Ultrasonographic diagnosis, classification, and treatment of cervical lymphatic malformation in paediatric patients: a retrospective study

Abstract Background To explore the imaging features, key diagnostic points, classification, treatment, and prognosis of cervical lymphatic malformation. Methods Overall, 320 patients diagnosed with cervical lymphatic malformation were retrospectively analysed in our hospital between 1 January 2014 and 31 December 2017. Imaging modalities included colour Doppler ultrasound, magnetic resonance imaging, and contrast-enhanced computed tomography. Cervical lymphatic malformations were classified by cyst diameter. Treatments included interventional therapy, surgery, and expectant treatment. Results Cervical lymphatic malformation was identified in 320 of 1192 patients with lymphatic malformation. Four were excluded due to misdiagnosis by ultrasonography. Cervical lymphatic malformation was classified as mixed, macrocystic, and microcystic in 184 (57.5%), 117 (36.56%), and 19 (5.94%) patients, respectively. Sixty-four (20%), ten (3.12%), seven (2.19%), and three (0.94%) patients experienced intracystic haemorrhage, infection, concurrent intracystic haemorrhage and infection, and calcification, respectively. Among 260 (81.25%) patients who underwent interventional sclerotherapy, 163 (50.94%) received it once and 96 (30%) received it two or more times. Twenty-eight (8.75%), five (1.56%), and 27 (8.44%) patients underwent surgical resection, interventional sclerotherapy plus surgery, and expectant management, respectively. Conclusions Ultrasonography is useful for diagnosing definite cervical lymphatic malformation. Interventional therapy is the first choice for children with confirmed cervical lymphatic malformation.

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Ultrasonographic diagnosis, classification, and treatment of cervical lymphatic malformation in paediatric patients: a retrospective study

10.21203/rs.3.rs-26960/v1 ◽

2020 ◽

Author(s):

Jiaoling Li ◽

Wei Zhong ◽

Xiuping Geng ◽

Xiaofang Liu ◽

Xiangxiang Zhang ◽

...

Keyword(s):

Expectant Management ◽

Interventional Therapy ◽

Lymphatic Malformation ◽

Imaging Features ◽

Ultrasonographic Diagnosis ◽

Contrast Enhanced ◽

Intracystic Haemorrhage ◽

First Choice ◽

Enhanced Computed Tomography ◽

Classification And Treatment

Abstract Background: To explore the imaging features, key diagnostic points, classification, treatment, and prognosis of cervical lymphatic malformation. Methods: Overall, 320 patients diagnosed with cervical lymphatic malformation were retrospectively analysed in our hospital between 1 January 2014 and 31 December 2017. Imaging modalities included colour Doppler ultrasound, magnetic resonance imaging, and contrast-enhanced computed tomography. Cervical lymphatic malformations were classified by cyst diameter. Treatments included interventional therapy, surgery, and expectant treatment. Results: Cervical lymphatic malformation was identified in 320 of 1,192 patients with lymphatic malformation, the sensitivity of ultrasonographic diagnosis was 99.38% (318/320). Cervical lymphatic malformation was classified as mixed, macrocystic, and microcystic in 184 (57.5%), 117 (36.56%), and 19 (5.94%) patients, respectively. Sixty-four (20%), ten (3.12%), seven (2.19%), and three (0.94%) patients experienced intracystic haemorrhage, infection, concurrent intracystic haemorrhage and infection, and calcification, respectively. Among 260 (81.25%) patients who underwent interventional sclerotherapy, 163 (50.94%) received it once and 96 (30%) received it two or more times. Twenty-eight (8.75%), five (1.56%), and 27 (8.44%) patients underwent surgical resection, interventional sclerotherapy plus surgery, and expectant management, respectively. Conclusions: Ultrasonography is useful for diagnosing definitely cervical lymphatic malformation. Interventional therapy is the first choice for children with confirmed cervical lymphatic malformation.

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Clinicopathological findings and imaging features of intraductal papillary neoplasm of the bile duct: comparison between contrast-enhanced ultrasound and contrast-enhanced computed tomography

Abdominal Radiology ◽

10.1007/s00261-019-01987-4 ◽

2019 ◽

Vol 44 (7) ◽

pp. 2409-2417

Author(s):

Qiao Zheng ◽

Si-Min Ruan ◽

Quan-Yuan Shan ◽

Ming Xu ◽

Li-Da Chen ◽

...

Keyword(s):

Computed Tomography ◽

Bile Duct ◽

Imaging Features ◽

Contrast Enhanced Ultrasound ◽

Intraductal Papillary Neoplasm ◽

Contrast Enhanced ◽

Clinicopathological Findings ◽

Enhanced Computed Tomography ◽

Papillary Neoplasm ◽

Contrast Enhanced Computed Tomography

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Multiphase contrast-enhanced computed tomography imaging features of salivary duct carcinoma: differentiation from other salivary gland malignancies

Oral Surgery Oral Medicine Oral Pathology and Oral Radiology ◽

10.1016/j.oooo.2019.05.011 ◽

2019 ◽

Vol 128 (5) ◽

pp. 543-551 ◽

Cited By ~ 2

Author(s):

Wen-li Wu ◽

Cheng-long Wang ◽

Dan Li ◽

Jin Luo ◽

Jun-yong Ye ◽

...

Keyword(s):

Computed Tomography ◽

Salivary Gland ◽

Imaging Features ◽

Salivary Duct ◽

Computed Tomography Imaging ◽

Duct Carcinoma ◽

Tomography Imaging ◽

Contrast Enhanced ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

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Approach to the Solitary Liver Lesion: Imaging and When to Biopsy

Canadian Association of Radiologists Journal ◽

10.1016/j.carj.2015.07.005 ◽

2016 ◽

Vol 67 (2) ◽

pp. 130-148 ◽

Cited By ~ 4

Author(s):

Emily H.T. Pang ◽

Alison C. Harris ◽

Silvia D. Chang

Keyword(s):

Liver Lesion ◽

Needle Aspiration ◽

Focal Liver Lesions ◽

Imaging Features ◽

Patient Demographics ◽

Contrast Enhanced ◽

Standardized Reporting ◽

Solitary Liver ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

The characterization and management of focal liver lesions is a commonly encountered problem in radiology. While the imaging findings will often be diagnostic, in equivocal cases the decision of how to proceed may be challenging. The primary modalities for liver lesion characterization are multiphase contrast-enhanced computed tomography and magnetic resonance imaging. Most lesions have typical imaging features, and when taken in conjunction with patient demographics and biochemistry the diagnosis can usually be made. Ancillary imaging modalities such as contrast-enhanced ultrasound and hepatobiliary specific contrast agents are also useful. Cirrhotic livers present a challenge due to the spectrum of benign, dysplastic, and malignant nodules that can occur. The report should include information necessary for accurate staging, and published standardized reporting guidelines should be taken into consideration. A decision to proceed to biopsy should be made only after multidisciplinary review of the case. If biopsy is required, fine needle aspiration is usually sufficient, though core needle biopsy may be required in certain circumstances.

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