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Alamdaran, Seyed Ali, Randian, Alieh, Rasoulian, Bashir, Jafarian, Amir Hossein, Aminzadeh, Behzad, Niroumand, Shabnam. (1401). Correlation of Sonographic Classification of Neck Adenopathy (A-RADS) and Malignancy. , 35(1), 39-47. doi: 10.22038/ijorl.2022.67255.3299
Seyed Ali Alamdaran; Alieh Randian; Bashir Rasoulian; Amir Hossein Jafarian; Behzad Aminzadeh; Shabnam Niroumand. "Correlation of Sonographic Classification of Neck Adenopathy (A-RADS) and Malignancy". , 35, 1, 1401, 39-47. doi: 10.22038/ijorl.2022.67255.3299
Alamdaran, Seyed Ali, Randian, Alieh, Rasoulian, Bashir, Jafarian, Amir Hossein, Aminzadeh, Behzad, Niroumand, Shabnam. (1401). 'Correlation of Sonographic Classification of Neck Adenopathy (A-RADS) and Malignancy', , 35(1), pp. 39-47. doi: 10.22038/ijorl.2022.67255.3299
Alamdaran, Seyed Ali, Randian, Alieh, Rasoulian, Bashir, Jafarian, Amir Hossein, Aminzadeh, Behzad, Niroumand, Shabnam. Correlation of Sonographic Classification of Neck Adenopathy (A-RADS) and Malignancy. , 1401; 35(1): 39-47. doi: 10.22038/ijorl.2022.67255.3299

Correlation of Sonographic Classification of Neck Adenopathy (A-RADS) and Malignancy

Iranian Journal of Otorhinolaryngology
مقاله 5، دوره 35، شماره 1، فروردین و اردیبهشت 2023، صفحه 39-47    اصل مقاله (797.64 K)
نوع مقاله: Original
شناسه دیجیتال (DOI): 10.22038/ijorl.2022.67255.3299
نویسندگان
Seyed Ali Alamdaran1؛ Alieh Randian* 1؛ Bashir Rasoulian2؛ Amir Hossein Jafarian3؛ Behzad Aminzadeh1؛ Shabnam Niroumand4
1Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
3Pathology Cancer Molecular Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
4Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده
Introduction:
Cervical adenopathy can be involved in various pathological processes. This study aimed to evaluate the ultrasound classification of cervical adenopathy (A-RADS) to choose the appropriate approach.
Materials and Methods:
This cross-sectional study was conducted among 294 patients with cervical adenopathy at Mashhad University of Medical Sciences during 2020-2021. The data of the long axis diameter, short axis diameter, shape, border, vascular pattern, presence of calcification and changes in cyst/necrosis, cortical echogenicity, hilum visibility, and location of involved lymph nodes were extracted. Lymph nodes was classified into four normal, reactive, suspicious & lymphoid disorders, and metastatic groups, based on ultrasound appearance (Adenopathy-reporting and data system). Diagnostic methods included follow-up, core needle biopsy (CNB), and fine needle aspiration (FNA), and surgical results. After determining the final diagnosis, demographic, sonographic, and pathological data were analyzed at a significance level of p<0.05.
 
Results:
Of 294 patients, 185 were benign, and 109 were malignant. There were no significant differences in the location, long axis diameter, shape, cystic or necrotic changes, calcification, and margins of the lymph nodes between the benign and malignant groups. The enlarged short axis diameter, invisible hilum with isoechoic cortex, and non-hilar vascularity were significantly higher in the malignant group (p<0.001). The malignancy rate was 8.7% in reactive cases, 48.5% in lymphoid disorders, and 90% in metastatic nodes.
Conclusion:
The results of this study shows that cervical lymph nodes can be classified based on short axis diameter, cortex and hilum echo-texture and vascular pattern into normal, reactive, suspicious & lymphoid disorders, and metastatic, which have a high concordance with pathologic results.
کلیدواژه‌ها
Adenopathy؛ Cancer؛ Lymph node؛ Ultrasound
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