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2 - Differential diagnosis of cervical lymphadenopathy: usefulness of color-power doppler sonography
Barış Yanbuloğlu, Hüseyin Özkurt, T. Hakan Doğan, Ozan Karatağ, Metin Yıldız, Muzaffer Başak
Objective: To assess the diagnostic accuracy of color-power Doppler ultrasonography in differentiating malignant from benign cervical lymphadenopathy.
Methods: 42 lymph nodes in 42 patients with cervical lymphadenopathy were evaluated by color-power Doppler ultrasonography based on the morphological patterns of vascularity. Results were compared with histopathologic diagnoses.
Results: The patients were lüstopathologically confirmed to have metastasis (n=20), lymphoma (n=8), tuberculosis (n=3) and benign reactive lymphadenitis (n=ll). Twenty eight nodes were confirmed to be malignant and 14 were benign. According to findings on color-power Doppler ultrasonography, 27 lymph nodes were malignant, 15 lymph nodes were benign. Sensitivity and specificity of color-power Doppler ultrasonography were 89% and %85 respectively.
Conclusion: Color-power Doppler ultrasonography was useful in differentiating benign from malignant cervical lymphadenopathy with high diagnostic accuracy.
Keywords: Lymph nodes, cervical, color-power Doppler ultrasonography
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