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KMID : 0378119950220020483
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Chungnam Medical Journal
1995 Volume.22 No. 2 p.483 ~ p.490
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CT Imaging of Cervical Tuberculous Lymphadenitis
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송창준
정연수/최창락/윤완규/조준식
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Abstract
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Purpose :
@EN To evaluate the computed tomography (CT) findings of the cervical tuberculous lymphadenitis
@ES Methods and materials :
@EN The CT features in 10 patients of tuberculous lymphadenitis were retrospectively reviewed. We characterized the morphologic appearances of lymphadenopathy on post-contrast CT scan and comparatively evaluated the densities of central necrotic
portion
and peripheral solid portion of necrotic nodes on pre-contrast CT scan.
All examines were performed on a General Electric Hispeed Advantage RP System. Ten millimeter and five millimeter contiguous sections from skull base to thoracic inlet were obtained for the pre-contrast and post-contrast images respectively.
@ES Results :
@EN Most patients were young adults. A painless neck mass was the most common chief complaint and the duration of the symptoms was about 5 months. The average number of disease lymph nodes was 3.7. Unilateral involvement was 4 times as common as
bilateral location. Central necrotic lymphadenopathy was 78.3% of 37 enlarged lymph nodes and the density of the nerotic portion was isodense to the density of the peripheral wall on pre-contrast images in 71.4% of necrotic lymph nodes. The most
common
morphologic features of cervical tuberculous lymphadenitis was the type of a multichambered or conglomerated necrotic lymphadenopathy with a peripheral irregular enhancement.
@ES Conclusion :
@EN The tuberculous cervical lymphadenitis was highly suggestive when the diseased lymph nodes show the central necrosis, the morphologic features of multichambered or conglomerated necrotic lymphadenopathy with a strong peripheral irregular
contrast
enhancement, and necrotic materails isodense to peripheral solid portion on pre-contrast CT scan in young adult patients who complain of a painless neck mass.
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KEYWORD
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