Reliability of Ultrasonography in Diagnosis of Lymph-adenopathy (a systematic review).

Autor: Ahmed, Tuseef, Bacha, Raham, Ul Hassan, Zain, Tul Sughra Murrium, S. Khadija, Azeem Shams, R. M. Athar, Sajid, Wasim, Riffat, Hira, Rose, Sybil
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Zdroj: Ophthalmology Update; Oct-Dec2021, Vol. 19 Issue 4, p64-66, 3p
Abstrakt: Purpose this Study: To enhance the importance of sonography in different pathologies so patient can be safe from unwanted interventions and surgeries. Lymphadenopathy refers to lymph nodes whose scale greater than 10 mm is irregular. The prevalence of unexplained lymphadenopathy is 0.6 % only, 1.1% of these contribute in malignancy, but with advancing age, this proportion rises. Cancers was found in 4% of patients aged 40 years and compared to 0.4 % of patients under 40 years of age who have unresolved lymphadenopathy. Material and Methods: The data bases PubMed, ProQuest, Google scholar and research gate were searched with the key words: Cervical lymphadenopathy, mesenteric lymphadenopathy, inguinal lymphadenopathy, sensitivity, specificity, accuracy and benign and malignant lymphadenopathy from 2010 to 2020. Only those studies were enrolled in the review which includes the lymphadenopathy. Results: In total, 18 studies were found cervical, mesenteric, superficial, parotid, mediastinal and axillary lymphadenopathy. The overall mean sensitivity of sonography in all diseases was 84.1% while overall mean specificity was 85.3% and overall mean accuracy of 85.5%. Conclusion: A high degree of accuracy is achieved in the differentiation of benign from malignant cervical lymph nodes using sonographic data, therefore it should be utilized as a first-line diagnostic tool in a variety of medical situations as the investigation's sensitivity and specificity were both very high, which was really remarkable. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index