Advertisement

Duplex colour Doppler sonography — role in neck metastasis

  • R. Puri
  • V. S. Srinath
  • A. L. Chakravarti
Article
  • 29 Downloads

Abstract

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 words

Matastatic Neck Disease Primary Head and Neck Cancer Duplex Colour Doppier Sonography 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bruneton JN, Roux P. Carmella E. (1984): Ear, nose and throat cancer: ultrasound diagnosis of metastasis to cervical lymph nodes. Radiology 152:771–773PubMedGoogle Scholar
  2. 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. 3.
    Feinmesser R., Freemen J.L., Noyek A.M.(1987): Metastatic neck disease. Arch Otolaryngology Head Neck Surg.,113:1307–1310.Google Scholar
  4. 4.
    Folkman J. (1985): Tumour Angiogenesis. Adv Cancer Res. 43:175–203.PubMedCrossRefGoogle Scholar
  5. 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. 6.
    Navin C. Nanda, (1993): Basic Principles of Ultrasound and Doppler Effect. Doppler Echocardiography. Second Edition, 1–34.Google Scholar
  7. 7.
    N. Gritzmann, M.Ch Grasl, M. Helmer, E. Steiner. (1990): Invasion of the carotid artery and jugular vein by lymph node metastases: Detection with sonography. AJR 154:411–414.PubMedGoogle Scholar
  8. 8.
    Peter M. Som. (1987): Lymph nodes of the neck. Radiology, 165:593–600.PubMedGoogle Scholar
  9. 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. 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. 11.
    Wolfgang Dock, Florian Graben Woger, Viktor Metz, Maria T. Ferres. (1991): Tumour Vascularization: Assessment with Duplex sonography. Radiology 181:241–244.Google Scholar
  12. 12.
    Wolf. J. Mann, Alain Beck, Jan Maurer, Jack. L. Gluckmann. (1994 July): Ultrasonography for Evaluation of Carotid Artery in Head and Neck Cancer. Laryngoscope 104:885–888.PubMedCrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2002

Authors and Affiliations

  • R. Puri
    • 1
  • V. S. Srinath
    • 1
  • A. L. Chakravarti
    • 1
  1. 1.Consultants in ENTMaulana Azad Medical CollegeNew Delhi

Personalised recommendations