Hostname: page-component-5b777bbd6c-mqssf Total loading time: 0 Render date: 2025-06-25T09:15:04.940Z Has data issue: false hasContentIssue false
  • English
  • Français

Palpation compared with ultrasound in the assessment of malignant cervical lymph nodes

Published online by Cambridge University Press:  29 June 2007

D. G. John ,
S. Rhys Williams ,
A. Ahuja ,
R. Evans ,
K. F. To ,
W. W. K. King  and
C. A. Van Hasselt
D. G. John
Affiliation:
From the Division of Otorhinolaryngology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong.
S. Rhys Williams
Affiliation:
From the Division of Otorhinolaryngology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong.
A. Ahuja
Affiliation:
From the Division of Department of Diagnostic Radiology and Organ Imaging, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong.
R. Evans
Affiliation:
From the Division of Department of Diagnostic Radiology and Organ Imaging, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong.
K. F. To
Affiliation:
From the Division of Department of Anatomical and Cellular Pathology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong.
W. W. K. King
Affiliation:
From the Division of Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong.
C. A. Van Hasselt*
Affiliation:
From the Division of Otorhinolaryngology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong.
*
C. A. van Hasselt, Senior Lecturer and Chief, Division of Otorhinolaryngology, Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, Hong Kong. Fax: 6466312
Get access Rights & Permissions [Opens in a new window]

Abstract

This prospective study compares the results of pre-operative clinical examination and simple ultrasound examination of the neck in 18 patients with proven head and neck primary tumours and palpable cervical lymphadenopathy, who then underwent 21 radical neck dissections. Neck palpation and ultrasound examination were compared with histological examination. Ultrasound did not add significantly to the information obtainable by simple neck palpation in this group of patients.

Keywords

Lymph nodes, neckNeoplasm, metastasisUltrasonic diagnosisPalpation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 9 , September 1993 , pp. 821 - 823
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Baatenburg de Jong, R., Rongen, R. J., Lameris, J. S., Harthoorn, M., Verwoerd, D. A., Knegt, P. (1989) Metastatic neck disease, palpation versus ultrasound examination. Archives of Otolaryngology—Head and Neck Surgery 115: 689–690.CrossRefGoogle Scholar
Hajek, P. C., Salomonowitz, E., Turk, R., Tscholakoff, D., Kumpan, W., Czembirek, H. (1986) Lymph nodes of the neck: evaluation with US. Radiology 158: 739–742.CrossRefGoogle ScholarPubMed
McNemar test (1980) In Statistical Methods in Cancer Research, Vol. 1, (Breslow, N. E., Day, N. E., eds.), IARC Scientific Publications, Lym, France, p 165.Google Scholar
McNemar test(1987) In Statistical Methods in Medical Research, (Armitage, P., Berry, G., eds.), Blackwell, Oxford, UK, pp 120–121.Google Scholar
Sutton, R. T., Reading, C. C, Charboneau, J. W., James, E. M., Grant, C. S., Hay, I. D. (1988) US-guided biopsy of neck masses in postoperative management of patients with thyroid cancer. Radiology 168: 769–772.CrossRefGoogle ScholarPubMed
Tohnosu, N., Onoda, S., Isono, K. (1989) Ultrasonographic evaluation of cervical lymph node metastases in esophageal cancer with special reference to the relationship between the short to long axis ratio (S/L) and the cancer content. Journal of Clinical Ultrasound 17: 101–106.CrossRefGoogle Scholar
Vassallo, P., Wernecke, K., Roos, N., Peters, P. E. (1992) Differentiation of benign from malignant superficial lymphadenopathy: the role of high-resolution US. Radiology 183: 215–220.CrossRefGoogle ScholarPubMed
Westhofen, M. (1987) Ultrasound B scans in the follow-up of head and neck tumors. Head and Neck Surgery 9: 272–283.Google Scholar