Ultrasonographic features of tuberculous cervical lymphadenitis
Journal
Journal of Medical Ultrasound
Journal Volume
22
Journal Issue
3
Pages
158-163
Date Issued
2014
Author(s)
Abstract
Making an accurate diagnosis of tuberculous cervical lymphadenitis (TCL) has been a problem to clinicians because it is a versatile masquerader and is often confused with lymphomas or cervical metastases. Ultrasound (US) has advantages over other examination modalities in that it is noninvasive, inexpensive, time-saving, and able to guide procedures such as fine-needle aspiration and core-needle biopsy. It is increasingly being recognized as a primary tool for the evaluation of cervical lymph nodes. In this article, we present six cases with microscopically and/or pathologically confirmed TCL and illustrate the US features. A literature review was also conducted. The key US features of TCL include hypoechogenecity, strong internal echoes, echogenic thin layers, nodal matting, soft tissue changes, and displaced hilar vascularity. US is a reliable and effective tool in assessing cervical lymphadenopathies. When TCL is suspected under US, US-guided procedures such as fine-needle aspiration or core-needle biopsy can be conducted concomitantly to obtain the microscopic or pathological proof. ? 2014.
Subjects
Cervical lymphadenitis; Tuberculosis; Ultrasound
SDGs
Other Subjects
ethambutol; ethambutol plus isoniazid plus pyrazinamide plus rifampicin; isoniazid; pyrazinamide; rifampicin; adult; antibiotic sensitivity; Article; bacterium culture; biopsy technique; cervical lymphadenopathy; clinical article; clinical effectiveness; core biopsy needle; core needle biopsy; echograph; echography; female; fine biopsy needle; fine needle aspiration biopsy; histopathology; human; human cell; human tissue; image display; image guided biopsy; lymph node biopsy; male; microscopy; nonhuman; reliability; tuberculous cervical lymphadenitis; tuberculous lymphadenitis
Publisher
Elsevier (Singapore) Pte Ltd
Type
journal article