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Ultrasound of Salivary Glands and the Non-endocrine Neck

  • Robert A. Sofferman
Chapter

Abstract

The thyroid gland is situated in the lower mid neck but both inflammatory and malignant conditions of this organ system may involve other adjacent and distant cervical regions. In order to understand these relationships, it is instructive to subdivide the neck into sections. In the demonstration and reporting of the position of metastatic lymphadenopathy the neck is classically separated into six zones or levels. There are approximately 200–300 lymph nodes in the neck and facial region and these are distributed among each zone. Head and neck specialists must understand the relationship between lymph nodes and which structures or areas they reference. With this knowledge, the primary malignancy or source of inflammatory lymphadenopathy can be localized even before imaging.

Keywords

Thyroid Carcinoma Thyroid Gland Papillary Thyroid Carcinoma Parotid Gland Internal Jugular Vein 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Ahuja A, Ying M. Sonography of neck lymph nodes: part II. Abnormal lymph nodes. Clin Radiol. 2003;58:359–66.PubMedCrossRefGoogle Scholar
  2. 2.
    Dumitriu D, Dudea SM, Botor-Jid C, Baciut G. Ultrasonographic and sonoelastographic features of pleomorphic adenomas of the salivary glands. Med Ultrason. 2010;12(3):175–83.PubMedGoogle Scholar
  3. 3.
    Jain P, Jain R, Morton RP, Ahmad Z. Plunging ranulas: high resolution ultrasound for diagnosis and surgical management. Eur Radiol. 2010;20(6):1442–9.PubMedCrossRefGoogle Scholar
  4. 4.
    Vazquez E, Euriquez G, Castellote A, et al. US, CT, and MR imaging of neck lesions in children. Radiographics. 1995;15:105–22.PubMedGoogle Scholar
  5. 5.
    Milliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg. 1982;69(3):412–22.CrossRefGoogle Scholar
  6. 6.
    Benson MT, Dalen K, Mancuso AA, Kerr HH, Caccicarelli AA, Mafee MF. Congenital anomalies of the branchial apparatus: embryology and pathologic anatomy. Radiographics. 1992;12:942–60.Google Scholar
  7. 7.
    Telander R, Filston H. Review of head and neck lesions in infancy and childhood. Surg Clin North Am. 1992;72:1429–47.PubMedGoogle Scholar
  8. 8.
    Haddick WK, Callen PW, Filly RA, Mahoney BS, Edwards MB. Ultrasound evaluation of benign sciatic nerve sheath tumors. J Ultrasound Med. 1984;3:505–7.Google Scholar
  9. 9.
    Fornage BD. Sonography of the peripheral nerves of the extremities. Radiol Med. 1993;5:162–7.Google Scholar
  10. 10.
    Das Gupta TK, et al. Benign solitary schwannomas (neurilemomas). Cancer. 1969;24:355–66.PubMedCrossRefGoogle Scholar
  11. 11.
    Dickinson PH. Carotid body tumour: 30 years experience. Br J Surg. 1986;73:14–6.PubMedCrossRefGoogle Scholar
  12. 12.
    Netterville JL, Reely KM, Robertson D, Reiber ME, Armstrong WB, Childs P. Carotid body tumors: a review of 30 patients with 46 tumors. Laryngoscope. 1995;105:115.PubMedCrossRefGoogle Scholar
  13. 13.
    Arslan H, Unal O, Kutluhan A, Sakarya ME. Power Doppler scanning in the diagnosis of carotid body tumors. J Ultrasound Med. 2000;19(6):367–70.PubMedGoogle Scholar
  14. 14.
    Huang TS, Chen HY. Dual thyroid ectopia with a normally located pre-tracheal thyroid gland: case report and literature review. Head Neck. 2007;29:885–8.PubMedCrossRefGoogle Scholar
  15. 15.
    Delozier H, Sofferman RA. Pyriform sinus fistula: an unusual cause of recurrent retropharyngeal abscess and cellulitis. Ann Otol Rhinol Laryngol. 1986;95:377–82.PubMedGoogle Scholar
  16. 16.
    Park NH, Park HJ, Park CS, Kim MS, Park SL. The emerging echogenic tract sign of pyriform sinus fistula: an early indicator in the recovery stage of acute suppurative thyroiditis. AJNR Am J Neuroradiol. 2011;32(3):44–6.CrossRefGoogle Scholar
  17. 17.
    Mali VP, Prabhakaran K. Recurrent acute thyroid swellings because of pyriform sinus fistula. J Pediatr Surg. 2008;43(4):27–30.CrossRefGoogle Scholar
  18. 18.
    Killian G. La boudre de l’oesophage. Ann Mal Orelle Larynx. 1907;34:1.Google Scholar
  19. 19.
    Westrin KM, Ergun S, Carlsoo B. Zenker’s diverticulum—a historical review and trends in therapy. Acta Otolaryngol. 1996;116:351–60.PubMedCrossRefGoogle Scholar
  20. 20.
    Chang C, Payyapilli R, Scher RL. Endoscopic staple diverticulectomy for Zenker’s diverticulum: review of literature and experience in 159 consecutive patients. Laryngoscope. 2003;113:957–65.PubMedCrossRefGoogle Scholar
  21. 21.
    Mazzeo S, et al. Usefulness of echo color Doppler in differentiating parathyroid lesions from other cervical masses. Eur Radiol. 1997;7(1):90–5.PubMedCrossRefGoogle Scholar
  22. 22.
    King AD, Tse GM, Ahuja AT, Yuen EH, Vlantis AC, To EW, et al. Necrosis in metastatic neck nodes: diagnostic accuracy of CT, MR imaging, and US. Radiology. 2004;230:720–6.PubMedCrossRefGoogle Scholar
  23. 23.
    Ihm P, Dray T, Sofferman RA, Nathan M, Hardin NJ. Parathyroid cyst diagnosis and management. Laryngoscope. 2001;111:1576–8.PubMedCrossRefGoogle Scholar
  24. 24.
    Ahuja A, Ying M, Yang WT, Evans R, King W, Metreweli C. The use of sonography in differentiating cervical lymphomatous lymph nodes from cervical metastatic lymph nodes. Clin Radiol. 1996;51:186–90.PubMedCrossRefGoogle Scholar
  25. 25.
    Tsang RW, Gospodarowicz MK. Non-Hodgkin’s lymphoma. In: Gunderson LL, Tepper JE, editors. Clinical radiation oncology. Philadelphia: Churchill Livingstone; 2000. p. 1158–88.Google Scholar
  26. 26.
    Ahuja AT, King AD, Metreweli C. Thyroglossal duct cysts: sonographic appearance in adults. AJNR Am J Neuroradiol. 1999;20:579–82.PubMedGoogle Scholar
  27. 27.
    VanVuuren PA, Bolin AJ, Gregor RT, et al. Carcinoma arising in thyroglossal remnants. Clin Otolaryngol. 1994;19:509.CrossRefGoogle Scholar
  28. 28.
    Fausto CSCV, et al. Thymus: ultrasound characterization. Radiol Bras. 2004;7(3):207–10.CrossRefGoogle Scholar
  29. 29.
    Han BK, Suh YL, Yoon HK. Thymic ultrasound II. Pediatr Radiol. 2001;31(7):480–7.PubMedCrossRefGoogle Scholar
  30. 30.
    Landry CS, Grubbs EG, Busaidy NL, Staerkel GA, Perrier ND, Edeiken-Monroe BS. Cystic lymph nodes in the lateral neck are an indicator of metastatic papillary thyroid cancer. Endocr Pract. 2010;16:1–16.CrossRefGoogle Scholar
  31. 31.
    Gritzmann N, et al. Sonography of soft tissue masses in the neck. J Clin Ultrasound. 2002;30:356–73.PubMedCrossRefGoogle Scholar
  32. 32.
    Shugar J, et al. Multicentric parotid cysts and cervical adenopathy in AIDS patients. A newly recognized entity: CT and MR manifestations. J Laryngol Otolaryngol. 1988;28:272.Google Scholar
  33. 33.
    Webb AJ, Eveson JW. Pleomorphic adenomas of the major salivary glands: a study of the capsular form in relation to surgical management. Clin Otolaryngol Allied Sci. 2001;26:134–42.PubMedCrossRefGoogle Scholar
  34. 34.
    Stennert E, et al. Histopathology of pleomorphic adenoma in the parotid gland: a prospective unselected series of 100 cases. Laryngoscope. 2001;111:2195–200.PubMedCrossRefGoogle Scholar
  35. 35.
    Lamont JP, McCarty TM, Fisher TL, et al. Prospective evaluation of office-based parotid ultrasound. Ann Surg Oncol. 2001;8:720.PubMedCrossRefGoogle Scholar
  36. 36.
    Williams MF. Sialolithiasis. Otolaryngol Clin North Am. 1999;32:819.PubMedCrossRefGoogle Scholar
  37. 37.
    Mannoussakis M, Mountsopoulos M. Sjogren’s syndrome. Otolaryngol Clin North Am. 1999;32:843.CrossRefGoogle Scholar
  38. 38.
    Ahuja AT, et al. Head and neck lipomas: sonographic appearance. AJNR Am J Neuroradiol. 1998;19(3):505–8.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2013

Authors and Affiliations

  1. 1.University Vermont College of MedicineBurlingtonUSA

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