Diagnostic Errors ; Humans ; Intervertebral Disc Degeneration ; Intervertebral Disc Displacement/diagnostic imaging* ; Lumbar Vertebrae/diagnostic imaging* ; Lymphangioma/diagnostic imaging* ; Magnetic Resonance Imaging

OBJECTIVETo analyze ultrasonographic features of the different kinds of cervical cystic lesions, and propose differential diagnostic standard for these lesions based on the evidence of high resolution ultrasonography.

METHODSThe clinical data of 107 patients with different kinds of cervical cystic lesions were analyzed. The role of gray scale and colour Doppler sonography for such lesions was prospectively studied.

RESULTSThe rate of accuracy for benign cervical cystic lesions was 91.1% (92/101), however, it was only 16.7% (1/6) for malignant cervical cystic lesions.

CONCLUSIONHigh-resolution ultrasonography is effective and simple in differential diagnosis of different kinds of cervical cystic lesions, especially for benign ones.

Adolescent ; Adult ; Aged ; Branchioma ; diagnostic imaging ; Diagnosis, Differential ; Female ; Head and Neck Neoplasms ; diagnostic imaging ; Hemangioma ; diagnostic imaging ; Humans ; Lymphangioma, Cystic ; diagnostic imaging ; Male ; Middle Aged ; Prospective Studies ; Reproducibility of Results ; Thyroglossal Cyst ; diagnostic imaging ; Ultrasonography, Doppler, Color ; methods

OBJECTIVE: To discuss the diagnosis and effective treatment of cystic lymphangiomas located in head and neck in children. METHOD: Fifteen cystic lymphangiomas,diagnosed with pathological evidence, located in head and neck in children were retrospectively analyzed including clinical characteristics, diagnosis, treatment and follow-up data. RESULT: CT and ultrasonography were used to evaluate the size, shape and extent of lymphangiomas in all patients. All patients were treated with surgery. Complete resection was performed in 14 cases, and subtotal resection in one case. Two post-operative complications were found,one was paralyses of mandibular branch of facial nerve, another was Horners syndrome. Tracheotomy operation was done in one case,and the tracheal cannula was taken away before discharged from hospital. Fourteen patients were followed up. There was no recurrence during the follow-up from 6 months to 8 years, while one case who suffered from Horner's syndrome after operation was not cured. CONCLUSION CT and ultrasonography are effective to diagnose cystic lymphangiomas and evaluate the security of clinical treatment. Total or subtotal resection is effective to treat cystic lymphangiomas.
Child, Preschool ; Female ; Head and Neck Neoplasms ; diagnosis ; diagnostic imaging ; surgery ; Humans ; Infant ; Infant, Newborn ; Lymphangioma, Cystic ; diagnosis ; diagnostic imaging ; surgery ; Male ; Retrospective Studies ; Tomography, X-Ray Computed ; Ultrasonography