Ultrasound of the lymph nodes of the neck
Last reviewed: 22.03.2024
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Where it is possible to make ultrasound of lymph nodes, how to conduct a study and whether special training is needed, we will consider these questions. Pathologies of the lymphatic system are nonspecific, and therefore require special diagnostic methods.
The lymph nodes of the neck are superficially placed, so they can be visualized using a high-frequency (5-10 MHz) linear sensor. The accessibility of the lymph nodes of the neck to a detailed examination broadens the range of diagnostic criteria as compared to ultrasound examination of the lymph nodes of the abdominal cavity. The presence of metastases in the lymph nodes in patients with head and neck tumors is an unfavorable prognostic factor, and the stage of the pathological process with lesion of lymph nodes significantly influences the choice of the method of treatment. Tumors of the chest cavity can also metastasize into the cervical lymph nodes, which often affects staging. Staging of malignant lymphoma includes all localization of lymph nodes, including, and on the neck.
Diseases of the thyroid gland are often found in geographical endemic areas with a deficiency of iodine. The ultrasound method is the primary in the examination of patients with suspected thyroid disease. In the case of endemic toxic goiter, the thyroid gland increases, but retains a normal echogenicity and a color duplex pattern. In patients with a newly diagnosed Graves disease, the main clinical symptom is hyperthyroidism. The diffuse decrease in the echogenicity of the thyroid gland is so typical that scanning in B-mode already allows an accurate diagnosis. With color duplex sonography, hypervascularization is defined to a sufficient degree to confirm Graves' disease. The ultrasound picture of thyroiditis is less specific. Areas of inflammatory infiltration appear hypoechoic with a central or peripheral hypervascular pattern, but these changes are less pronounced than with Graves' disease. Any focal formation of the thyroid gland should be considered as a possible adenoma or malignant neoplasm. Currently, color duplex sonography can not give accurate criteria for functional evaluation or differential diagnosis between benign and malignant pathology when a node is identified in the thyroid gland.
Where it is possible to make uzi lymphonoduses?
Lymph nodes are located throughout the body in groups of several pieces, they can easily be palpated when viewed. But there are also internal lymph nodes, which are located in the chest, in the cavity of the peritoneum, retroperitoneum along the course of large vessels. For their visualization, an x-ray or ultrasound is used.
Lymph nodes are a kind of barrier to the spread of infection. The main indications for the study are an increase in lymph nodes for no apparent reason, the presence of dense nodes that are difficult to move and painful on palpation. If the elbow, thoracic, above or subclavian lymph nodes are probed, then this is another reason to undergo ultrasound.
Ultrasound examination can detect the number and size of lymph nodes, their placement, contour, structure and shape. In addition, the doctor examines the organ with which the knot is connected. The procedure does not require preliminary preparation, has no contraindications and does not harm human health.
In Kiev:
- Medical Center "Biomed" - Mayakovsky Avenue, 27/1.
- Medical Center "Aymedic" - Prospect Petra Grigorenko, 13B, tel. (044) 592-77-30.
- The network of medical clinics "Viva" - ul. Lavrukhina, 6, tel. (044) 238-20-20.
- Clinic "Olgerd" - boulevard of Academician Vernadsky, 36, tel. (044) 422-95-05.
- Medical Center "Healthy Life" - ul. A. Golovko, 4, ph. (044) 275-60-63.
In Moscow:
- Clinic "The Seagull" - Presnenskaya embankment, 8.
- Ludmila Kutuzovskiy - st. Davydkovskaya, 5, tel. (495) 374-91-68.
- "Patero Clinic" - Prospect Mira, 211/2, tel. (495) 649-87-69.
- Central Health and Medical Unit No. 119 - ul. Suschevsky Val, 24, tel. (499) 972-03-73.
- "Delta Clinic" - Mentoring Lane, 6, tel. (495) 989-77-23.
In St. Petersburg:
- Polyclinic with clinical and diagnostic center - st. Leo Tolstoy, 6/8, tel. (812) 499-68-92.
- Polyclinic "Expert" - st. Pionerskaya, 6, tel. (812) 405-81-81.
- Clinical Hospital № 122 them. L.G. Sokolova (oncology department), tel. (812) 559-94-41.
- Clinical Hospital № 122 them. L.G. Sokolova (dermatological department), tel. (812) 558-87-23.
- Medical Center "Granti-Med" - st. Gavrskaya, 15, tel. (812) 777-05-30.