CT menifestations of cervical tuberculous lymphadenitis.
10.3348/jkrs.1992.28.2.182
- Author:
Young Joo KIM
;
Ki June SUNG
;
Myung Jae KANG
;
Myung Soon KIM
- Publication Type:Original Article
- MeSH:
Abdomen;
Adult;
Giant Lymph Node Hyperplasia;
Humans;
Inflammation;
Lymphadenitis;
Lymphatic Diseases;
Lymphoma;
Melanoma;
Muscles;
Neck;
Retrospective Studies;
Skin;
Thorax;
Tuberculosis, Lymph Node*;
Yemen
- From:Journal of the Korean Radiological Society
1992;28(2):182-187
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cervical tuberculous lymphadenitis is a commonly encountered disease, expecially in adults, Differentiation from other lymphadenopathy and benign conditions such as cystic neck masses is important. CT findings of tuberculous lymphadenopathy in the abdomen and thorax are reported in many literatures. But there are only a few articles concerning cervical tuberculous lymphadenopathy. The authors retrospectively analyzed CT findings of 33 cases with cervical tuberculous lymphadenitis regarding distribution, contour, enhancing pattern, changes of adjacent fascial plane, and dermal and subcutaneous manifestations. We concluded that the presence of conglomerated nodal masses with central lucency, thick irregular rim of contrast enhancement and inner nodularity, varying degree of homogenous enhancement in smaller nodes, dermal and subcutaneous manifestations of inflammation such as thickening of overlying skin, engorgement of the lymphatic and thickening of adjacent muscles, and diffusely effaced fascial plane are suggestive of tuberculous lymphadenitis. However, some CT patterns of tuberculous adenitis may be seen in other disease; for example, enhancement can occur in hyperplastic nodes, vascular metastasis(thyroid, melanoma, and hypernephroma), lymphoma, granulomatous disease, and Castleman's disease.
