Duplex colour Doppler sonography — role in neck metastasis
- 28 Downloads
The present study was done to evaluate the rote of Duplex colour Doppler Sonography in neck metastasis. 30 patients with primary head and neck cancer were evaluated by Duplex colour Doppier sonography and results analysed. In more than 95% of cases, the vascular status could be established before any form of therapy was instituted. Compression and infiltration of carotids and internal jugular vein (IJV) could be demonstrated and a structured and dynamic relationship of metastatic nodes to the vessel wall was established.
Doppier ultrasonography was found to be of high value in evaluating medium and large sized neck vessels but was of limited utility in the analysis of ncovascularisatlon within a metastatic node. This provided an operating roadmap for planning treatment. It is suggested that Colour Doppier Sonographic evaluation should be made a standard protocol in assessment of metastatic neck disease before instituting any form of therapy.
Key wordsMatastatic Neck Disease Primary Head and Neck Cancer Duplex Colour Doppier Sonography
Unable to display preview. Download preview PDF.
- 2.Dun-Bing Chang, Ang Yuan, Chong-Jen Yu, Kwen-Tay Luh, Sow- Hsong Kuo, Pan-chry Yang. (1994): Differentiation of Benign and malignant cervical lymph nodes with colour doppler sonography. AJR 162:965–968.Google Scholar
- 3.Feinmesser R., Freemen J.L., Noyek A.M.(1987): Metastatic neck disease. Arch Otolaryngology Head Neck Surg.,113:1307–1310.Google Scholar
- 5.Mancuso A.A., Maceri D., Rice D.H., Hanafee W. (1981): CT of cervical lymph node cancer. Annual Journal of Roentgenology (AJR) 136:381–385.Google Scholar
- 6.Navin C. Nanda, (1993): Basic Principles of Ultrasound and Doppler Effect. Doppler Echocardiography. Second Edition, 1–34.Google Scholar
- 9.Rao Mantravadi, Arthur Katz, Richard Haas, Edwin. J. Liebner. (1982): Radiaton Therapy for subclinical carcinoma in cervical lymph Nodes. Arch Otolaryngol, 108:108–111.Google Scholar
- 10.Vassallo P., Wernecke K., Roos N., Peters RE. (1992): Differentiation of Benign from Malignant Superficial lymphadenopathy: The Role of High Resolution US. Radiology 183;215–220.Google Scholar
- 11.Wolfgang Dock, Florian Graben Woger, Viktor Metz, Maria T. Ferres. (1991): Tumour Vascularization: Assessment with Duplex sonography. Radiology 181:241–244.Google Scholar