Verkäsend-tuberkuloide Nekrosen in Halslymphknoten. Sonographie nach Radiochemotherapie eines undifferenzierten Nasopharynxkarzinoms
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Verkäsend-tuberkuloide Nekrosen in Halslymphknoten. Sonographie nach Radiochemotherapie eines undifferenzierten Nasopharynxkarzinoms. / Friedrich, R E; Schmelzle, R.
in: ULTRASCHALL MED, Jahrgang 17, Nr. 5, 01.10.1996, S. 253-6.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Verkäsend-tuberkuloide Nekrosen in Halslymphknoten. Sonographie nach Radiochemotherapie eines undifferenzierten Nasopharynxkarzinoms
AU - Friedrich, R E
AU - Schmelzle, R
PY - 1996/10/1
Y1 - 1996/10/1
N2 - UNLABELLED: Sonography following Radiochemotherapy for Undifferentiated Nasopharyngeal Carcinoma:AIM AND METHOD: An undifferentiated nasopharyngeal carcinoma (UCNT) recurred 5 1/2 months after radiochemotherapy in a 14-year-old Caucasian boy. By ultrasound, multiple lymph nodes, predominantly left sided, were identified both in groups and singly located adjacent to large cervical vessels.RESULTS: After lymphadenectomy, pathological examination revealed caseation necrosis with epitheloid cells and Langhans [corrected] cells in 2 of 6 enlarged lymph nodes (> 10 mm). The tentative diagnosis of tuberculosis was excluded during (3 years) follow-up.CONCLUSION: Caseation necrosis in lymph node metastases is highly characteristic of UCNT. Sonography failed in the case described to demonstrate differences in lymph nodes with and without caseation necrosis. Differential diagnosis between tuberculous and metastatic cervical lymph nodes must therefore be made by other means (serology, microbiology).
AB - UNLABELLED: Sonography following Radiochemotherapy for Undifferentiated Nasopharyngeal Carcinoma:AIM AND METHOD: An undifferentiated nasopharyngeal carcinoma (UCNT) recurred 5 1/2 months after radiochemotherapy in a 14-year-old Caucasian boy. By ultrasound, multiple lymph nodes, predominantly left sided, were identified both in groups and singly located adjacent to large cervical vessels.RESULTS: After lymphadenectomy, pathological examination revealed caseation necrosis with epitheloid cells and Langhans [corrected] cells in 2 of 6 enlarged lymph nodes (> 10 mm). The tentative diagnosis of tuberculosis was excluded during (3 years) follow-up.CONCLUSION: Caseation necrosis in lymph node metastases is highly characteristic of UCNT. Sonography failed in the case described to demonstrate differences in lymph nodes with and without caseation necrosis. Differential diagnosis between tuberculous and metastatic cervical lymph nodes must therefore be made by other means (serology, microbiology).
KW - Adolescent
KW - Antineoplastic Combined Chemotherapy Protocols
KW - Carcinoma
KW - Chemotherapy, Adjuvant
KW - Combined Modality Therapy
KW - Diagnosis, Differential
KW - Humans
KW - Lymph Node Excision
KW - Lymph Nodes
KW - Male
KW - Nasopharyngeal Neoplasms
KW - Neck
KW - Necrosis
KW - Neoplasm Recurrence, Local
KW - Radiotherapy, Adjuvant
KW - Tuberculosis, Lymph Node
U2 - 10.1055/s-2007-1003192
DO - 10.1055/s-2007-1003192
M3 - SCORING: Zeitschriftenaufsatz
C2 - 9064771
VL - 17
SP - 253
EP - 256
JO - ULTRASCHALL MED
JF - ULTRASCHALL MED
SN - 0172-4614
IS - 5
ER -