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, Vol. 17, No. 5, 01.10.1996, p. 253-6.

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@article{6d778d06bf51404bacfe43c876ea8266,
title = "Verk{\"a}send-tuberkuloide Nekrosen in Halslymphknoten. Sonographie nach Radiochemotherapie eines undifferenzierten Nasopharynxkarzinoms",
abstract = "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).",
keywords = "Adolescent, Antineoplastic Combined Chemotherapy Protocols, Carcinoma, Chemotherapy, Adjuvant, Combined Modality Therapy, Diagnosis, Differential, Humans, Lymph Node Excision, Lymph Nodes, Male, Nasopharyngeal Neoplasms, Neck, Necrosis, Neoplasm Recurrence, Local, Radiotherapy, Adjuvant, Tuberculosis, Lymph Node",
author = "Friedrich, {R E} and R Schmelzle",
year = "1996",
month = oct,
day = "1",
doi = "10.1055/s-2007-1003192",
language = "Deutsch",
volume = "17",
pages = "253--6",
journal = "ULTRASCHALL MED",
issn = "0172-4614",
publisher = "Georg Thieme Verlag KG",
number = "5",

}

RIS

TY - JOUR

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 -