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- W1978124890 abstract "In the diagnosis of lymph node metastases of head and neck cancer, ultrasonography can evaluate enlarged lymph nodes one by one. Ultrasonographic diagnostic criteria should be established to detect cervical metastatic lymph nodes including up to 10 mm-thick cervical metastatic lymph nodes for accurate determination of lymph node metastases before treatment. Thirty-eight head and neck squamous cell carcinoma patients were examined and 90 lymph nodes were diagnosed according to the ultrasonographic diagnostic criteria focusing on lymph node thickness and internal echo or internal blood flow. Ultrasonographic image and diagnosis using these criteria were registered before neck dissection and then compared with dissected lymph node findings and pathological diagnosis after the operation. Lymph nodes thickness of 6 mm or more indicates the possibility of metastatic focus inside the lymph nodes. Equal existence of fatty hilum image as high internal echo inside the lymph node or equal blood flow from the hilus to the periphery of the lymph node was useful to exclude non-metastatic lymph nodes from metastatic suspicious group with more than 6 mm thickness. These diagnostic criteria enabled accurate diagnosis of up to 10 mm-thick metastatic lymph nodes difficult to diagnose by CT or MRI. Ultrasonography diagnostic criteria of cervical metastatic lymph nodes enabled accurate diagnosis." @default.
- W1978124890 created "2016-06-24" @default.
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- W1978124890 date "2011-08-01" @default.
- W1978124890 modified "2023-09-25" @default.
- W1978124890 title "Ultrasonographic Diagnostic Criteria to Detect Cervical Metastatic Lymph Nodes of Head and Neck Squamous Cell Carcinoma" @default.
- W1978124890 doi "https://doi.org/10.1016/j.ultrasmedbio.2011.05.569" @default.
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