Diagnosis of cervical plexus tumours by high-frequency ultrasonography

Gong, Weidong; Wang, Jing; Huang, Liwei; Xu, Yang; Chen, Dingzhang; Zheng, Minjuan

doi:10.1186/s12880-021-00682-5

Cited by 5 publications

(3 citation statements)

References 14 publications

(14 reference statements)

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“…High-frequency ultrasound diagnosis is also a non-invasive technique that can observe the epidermis, dermis, subcutaneous tissue, and cutaneous nerve structure of the skin. It has a good correlation with histopathology and has been widely used in the diagnosis of benign skin tumors, malignant tumors, localized scleroderma, and other diseases [59][60][61]. The main pathological changes in patients with shingles are inflammatory changes in the affected skin, subcutaneous tissues, nerve roots, and nerve endings.…”

Section: High-frequency Ultrasound Diagnosismentioning

confidence: 99%

Early Diagnosis of Herpes Zoster Neuralgia: A Narrative Review

et al. 2023

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Background Early intervention reduces the incidence of postherpetic neuralgia (PHN). Typical shingles are easy to diagnose; however, there is no clear diagnostic method for neuralgia symptoms manifested before the onset of the rash, which can easily cause misdiagnosis. This not only increases the patient’s pain, medical expenses, and mental burden, but more importantly, delays the valuable time for early treatment of shingles, and increases the probability of complications and PHN. Objective In this paper, the diagnostic methods of preherpetic neuralgia were summarized and analyzed, and the current challenges were put forward to provide directions for the early diagnosis of herpes zoster (HZ) in the future. Methods PubMed, and China National Knowledge Infrastructure (CNKI) libraries were searched using the terms “herpes zoster,” “before the blistering,” “diagnosis,” and “neuralgia.” Clinical trials, reviews, and case reports were collected and reviewed. The period of literature search is from 1 January 1980 to 1 October 2022. Results The early diagnosis of herpes zoster neuralgia can reduce misdiagnosis and mistreatment, and timely and effective intervention can significantly reduce the incidence of PHN. The body may possess a mechanism that limits the local breakthrough of the virus in the skin, causing blistering later than the onset of pain. Changes in the plasma proteins of patients with varicella-zoster virus shingles neuralgia may be used as an early diagnostic indicator in patients with HZ neuralgia before eruption. Conclusion Early diagnosis of HZ neuralgia before eruption can facilitate timely targeted treatment, thereby reducing the incidence of PHN. Proteomic quantitative analysis and validation results can serve as a simple, micro, rapid, and accurate diagnostic method. Supplementary Information The online version contains supplementary material available at 10.1007/s40122-023-00510-4.

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Section: High-frequency Ultrasound Diagnosismentioning

confidence: 99%

Early Diagnosis of Herpes Zoster Neuralgia: A Narrative Review

et al. 2023

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“…TOS is difficult to diagnose, and the current approach to clinical diagnosis mainly relies on physical examination. Both the literature and our own experience demonstrate that HFUS is safe, inexpensive, readily available, and widely used in the evaluation of the perineural environment, fascicular echostructure, and nerve diameter, which are particularly valuable in the diagnosis and treatment of nerve tumors, compressive lesions, and nerve trauma [ 9 , 10 , 12 – 14 ]. However, there are few reports on TOS with compression of the brachial plexus in the existing literature.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of thoracic outlet syndrome with the lower trunk compression of brachial plexus by high-frequency ultrasonography

Chen,

Gong,

Wang

et al. 2023

BMC Musculoskelet Disord

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Background Thoracic outlet syndrome (TOS) with the lower trunk compression of brachial plexus (BP) is difficult to diagnosis. This study aimed to summarize the features of thoracic outlet syndrome (TOS) with the lower trunk compression of brachial plexus observed on high-frequency ultrasonography (HFUS). Methods The ultrasound data of 27 patients who had TOS with the lower trunk compression of brachial plexus were collected and eventually confirmed by surgery. The imaging data were compared, and the pathogenesis of TOS was analyzed on the basis of surgical data. Results TOS occurred predominantly in females (70.4%). Most cases had unilateral involvement (92.6%), mainly on the right side (66.7%). The HFUS features of TOS can be summarized as follows: (1) Lower trunk compression. HFUS revealed focal thinning that reflected compression at the level of the lower trunk; furthermore, the distal part of the nerve was thickened for edema (Affected side: 0.49 ± 0.12 cm vs. Healthy side: 0.38 ± 0.06, P = 0.009), and the cross-sectional area of brachial plexus cords was markedly greater on the injured side than on the healthy side (0.95 ± 0.08 cm² vs. 0.65 ± 0.11 cm², P = 0.004). (2) Hyperechoic fibromuscular bands behind the compressed nerve (mostly the scalenus minimus muscle). (3) Abnormal bony structures: cervical ribs or elongated transverse processes of the 7th cervical vertebra (C7). Surgical results showed that the etiological factors contributing to TOS were (1) muscle hypertrophy and/or fibrosis (100%) and (2) cervical ribs/elongated C7 transverse processes (20.7%). Conclusion TOS with the lower trunk compression of brachial plexus can be diagnosed accurately and reliably by high-frequency ultrasound.

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“…Patients have pain, increased tenderness, or paresthesias but may be asymptomatic 2 . Ultrasound findings may resemble metastatic lymphadenopathy, and biopsy is required 4,5 . It is important to consider posttraumatic neuroma as a differential diagnosis in patients with neck nodules to avoid unnecessary biopsies 2 .…”

mentioning

confidence: 99%