Ultrasound in the diagnosis of cervical tuberculous adenitis

Jong, Robert J. Baatenburg de; Rongen, R. J.; Laméris, Johan S.; Knegt, P.; Verwoerd, C. D. A.

doi:10.1016/s0385-8146(97)10029-3

Cited by 16 publications

(7 citation statements)

References 13 publications

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“…In regions in which tuberculosis is endemic, it is a much more common cause of lymphadenopathy in the pediatric population. Enlarged and often matted lymph nodes-primarily in the internal jugular chain, the posterior triangle, and the supraclavicular fossa-will eventually caseate and undergo suppuration and central necrosis, with adjacent reactive cellulitis or myositis (6,32,34,37).…”

Section: Cervical Adenitis and Its Complicationsmentioning

confidence: 99%

US of Pediatric Superficial Masses of the Head and Neck

et al. 2018

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Superficial palpable masses of the head and neck are common in the pediatric population, with the vast majority of the lesions ultimately proven to be benign. Duplex ultrasonography (US) has emerged as the first-line imaging modality for the evaluation of superficial pediatric masses. Without utilizing radiation, iodinated contrast material, or sedation and/or anesthesia, US provides a means for quick and cost-effective acquisition of information, including the location, size, shape, internal content, and vascularity of the mass. In this review, the US findings are described for a variety of common and uncommon pediatric head and neck masses diagnosed in our practice. Specifically, the entities covered include neonatal scalp hematoma, craniosynostosis, dermoid and epidermoid cysts, Langerhans cell histiocytosis, lymph nodes and their complications, fibromatosis colli, thyroglossal duct cyst, branchial cleft cyst, cervical thymus, congenital goiter, thyroid papillary carcinoma, parathyroid adenoma, hemangioma, lymphangioma, jugular vein phlebectasia, Lemierre syndrome, acute parotitis and parotid abscess, leukemia and/or lymphoma, neurogenic tumor, and rhabdomyosarcoma. Ultimately, in situations in which the head or neck mass is too large, deep, or hyperechoic to be fully assessed within the US field of view, or if malignancy or a high-flow vascular lesion is suspected, then further evaluation with cross-sectional imaging is warranted. Online supplemental material is available for this article. RSNA, 2018.

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Section: Cervical Adenitis and Its Complicationsmentioning

confidence: 99%

US of Pediatric Superficial Masses of the Head and Neck

et al. 2018

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“…Systemic symptoms, such as low-grade fever, weight loss, fatigue and night sweats may be present [5]. Baatenburg de Jong et al [16] reported the ultrasound patterns of LN involvement according to different stages of the disease. Ultrasound images of LNs often show a nonspecific hypoechoic pattern in an early granulomatous stage and a hypoechogenic mass with an inhomogeneous aspect in the caseation stage.…”

Section: Discussionmentioning

confidence: 99%

Role of ultrasound in the diagnosis of cervical tuberculous lymphadenitis in children

Zhang

et al. 2021

World J Pediatr

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Background To describe sonographic characteristics of cervical tuberculous lymphadenitis (CTBL) in children, clinical information, and sonograms of 348 lymph nodes (LNs) from 57 children with CTBL were retrospectively analyzed in this study. Methods We retrospectively reviewed the clinical data and sonograms of 348 LNs from 31 boys and 26 girls with CTBL, who were confirmed by pathology or laboratory examination, at the Hangzhou Red Cross Hospital between June 2014 and December 2020. The age of the children ranged from 1 to 14 years (average 7.1 ± 2.9 years). Results Night sweats, fatigue and loss of appetite were the most common clinical symptoms observed in children with CTBL. Unilateral LN involvements were common. Occasionally, CTBL was found in healthy children with no symptoms. On sonography, the hilus was absent or unclear in all LNs. The short-to-long axis (S/L) ratio was ≥ 0.5, and the edges were unclear in most LNs. Other accompanying findings included necrosis (47.4%), an echogenic thin layer (36.8%), surrounding soft-tissue edema (38.5%), multiple intra-nodal strong echo (28.2%), sinus (22.7%) and abscess formation (6.9%). The Doppler ultrasound showed that the majority of vascularity patterns of CTBL were capsular or peripheral (33.3%). Conclusions Ultrasound is a recommended examination method for children from different age groups with cervical lymphadenitis. The ultrasonic signs of hilus absence, S/L ratio ≥ 0.5, unclear edge, necrosis, echogenic thin layer, strong echoes and capsular or peripheral vascularity may aid in the diagnosis of cervical tuberculous lymphadenitis.

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“…Ahuja AT et al, [2] have found that preserved fatty hilum is a feature of benignity of the lymph node [2,8]. On Doppler resistive index assessment, inflammatory lymph nodes reveal high RI and low RI is seen in neoplastic lymph nodes [8,[11][12][13][14] .…”

Section: Discussionmentioning

confidence: 99%