoma lymph node, 18 nonspecific inflammatory lymph nodes, 01 purulent lymph node and 05 granulomatous lymph nodes due to tuberculosis. The sensitivity,
specificity, the accuracy of 2D ultrasound method combined with Dopper
ultrasound are 95.08%, 79,2 %, 92%, 86% và 90,6%.
Conclusions: Within the limitations of this study, B-mode and CDUS evaluations were found to be highly significant with a high sensitivity and specificity. B-mode and CDUS examinations provide a prospect to reduce the need for biopsy/fine needle aspiration cytology in reactive nodes.

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References

TÀI LIỆU THAM KHẢO
1. Ahuja, A., et al., Ultrasound of malignant cervical lymph nodes. Cancer Imaging, 2008. 8(1): p. 48.
2. Khanna, R., et al., Usefulness of ultrasonography for the evaluation of cervical lymphadenopathy. World journal of surgical oncology, 2011. 9(1): p. 29.
3. Ahuja, A., et al., A practical approach to ultrasound of cervical lymph nodes. The Journal of Laryngology & Otology, 1997. 111(3): p. 245-256.
4. Ellison, E., P. LaPuerta, and S.E. Martin, Supraclavicular masses: results of a series of 309 cases biopsied by fine needle aspiration. Head Neck, 1999. 21(3): p. 239-46.
5. Ahuja, A.T., et al., Ultrasound of malignant cervical lymph nodes. Cancer Imaging, 2008. 8(1): p. 48-56.
6. Ying, M., et al., Review of ultrasonography of malignant neck nodes: greyscale, Doppler, contrast enhancement and elastography. Cancer Imaging, 2014. 13(4): p. 658-69.
7. Ying, M., et al., Sonographic appearance and distribution of normal cervical lymph nodes in a Chinese population. J Ultrasound Med, 1996. 15(6): p. 431-6.
8. Chen-HanChou, Tsung-LinYang, and Cheng-PingWang, Ultrasonographic Features of Tuberculous Cervical Lymphadenitis. Journal of Medical Ultrasound, 2014. 22(3): p. 158-163.
9. MD, L.A., et al., Value of Ultrasound Elastography in the Differential Diagnosis of Cervical Lymph Nodes. Journal of Ultrasound in Medicine, 01 November 2016. 35(11): p. 2491-2499.
10. Ahuja, A.T., et al., Metastatic cervical nodes in papillary carcinoma of the thyroid: ultrasound and histological correlation. Clin Radiol, 1995. 50(4): p. 229-31.
11. SB Dangore*, S.D.a.R.B., Evaluation of the efficacy of colour Doppler ultrasound in diagnosis of cervical lymphadenopathy. Dentomaxillofacial Radiology, 2008. 37: p. 205-212.
12. Ying, M., et al., Power Doppler sonography of normal cervical lymph nodes. J Ultrasound Med, 2000. 19(8): p. 511-7.
13. Misra, D., et al., Diagnostic efficacy of color Doppler ultrasound in evaluation of cervical lymphadenopathy. Dental Research Journal, 2016 13(3): p. 217-214.
14. Baatenburg de Jong, R.J., et al., Metastatic neck disease. Palpation vs ultrasound examination. Arch Otolaryngol Head Neck Surg, 1989. 115(6): p. 689-90.