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BTDMJB. 2008; 4(1): 14-19


Evaluation of color doppler ultrasonographic findings in cases with cervical lymphadenomegaly and histopathological correlation

Edip Hatipoğlu, Sema Aksoy, Tan Cimilli, Aylin Karahasanoğlu, Sibel Bayramoğlu, Bülent Deniz Çuhalı.

Abstract
Objective: Our aim is to evaluate effectivity of color Doppler ultrasonography in differentiation of benign and malign lymph nodes in patients with cervical lymphadenomegaly, regarding histopathological results.
Material and methods: Histopathological analysis was made to 20 patients with cervical lympadenomegaly after color Doppler ultrasonographic examinations.
Results: Histopathologic results of 20 lymph nodes were: 7 reactive, 5 tuberculosis, 4 lymphoma, and 4 other malign lesions.
Conclusion: In patients with cervical lymphadenomegaly, color Doppler ultrasonography was found to give additive information in differentiation of benign and malign lymph nodes with combined use of nodal vascularity pattern and color Doppler spectral analysis, to the other diagnostic modalities.

Key words: Cervical lymphadenomegaly, color Doppler ultrasonography



Servikal lenfadenomegalili olgularda renkli doppler ultrasonografi bulgularının değerlendirilmesi ve histopatolojik korelasyonu

Özet
Amaç: Servikal lenfadenomegalisi olan hastalarda lenf nodlarının renkli Doppler ultrasonografi ile saptanan özelliklerini histopatolojik sonuçlarla
karşılaştırarak benign-malign ayrımındaki yararlılığını araştırdık.
Gereç ve Yöntem: Çalışmaya alınan 20 servikal lenfadenomegalisi olan hastaya renkli Doppler ultrasonografi incelemesini takiben ince iğ-
ne aspirasyon biyopsisi veya eksizyonel biyopsi uygulandı ve histopatolojik incelemeleri yapıldı.
Bulgular: Biyopsi yapılan 20 lenf nodunda 7 reaktif, 5 tüberküloz, 4 lenfoma, 4 adet de çeşitli malign lezyon saptandı.
Sonuç: Servikal lenfadenomegalisi olan hastalarda nodal vaskülarite paterni ve renkli Doppler inceleme ile elde edilen spektral analizin kombine kullanımının benign lenf nodüllerinin maligniteden ayrımında diğer modalitelere belirgin katkı sağladığı görüldü.

Anahtar Kelimeler: Servikal lenfadenomegali, renkli Doppler ultrasonografi



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