Abstract:
:The aim of this study was to determine the incidence and cause of axillary lymphadenopathy detected by screening mammography and to devise a management protocol for this pathology. In a retrospective study of 95,806 consecutive screening mammograms, 37 cases of 'pathological' axillary nodes were identified using two or more of the following criteria: size > 2 cm, replacement of fatty hilum, rounded shape and generalized increased density. In 16 cases with an additional mammographic abnormality, 12 had a mass (10 malignant and two benign) and four had suspicious calcification (all malignant). In 12 of these cases, the lymph nodes showed malignancy (75%). In 21 patients with lymphadenopathy alone on screening, six patients had a known underlying diagnosis and were not recalled from screening. The remaining 15 patients were recalled for further assessment including fine needle aspiration cytology (FNAC). The ultimate diagnosis was benign in 10 cases (48%)--six reactive changes, one healed granulomatous disease, one rheumatoid arthritis, one amyloid and one acute infection--and malignant in 11 cases (52%)--six non-Hodgkin's lymphoma, four metastatic carcinoma and one leukaemia. In conclusion, there is a high incidence of malignant nodal involvement in cases of screen detected lymphadenopathy (62% of cases in our series). We would advise that patients with lymphadenopathy as the sole finding on screening mammography and in whom there is no known underlying cause should undergo FNAC followed by excision biopsy. Fifty per cent of such patients in this study had underlying malignancy.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Murray ME,Given-Wilson RMdoi
10.1016/s0009-9260(97)80008-6subject
Has Abstractpub_date
1997-06-01 00:00:00pages
458-61issue
6eissn
0009-9260issn
1365-229Xjournal_volume
52pub_type
杂志文章abstract:OBJECTIVE:To report the computed tomography (CT) features of afferent loop syndrome which is often clinically unsuspected. MATERIALS AND METHODS:The CT studies of five patients with afferent loop syndrome were reviewed. These patients had undergone gastroenterostomy and other surgical procedures, for malignant neoplas...
journal_title:Clinical radiology
pub_type: 杂志文章,多中心研究
doi:
更新日期:2002-09-01 00:00:00
abstract::In order to assess the validity of quantitative duplex Doppler measurements of portal vein flow, 10 patients with proven diffuse liver disease and portal hypertension were examined serially by two independent observers over a 3 month period. Multiple measurements of the portal vein were made using a consistent techniq...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81237-1
更新日期:1993-11-01 00:00:00
abstract:AIM:To assess inter-observer variation in the interpretation of chest radiographs of individuals with pneumonia versus those without pneumonia. MATERIALS AND METHODS:Chest radiographs of out-patients with a lower respiratory tract infection (LRTI) were assessed for the presence of infiltrates by radiologists from thre...
journal_title:Clinical radiology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.crad.2004.01.011
更新日期:2004-08-01 00:00:00
abstract:AIM:To investigate whether it is possible to reduce the radiation dose during video fluoroscopic feeding studies below the current 30 frames/s (continuous fluoroscopy). METHODS:Ten consecutive children who had supraglottic penetration while swallowing barium were evaluated as part of a video fluoroscopic feeding study...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2008.07.011
更新日期:2009-01-01 00:00:00
abstract::The appearances on computed tomography (CT) of 17 patients with histologically proven intracranial lymphoma have been analysed and abnormalities detected in 16. Four of the patients had systemic lymphoma. Multiple lesions were seen in eight patients (47%), in six of whom the multiple lesions in each patient were of si...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(82)80283-3
更新日期:1982-05-03 00:00:00
abstract:AIM:To differentiate uric acid from non-uric acid renal stones based on their spectral attenuation values. MATERIALS AND METHODS:The present study was approved by the institutional review board and the need for informed consent was waived. Thirty-three consecutive patients (21 men, 12 women; mean age 55 years) with sy...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2017.01.018
更新日期:2017-06-01 00:00:00
abstract::In this report, we illustrate the imaging findings of diseases in the subperitoneal space of the broad ligament and sigmoid mesocolon and discuss the pathways of subperitoneal spread of disease. The subperitoneal space of the broad ligament and sigmoid mesocolon is continuous with that of the parietal peritoneum overl...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/s0009-9260(98)80213-4
更新日期:1998-12-01 00:00:00
abstract:AIM:To examine whether Positron Emission Tomography Response Criteria in Solid Tumours (PERCIST) is useful to predict tumour response and prognosis of patients with oesophageal cancer who received neoadjuvant chemoradiotherapy (NACRT) followed by surgery. MATERIALS AND METHODS:This multicentre retrospective study incl...
journal_title:Clinical radiology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.crad.2019.09.132
更新日期:2020-01-01 00:00:00
abstract:AIM:To compare the performance of a direct digital mammography system with normal-view and magnified-view conventional screen-film methods using quality control phantoms. MATERIALS AND METHODS:Using a Siemens Mammomat((R))3000 and an Opdima((R))digital spot imaging and biopsy attachment, film and direct digital images...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0521
更新日期:2000-10-01 00:00:00
abstract::Sixty-four patients (37 stage I and 27 stage II) with low grade non-Hodgkin's lymphoma were treated by surgical excision alone (two patients) or with radiotherapy (53 patients), chemotherapy (five patients) or both (four patients). Actuarial survival was 80.7% at 5 years and 77.9% at 10 years. Actuarial recurrence-fre...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(88)80537-3
更新日期:1988-05-01 00:00:00
abstract::Three patients with tuberous sclerosis (TS) and hepatic hamartomas are presented. Liver lesions are uncommonly documented in TS, compared to renal angiomyolipomas. The imaging characteristics of liver hamartoma in TS may resemble those of renal angiomyolipoma, hepatic cavernous haemangiomas, metastasis or abscess. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81064-5
更新日期:1993-06-01 00:00:00
abstract::Peri-articular erosions have been described in primary and secondary hyperparathyroidism. Seventy-two patients with chronic renal failure were reviewed for the presence of erosions. These were found in 15 patients while another 20 patients showed other evidence of secondary hyperparathyroidism. The distribution of ero...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(82)80334-6
更新日期:1982-01-01 00:00:00
abstract::The visibility on ultrasound (US) of 79 screen-detected small breast cancers was studied retrospectively. Overall visibility on US was 61% (48/79). Cancers presenting as microcalcification alone on mammography were rarely demonstrated (1 of 26 tumours). However, the US visibility of cancers with other mammographic app...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81973-7
更新日期:1994-11-01 00:00:00
abstract:AIM:To demonstrate the value of pelvic magnetic resonance imaging (MRI) in mapping tumour extension after chemoradiotherapy and before anterior pelvic exenteration in patients with primary carcinoma of the urethra. MATERIALS AND METHODS:The Institutional Review Board approved and issued a waiver of informed consent fo...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2011.07.039
更新日期:2011-11-01 00:00:00
abstract:AIM:To evaluate the safety and efficacy of computed tomography (CT)-guided percutaneous fine-needle aspiration biopsy (FNAB) of pancreatic masses that traverses the gastrointestinal tract or solid viscera. MATERIALS AND METHODS:From January 2002 to December 2012, 144 patients underwent 165 CT-guided biopsies of pancre...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2014.05.111
更新日期:2014-10-01 00:00:00
abstract::Major trauma services in England are currently undergoing a radical overhaul with the formation of regional trauma networks and designated major trauma centres (MTCs). Radiology is scheduled to play a key role within major trauma care both in terms of 24/7 access to whole body computed tomography (WBCT) and interventi...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2013.01.006
更新日期:2013-09-01 00:00:00
abstract::The ultrasound features in eight cases of metastases to the thyroid are reported. The primary tumours were bronchogenic carcinoma (4 cases), breast carcinoma (2 cases), oesophageal carcinoma (1 case) and carcinoma of the stomach (1 case). In this series, none of the metastases were from malignant melanoma or a renal n...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81880-x
更新日期:1994-09-01 00:00:00
abstract::Sarcoidosis is a relatively common disease with protean clinical manifestations. Involvement of the parotid glands in the acute presentation is well recognized but the grey scale and colour Doppler appearances are less well so. These are described in a case where imaging and biopsy proved valuable in the diagnosis of ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81832-x
更新日期:1994-06-01 00:00:00
abstract::Four patients with cervical spine trauma were examined by computerised tomography in addition to standard radiography and additional useful information was thereby gained. The axial projection is particularly useful in studying the cervical spinal canal and neural arch. The examination may be performed rapidly without...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80162-2
更新日期:1979-03-01 00:00:00
abstract::Thirty-three patients presenting with spontaneous rupture of hepatocellular carcinomas (HCCs) were referred for emergency transcatheter arterial embolization. Blood was present in the ascitic fluid on abdominal paracentesis in all 33 patients. Seventeen patients underwent emergency computed tomography (CT). HCCs were ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(98)80004-4
更新日期:1998-05-01 00:00:00
abstract:AIM:To review the literature on the use of prophylactic balloon occlusion alone and in conjunction with arterial embolization of the internal iliac arteries in women with placenta accreta. MATERIALS AND METHODS:The PubMed, MEDLINE, CINAHL, EMBASE, and Cochrane Library databases were searched for keywords related to th...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2011.10.031
更新日期:2012-06-01 00:00:00
abstract:AIM:To present our experience using intravenous sedoanalgesia for percutaneous biliary drainage. MATERIALS AND METHODS:This study comprised 100 patients, all of whom were continuously monitored [electrocardiogram (ECG), blood pressure, pulse oxymetry] and received an initial dose of 2mg midazolam followed by 0.02 mg f...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2002.1128
更新日期:2003-02-01 00:00:00
abstract::The purpose of this article is to review the computed tomography (CT) and histopathological features of uncommon primary neoplasms of the thorax that can manifest clinically malignant features (multiplicity of pulmonary nodules, an invasive nature, and metastases or recurrence after surgery) with little evidence of hi...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2012.03.011
更新日期:2012-11-01 00:00:00
abstract::A case of a middle-aged man with symptomatic, localised chondrocalcinosis of the knee following irradiation is described. Cartilage damage induced by radiotherapy should be added to the list of local factors which can predispose to chondrocalcinosis. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(88)80302-7
更新日期:1988-07-01 00:00:00
abstract::Abdominal spiral computed tomography (CT) pneumocolon is performed after cleansing the colon, using a smooth muscle relaxant and rectal air insufflation. Rapid dynamic scanning is undertaken with intravenous contrast to give optimal hepatic and vascular enhancement, and 5-10 mm contiguous slices. The area of interest ...
journal_title:Clinical radiology
pub_type:
doi:10.1016/s0009-9260(96)80221-2
更新日期:1996-01-01 00:00:00
abstract::It is well recognized that a negative mammogram report does not exclude the presence of breast carcinoma. This study examines the accuracy of mammography in patients with palpable breast cancer. In particular, the study evaluates the reasons underlying negative mammography in breast cancer. All patients with Paget's d...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)83454-3
更新日期:1994-02-01 00:00:00
abstract:AIM:To determine the added value of dynamic contrast-enhanced imaging (DCE) over T2-weighted imaging (T2-WI) and diffusion-weighted imaging (DWI) for detection of clinically significant prostate cancer (csPC) in patients with elevated prostate-specific antigen (PSA). METHODS AND MATERIALS:Two hundred and forty-five pa...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.09.011
更新日期:2017-01-01 00:00:00
abstract::Hepatic artery thrombosis is a major cause of morbidity and mortality following liver transplantation. We assessed the value of prospective duplex Doppler ultrasound in detecting hepatic artery thrombosis. One hundred consecutive transplants in 90 patients were studied. Duplex Doppler detected all 10 proven cases of h...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81158-4
更新日期:1993-03-01 00:00:00
abstract::The double contrast barium enema, in most cases performed by the 'instant' technique without bowel preparation, has been compared with the pathological examination of the colon following resection in 37 patients with ulcerative colitis. Radiology has been found to underestimate the histological extent of disease. This...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(78)80079-8
更新日期:1978-05-01 00:00:00
abstract:AIM:To compare the diagnostic performance of total counts of metastatic lymph nodes (LN-sum) and conventional multidetector (MD) computed tomography (CT) staging in the nodal evaluation of advanced gastric cancer (AGC) patients. MATERIALS AND METHODS:In total, 127 consecutive patients who underwent preoperative MDCT a...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.06.030
更新日期:2019-10-01 00:00:00