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Abstract

A number of anatomic triangles can be identified in the neck, the knowledge of which is vital for defining the site, and therefore the possible origin, of expansive lesions. The sternocleidomastoid muscle, which runs obliquely upwards and posteriorly, divides the neck into anterior and posterior triangles. The anterior triangle of each side is bounded by the anterior border of the sternocleidomastoid muscle, the inferior border of the mandible and the median line of the neck (from the manubrium of the sternum to the symphysis menti), and in turn is subdivided into four smaller triangles: submental, submandibular, carotid and muscular triangles. The posterior triangle is bounded, in addition to the sternocleidomastoid muscle anteriorly, by the trapezius and the middle third of the clavicle, and in turn is subdivided into two smaller triangles: supraclavicular and occipital triangles [1].

Keywords

Thyroid Cancer Thyroid Nodule Parotid Gland Papillary Carcinoma Parathyroid Adenoma 
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.

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References

  1. 1.
    Branstetter BF 4th et al (2000) Normal anatomy of the neck with CT and MR imaging correlation. Radiol Clin North Am 38:925–940CrossRefPubMedGoogle Scholar
  2. 2.
    Wittekind Ch et al (2005) TNM atlas. Springer-Verlag BerlinCrossRefGoogle Scholar
  3. 3.
    Som PM et al (1999) An imaging-based classification for the cervical nodes designed as an adjunct to recent clinically based nodal classification. Arch Otolaryngol Head Neck Surg 125:388–396PubMedGoogle Scholar
  4. 4.
    Chong V (2004) Cervical lymphadenopathy: what radiologists need to know. Cancer Imaging 4:116–120CrossRefPubMedGoogle Scholar
  5. 5.
    Ying M et al (2003) Sonography of neck lymph nodes. Part I: normal lymph nodes. Clin Radiol 58:351–358CrossRefPubMedGoogle Scholar
  6. 6.
    Morse MA et al (2000) Myxoid liposarcoma of the supraclavicular fossa. Chest 117:1518–1520CrossRefPubMedGoogle Scholar
  7. 7.
    Gritzmann N et al (2002) Sonography of soft tissue masses of the neck. J Clin Ultrasound 30:356–373CrossRefPubMedGoogle Scholar
  8. 8.
    Ahuja A et al (2003) Sonography of neck lymph nodes. Part II: abnormal lymph nodes. Clin Radiol 58:359–366CrossRefPubMedGoogle Scholar
  9. 9.
    Nilssen ELK et al (1999) Radiological staging for squamous carcinoma of the head and neck: a standardised practice? J R Coll Surg Edinb 44:303–306PubMedGoogle Scholar
  10. 10.
    Khati N et al (2003) Ultrasound of the thyroid and parathyroid glands. Ultrasound Q 19:162–176CrossRefPubMedGoogle Scholar
  11. 11.
    Solbiati L et al (2001) Ultrasound of thyroid, parathyroid glands and neck lymph nodes? Eur Radiol 11:2411–2424CrossRefPubMedGoogle Scholar
  12. 12.
    Graif M et al (2004) Sonographic evaluation of brachial plexus pathology. Eur Radiol 14:193–200CrossRefPubMedGoogle Scholar
  13. 13.
    Fultz PJ et al (2002) Detection and diagnosis of nonpalpable supraclavicular lymph nodes in lung cancer at CT and US. Radiology 222:245–251CrossRefPubMedGoogle Scholar
  14. 14.
    van Overhagen H et al (2004) Metastases in supraclavicular lymph nodes in lung cancer: assessment with palpation, US, and CT. Radiology 232:75–80CrossRefPubMedGoogle Scholar
  15. 15.
    Gritzmann N et al (2003b) Sonography of the salivary glands. Eur Radiol 13:964–975PubMedGoogle Scholar
  16. 16.
    Salaffi F et al (2006) Usefulness of ultrasonography and color Doppler sonography in the diagnosis of major salivary gland diseases. Reumatismo 58:138–156PubMedGoogle Scholar
  17. 17.
    Wong DSY (2001) Signs and symptoms of malignant parotid tumours: an objective assessment. J R Coll Surg Edinb 46:91–95PubMedGoogle Scholar
  18. 18.
    Gallipoli A et al (2005) Ultrasound contrast media in the study of salivary gland tumors. Anticancer Res 25:2477–2482PubMedGoogle Scholar
  19. 19.
    Schick S et al (1998) Differentiation of benign and malignant tumors of the parotid gland: value of pulsed Doppler and color Doppler sonography. Eur Radiol 8:1462–1467CrossRefPubMedGoogle Scholar
  20. 20.
    Chan BK et al (2003) Common and uncommon sonographic features of papillary thyroid carcinoma. J Ultrasound Med 22:1083–1090PubMedGoogle Scholar
  21. 21.
    Wong KT et al (2005) Ultrasound of thyroid cancer. Cancer Imaging 5:157–166CrossRefPubMedGoogle Scholar
  22. 22.
    Bartolotta TV et al (2006a) Incidentally discovered thyroid nodules: incidence, and greyscale and colour Doppler pattern in an adult population screened by real-time compound spatial sonography. Radiol Med 111:989–998CrossRefPubMedGoogle Scholar
  23. 23.
    Papini E et al (2002) Risk of malignancy in nonpalpable thyroid nodules: predictive value of ultrasound and color-Doppler features. J Clin Endocrinol Metab 87:1941–1946CrossRefPubMedGoogle Scholar
  24. 24.
    Rago T et al (1998) Role of conventional ultrasonography and color flow-Doppler sonography in predicting malignancy in “cold” thyroid nodules. Eur J Endocrinol 138:41–46CrossRefPubMedGoogle Scholar
  25. 25.
    Alexander EK et al (2002) Assessment of nondiagnostic ultrasound-guided fine needle aspirations of thyroid nodules. J Clin Endocrinol Metab 87:4924–4927CrossRefPubMedGoogle Scholar
  26. 26.
    Kane RA et al (2003) Ultrasound of the thyroid and parathyroid glands. Controversies in the diagnosis of thyroid cancer. Ultrasound Q 19:177–178CrossRefPubMedGoogle Scholar
  27. 27.
    Iannuccilli JD et al (2004) Risk for malignancy of thyroid nodules as assessed by sonographic criteria: the need for biopsy. J Ultrasound Med 23:1455–1464PubMedGoogle Scholar
  28. 28.
    Lyschchik A et al (2005) Diagnosis of thyroid cancer in children: value of gray-scale and power Doppler US. Radiology 235:604–613CrossRefGoogle Scholar
  29. 29.
    Wienke JR et al (2003) Sonographic features of benign thyroid nodules. Interobserver reliability and overlap with malignancy. J Ultrasound Med 22:1027–1031PubMedGoogle Scholar
  30. 30.
    Takashima S et al (1995) Thyroid nodules: re-evaluation with ultrasound. J Clin Ultrasound 23:179–184CrossRefPubMedGoogle Scholar
  31. 31.
    Moon W-J et al (2008) Benign and malignant thyroid nodules: US differentiation. Multicenter retrospective study. Radiology 247:762–770CrossRefPubMedGoogle Scholar
  32. 32.
    Chammas MC et al (2005) Thyroid nodules: evaluation with power Doppler and duplex Doppler ultrasound. Otolaryngol Head Neck Surg 132:874–882CrossRefPubMedGoogle Scholar
  33. 33.
    Lagalla R et al (1992) Echo-Doppler couleru et pathologie thyroidienne. J Echograph Med Ultrasons 13:44–47Google Scholar
  34. 34.
    Spiezia S et al (1997) Usefulness of power Doppler in the diagnostic management of hypoechoic thyroid nodules. Eur J Ultrasound 6:165–170CrossRefPubMedGoogle Scholar
  35. 35.
    Lyshchik A et al (2007) Quantitative analysis of tumor vascularity in benign and malignant solid thyroid nodules. J Ultrasound Med 26:837–846PubMedGoogle Scholar
  36. 36.
    Spiezia S et al (2001) Analysis of color Doppler signal intensity variation after Levovist injection: a new approach to the diagnosis of thyroid nodules. J Ultrasound Med 20:223–231PubMedGoogle Scholar
  37. 37.
    Bartolotta TV et al (2006b) Qualitative and quantitative evaluation of solitary thyroid nodules with contrast-enhanced ultrasound: initial results. Eur Radiol 16:2234–2241CrossRefPubMedGoogle Scholar
  38. 38.
    De Nicola H et al (2005) Flow pattern and vascular resistive index as predictors of malignancy risk in thyroid follicular neoplasms. J Ultrasound Med 24:897–904PubMedGoogle Scholar
  39. 39.
    Miyakawa M et al (2005) Diagnosis of thyroid follicular carcinoma by vascular pattern and velocimetric parameters using high resolution pulsed and power Doppler ultrasonography. Endocr J 52:207–212CrossRefPubMedGoogle Scholar
  40. 40.
    Hoike E et al (2001) Ultrasonographic characteristics of thyroid nodules: prediction of malignancy. Arch Surg 136:334–337CrossRefGoogle Scholar
  41. 41.
    Takashima S et al (1988) Primary thyroid lymphoma: comparison of CT and US assessment. Radiology 171:439–443Google Scholar
  42. 42.
    Kwak JY et al (2007) Primary thyroid lymphoma: role of ultrasound-guided needle biopsy. J Ultrasound Med 26:1761–1765PubMedGoogle Scholar
  43. 43.
    Ahuja AT et al. (1994) Role of ultrasonography in thyroid metastases. Clin Radiol 49:627–62CrossRefPubMedGoogle Scholar
  44. 44.
    Gross M et al (2004) Internal jugular vein tumor thrombus associated with thyroid carcinomas. Ann Otol Rhinol Laryngol 113:738–74PubMedGoogle Scholar
  45. 45.
    King AD et al (2000) Staging papillary carcinoma of the thyroid: magnetic resonance imaging vs ultrasound of the neck. Clin Radiol 55:222–226CrossRefPubMedGoogle Scholar
  46. 46.
    Kusasic Kuna S et al (2006) Ultrasonographic differentiation of benign from malignant neck lymphadenopathy in thyroid cancer. J Ultrasound Med 25:1531–1537Google Scholar
  47. 47.
    Weslley Souza Rosário P et al (2005) Ultrasonographic differentiation between metastatic and benign lymph nodes in patients with papillary thyroid carcinoma. J Ultrasound Med 24:1385–1389Google Scholar
  48. 48.
    Gorges R et al (2003) Diagnostic value of high-resolution B-mode and power-mode sonography in the follow-up of thyroid cancer. Eur J Ultrasound 16:191–206CrossRefPubMedGoogle Scholar
  49. 49.
    Shin JH et al (2007) Sonographic findings in the surgical bed after thyroidectomy: comparison of recurrent tumors and nonrecurrent lesions. J Ultrasound Med 26:1359–1366PubMedGoogle Scholar

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