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Lymphomatous superficial lymph nodes: US detection.

J N Bruneton, F Normand, C Balu-Maestro

    Radiology
    |October 1, 1987
    PubMed
    Summary
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    Ultrasonography (US) is valuable for detecting superficial adenopathy in lymphoma patients. This imaging technique identified impalpable lesions and aided in diagnosing recurrent lymphoma not found through physical exams.

    Area of Science:

    • Oncology
    • Radiology
    • Diagnostic Imaging

    Background:

    • Superficial adenopathy is a primary clinical sign of lymphoma, present during initial diagnosis and recurrence.
    • Accurate staging and follow-up are crucial for effective lymphoma management.

    Purpose of the Study:

    • To compare the efficacy of physical examination and ultrasonography (US) in detecting superficial adenopathy in lymphoma patients.
    • To evaluate the role of US in initial staging and follow-up of lymphoma, particularly in identifying recurrent disease.

    Main Methods:

    • A comparative study involving 120 lymphoma patients (60 for initial staging, 60 for follow-up).
    • Physical examinations and ultrasonography of cervicosupraclavicular, axillary, and inguinal regions were performed.
    • Histologic examination confirmed recurrent disease in 29 patients during follow-up.

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    Main Results:

    • US detected clinically impalpable lesions in 10.8% (cervicosupraclavicular), 17.9% (axillary), and 4.1% (inguinal) of cases.
    • Eight of 29 relapses were missed by physical examination alone.
    • Three cases of recurrent lymphoma were identified exclusively through US.

    Conclusions:

    • Ultrasonography is a valuable tool for assessing superficial lymph node regions in lymphoma patients.
    • US enhances the detection of adenopathy during initial staging and follow-up, improving the diagnosis of lymphoma recurrence.