Head and Neck Imaging

MRI Findings of Cervical Lymph Node Tuberculosis:An Analyze of 26 Cases*

Author:WANG Hui1, DING Chang-qing2, HAO Su-rong1,et al.

affiliation:1 Department of Radiology, Nanjing integrated traditional Chinese and Western Hospital,Nanjing 221700, China; 2 Department of Imaging, People's Hospital of Fengxian, Fengxian 221700, China

PDF

Abstract

Objective To analyze the MRI findings of the cervical lymph node tuberculosis in different stages. Methods The clinic, MRI and pathology data of 26 cases of the cervical lymph node tuberculosis confirmed by operation were analyzed retrospectively. Results The single neck involved in 10 cases (including single node in 4 cases), bilateral cervical involved in 16 cases(all were multiple nodes).The corresponded MRI finding of the cervical lymph node tuberculosis can be classified into four types according to the pathology. TypeⅠ(n=9): tubercle nodules and granuloma; typeⅡ(n=12): lymphoglandula caseous necrosis; type Ⅲ (n=17): destruction of lymph node capsule; type Ⅳ(n=19): lymphoglandula caseous necrosis, capsule ruptured and invaded the surrounding tissue. 22 cases were complicated with multiple pathological stages. Conclusion MRI can well demonstrate the pathological features of the cervical lymph node tuberculosis in different stages,so which is worthy of application.

【Keyword】Cervical Lymph Node; Tuberculosis; MRI; Pathology

【Chart number】R522; R445.2

【Document Identification Number】A

【DOI】10.3969/j.issn.1672-5131.2015.05.007