Sonographic Assessment of Normal Cervical Lymph Nodes in a Sample of Syrian Population

Rand Sh. Al-Ani, Ammar M. Mashlah, Mohammad Iyad Al-Hafar
2013 Journal of Baghdad College of Dentistry  
Sonographic examination is an important tool in assessment of normal and abnormal cervical lymph nodes. The aim of the study is to assess the distribution and the characteristic features of normal cervical lymph nodes in a sample of Syrian population. Materials and Methods: Fifty healthy Syrian subjects (25 men and 25 women) with an age of 20 -60years old, who had their cervical lymph nodes examined by ultrasound. Three hundred and two lymph nodes were detected. Lymph nodes were evaluated for
more » ... ere evaluated for their number, size, site, echogenic hilus, shape, as well as for the border sharpness. The subjects were categorized by age into four groups, (20 -30, 31 -40 , 41 -50 , 51-60 years ). Statistical analysis of data was done using SPSS software (version 11.5), and analytical one way analysis of variance (ANOVA), Duncan's Multiple Range Test. Results: The results showed that there was no significant difference in mean number of nodes between different age groups. All lymph nodes were hypoechoic; majority of them possessed an echogenic hilus, with transverse diameter of 8 mm or less. All lymph nodes were oval except for submandibular and parotid nodes which appeared round. Conclusions: This study provides a sonographic appearance of normal cervical lymph nodes in relation to their site, size, shape, numbers, border sharpness, and echogenic hilum, in a sample of Syrian population. Key words: Gray scale sonography, cervical lymph node, Syrian population. (J Bagh Coll Dentistry 2013; 25(2):94-100). ‫اﻟﺨﻼﺻﺔ‬ ‫ﺧﻠﻔﯿﺔ‬ ‫اﻟﺒﺤﺚ‬ .: ‫اﻟﺴﻠﯿﻤﺔ‬ ‫وﻏﯿﺮ‬ ‫اﻟﺴﻠﯿﻤﺔ‬ ‫اﻟﻌﻨﻘﯿﺔ‬ ‫اﻟﻠﻤﻔﺎوﯾﺔ‬ ‫اﻟﻌﻘﺪ‬ ‫ﻟﺘﻘﯿﯿﻢ‬ ‫اﻟﻤﮭﻤﺔ‬ ‫اﻷدوات‬ ‫ﻣﻦ‬ ‫اﻟﺼﻮﺗﯿﺔ‬ ‫ﻓﻮق‬ ‫ﺑﺎﻷﻣﻮاج‬ ‫اﻟﻔﺤﺺ‬ ‫ﯾﻌﺘﺒﺮ‬ . ‫اﻟﺒﺤﺚ‬ ‫ﻣﻦ‬ ‫اﻟﮭﺪف‬ : ‫ﺗﻘﯿﯿﻢ‬ ‫اﻟﻠﻤﻔﺎوﯾﺔ‬ ‫اﻟﻌﻘﺪ‬ ‫وﺧﺼﺎﺋﺺ‬ ‫ﺗﻮزﯾﻊ‬ ‫اﻟﺴﻮري‬ ‫اﻟﻤﺠﺘﻤﻊ‬ ‫ﻣﻦ‬ ‫ﻋﯿﻨﺔ‬ ‫ﻟﺪى‬ ‫اﻟﺴﻠﯿﻤﺔ‬ ‫اﻟﻌﻨﻘﯿﺔ‬ . ‫اﻟﺒﺤﺚ‬ ‫وﻃﺮاﺋﻖ‬ ‫ﻣﻮاد‬ : ‫ﺳﻮرﯾﺎ‬ ‫ﻓﺮدا‬ ‫ﻟﺨﻤﺴﯿﻦ‬ ‫اﻟﺴﻠﯿﻤﺔ‬ ‫اﻟﻌﻨﻘﯿﺔ‬ ‫اﻟﻠﻤﻔﺎوﯾﺔ‬ ‫اﻟﻌﻘﺪ‬ ‫ﻓﺤﺺ‬ ‫ﺗﻢ‬ ) 25 ‫و‬ ‫ذﻛﺮا‬ 25 ‫أﻧﺜﻰ‬ ( ‫ﺑﻌﻤﺮ‬ 20 -60 ‫ﻋﻦ‬ ‫اﻟﻜﺸﻒ‬ ‫ﺗﻢ‬ ‫اﻟﺼﻮﺗﯿﺔ،‬ ‫ﻓﻮق‬ ‫اﻷﻣﻮاج‬ ‫ﺟﮭﺎز‬ ‫ﺑﺎﺳﺘﺨﺪام‬ ‫ﺳﻨﺔ،‬ 302 ُ ‫ﻗ‬ ‫ﻟﻤﻔﺎوﯾﺔ،‬ ‫ﻋﻘﺪة‬ ‫اﻟﺤﺎﻓﺎت‬ ‫وﺿﻮح‬ ‫ﻋﻦ‬ ‫ﻓﻀﻼ‬ ‫واﻟﺸﻜﻞ،‬ ‫اﻟﺴﺮة،‬ ‫ووﺟﻮد‬ ‫اﻟﻌﺪد،واﻟﺤﺠﻢ،واﻟﻤﻮﻗﻊ،‬ ‫ﻧﺎﺣﯿﺔ‬ ‫ﻣﻦ‬ ‫اﻟﻌﻘﺪ‬ ‫ھﺬه‬ ‫ﯿﻤﺖ‬ . ‫اﻟﺘﺎﻟﯿﺔ‬ ‫اﻟﻌﻤﺮﯾﺔ‬ ‫اﻟﻔﺌﺎت‬ ‫إﻟﻰ‬ ‫اﻟﻌﯿﻨﺔ‬ ‫أﻓﺮاد‬ ‫ُﺴﻤﺖ‬ ‫ﻗ‬ ) 20 -30،31 -40،41 -50،51 -60 ‫ﺳﻨﺔ‬ .( ‫ﺑﺮﻧﺎﻣﺞ‬ ‫ﺑﺎﺳﺘﺨﺪام‬ ‫اﻹﺣﺼﺎﺋﻲ‬ ‫اﻟﺘﺤﻠﯿﻞ‬ ‫اﻧﺠﺎز‬ ‫ﺗﻢ‬ SPSS(version 11.5) ‫واﺧﺘﺒﺎرات‬ ، (ANOVA), Duncan's Multiple Range . ‫اﻟﻨﺘﺎﺋﺞ‬ : ‫ﻣ‬ ‫،وﺑﻘﻄﺮ‬ ‫ﺳﺮة‬ ‫ﻋﻠﻰ‬ ‫ﺗﺤﺘﻮي‬ ‫اﻟﺼﺪى،وﻣﻌﻈﻤﮭﺎ‬ ‫ﻣﻨﺨﻔﻀﺔ‬ ‫اﻟﻠﻤﻔﺎوﯾﺔ‬ ‫اﻟﻌﻘﺪ‬ ‫ﺟﻤﯿﻊ‬ ، ‫اﻟﻌﻤﺮﯾﺔ‬ ‫اﻟﻔﺌﺎت‬ ‫ﺑﯿﻦ‬ ‫ﻣﻌﻨﻮﯾﺔ‬ ‫اﺧﺘﻼﻓﺎت‬ ‫وﺟﻮد‬ ‫ﻋﺪم‬ ‫اﻟﻨﺘﺎﺋﺞ‬ ‫أﻇﮭﺮت‬ ‫ﺴﺘﻌﺮض‬ ≥ 8 ‫ﻣﻠﯿﻤﺘﺮ‬ . ‫اﻟﻌﻘﺪ‬ ‫ﺟﻤﯿﻊ‬ ‫اﻟﺸﻜﻞ‬ ‫ﺑﯿﻀﻮﯾﺔ‬ ) ‫اﻟﻤﺴﺘﻌﺮض‬ ‫اﻟﻘﻄﺮ‬ ‫ﻧﺴﺒﺔ‬ / ‫اﻟﻄﻮﻟﻲ‬ ‫اﻟﻘﻄﺮ‬ > 0.5 ( ‫اﻟﻠﻤﻔﺎوﯾﺔ‬ ‫اﻟﻌﻘﺪ‬ ‫،ﺑﺎﺳﺘﺜﻨﺎء‬ ‫اﻟﺸﻜﻞ‬ ‫داﺋﺮﯾﺔ‬ ‫ﻛﺎﻧﺖ‬ ‫واﻟﻨﻜﻔﯿﺔ‬ ‫اﻷﺳﻔﻞ‬ ‫اﻟﻔﻚ‬ ‫ﺗﺤﺖ‬ ) ‫اﻟﻤﺴﺘﻌﺮض‬ ‫اﻟﻘﻄﺮ‬ ‫ﻧﺴﺒﺔ‬ / ‫اﻟﻄﻮﻟﻲ‬ ‫اﻟﻘﻄﺮ‬ ≤ 0.5 .( ‫اﻻﺳﺘﻨﺘﺎج‬ : ‫واﻟﺸﻜ‬ ، ‫واﻟﺤﺠﻢ‬ ، ‫اﻟﻌﻘﺪ‬ ‫ﺑﻤﻮﻗﻊ‬ ‫ﯾﺘﻌﻠﻖ‬ ‫ﺑﻤﺎ‬ ‫اﻟﺼﻮﺗﯿﺔ‬ ‫ﻓﻮق‬ ‫ﺑﺎﻷﻣﻮاج‬ ‫اﻟﻔﺤﺺ‬ ‫ﻓﻲ‬ ‫اﻟﺴﻠﯿﻤﺔ‬ ‫اﻟﻌﻨﻘﯿﺔ‬ ‫اﻟﻠﻤﻔﺎوﯾﺔ‬ ‫اﻟﻌﻘﺪ‬ ‫ﻣﻈﺎھﺮ‬ ‫أوﺿﺤﺖ‬ ‫اﻟﺪراﺳﺔ‬ ‫ھﺬه‬ ‫اﻟﺤﺎﻓﺎت،‬ ‫ووﺿﻮح‬ ‫واﻟﻌﺪد،‬ ‫ﻞ،‬ ‫اﻟﺴ‬ ‫ووﺟﻮد‬ ‫اﻟﺴﻮري‬ ‫اﻟﻤﺠﺘﻤﻊ‬ ‫ﻣﻦ‬ ‫ﻋﯿﻨﺔ‬ ‫ﻟﺪى‬ ‫ﺮة‬ . ‫ﻣﻔﺘﺎﺣﯿﮫ‬ ‫ﻛﻠﻤﺎت‬ : ‫اﻟﺴﻮري‬ ‫اﻟﻤﺠﺘﻤﻊ‬ ‫اﻟﺮﻗﺒﯿﺔ،‬ ‫اﻟﻠﻤﻔﺎوﯾﺔ‬ ‫اﻟﺼﻮﺗﯿﺔ،اﻟﻌﻘﺪ‬ ‫ﻓﻮق‬ ‫اﻷﻣﻮاج‬ .
doi:10.12816/0014938 fatcat:27ixrxccmbgt3njfffuqw6w344