The Value of ultrasonography in the differential diagnosis of cervical lymph node tuberculosis and cervical metastatic lymph nodes of squamous carcinoma of the oral and maxillofacial region

doi:10.19438/j.cjoms.2025.03.007

Abstract

Abstract: PURPOSE: To investigate the value of contrast-enhanced ultrasonography (CEUS) in the differential diagnosis of cervical lymph node tuberculosis and oral and maxillofacial squamous cell carcinoma with cervical lymph node metastases. METHODS: The ultrasonographic data of 38 patients(55 abnormal lymph nodes) with enlarged cervical lymph nodes who presented to First Affiliated Hospital of Xinjiang Medical University and underwent neck dissection were categorized into tuberculosis group(n=27) and metastatic(n=28) group according to the pathological results, and the imaging characteristics of conventional imaging and CEUS were compared. SPSS 25.0 software package was used for data analysis. RESULTS: The differences between the tuberculosis and metastasis group in terms of boundaries, morphology, lymphatic portal structures, internal echoes, and the presence of liquefied and calcified areas were not statistically significant(P>0.05). A comparison of the pattern and type of perfusion between the two groups showed a statistically significant difference(P<0.05). Centrifugal perfusion was predominant in the tuberculosis group, whereas afferent perfusion was predominant in the metastatic group. Perfusion type was predominantly type Ⅱ in the tuberculosis group and type Ⅲ in the metastatic group. CONCLUSIONS: Compared with conventional ultrasonography, CEUS has a higher diagnostic value in identifying cervical lymph node tuberculosis and metastatic cervical lymph nodes of OSCC in clinical practice.

Key words: Ultrasonography, Cervical lymph node tuberculosis, Oral and maxillofacial squamous cell carcinoma, Metastatic lymph nodes, Diagnostic value

CLC Number:

R739.8
R445

Shu Xueyi, Jia Fang, Yilimunuer Kuerban, Maimaitituxun Tuerdi. The Value of ultrasonography in the differential diagnosis of cervical lymph node tuberculosis and cervical metastatic lymph nodes of squamous carcinoma of the oral and maxillofacial region[J]. China Journal of Oral and Maxillofacial Surgery, 2025, 23(3): 253-257.

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