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Jugulodigastric lymph node size by age on CT in an adult cancer-free population

      Highlights

      • Jugulodigastric lymph node size in cancer-free patients was examined.
      • Jugulodigastric lymph node size decreases with age.
      • Younger cancer-free patients often have jugulodigastric nodes >15 mm.

      Abstract

      Purpose

      Evaluate jugulodigastric node size in cancer-free patients.

      Methods

      Retrospective review of 234 neck CT angiograms was performed. Known neoplasm, inflammation or poor imaging were excluded. Maximal diameter of the largest jugulodigastric node in the axial plane bilaterally was measured.

      Results

      172 patients (median age = 62) were included. Jugulodigastric node size decreased with age and was statistically significant between those above and below 62 years. Patients 20–30 years had mean 14.4 mm (7.5–20.1 mm).

      Conclusions

      Although 15 mm is considered the normal maximum long-axis size of the jugulodigastric node in cancer patients, average size in younger cancer-free patients is commonly above 15 mm.

      Keywords

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      References

        • Som P.M.
        • Brandweine-Gensler M.S.
        Lymph nodes of the neck.
        in: Som P.M. Curtin H.D. Head and neck imaging. 5th ed. Elsevier, 2011: 2287-2378
        • Rouviere H.
        Lymphatic system of the head and neck.
        Edwards Brothers, Ann Arbor, MI1938: 5-28
        • van den Brekel M.W.
        • Castelijns J.A.
        • Snow G.B.
        The size of lymph nodes in the neck on sonograms as a radiologic criterion for metastasis: how reliable is it?.
        AJNR Am J Neuroradiol. 1998; 19: 695-700
        • van den Brekel M.W.
        • Castelijns J.A.
        • Stel H.V.
        • et al.
        Modern imaging techniques and ultrasound-guided aspiration cytology for the assessment of neck node metastases: a prospective comparative study.
        Eur Arch Otorhinolaryngol. 1993; 250: 11-17
        • Som P.M.
        Detection of metastasis in cervical lymph nodes: CT and MR criteria and differential diagnosis.
        AJR Am J Roentgenol. 1992; 158: 961-969
        • Bruneton J.N.
        • Balu-Maestro C.
        • Marcy P.Y.
        • et al.
        Very high frequency (13 MHz) ultrasonographic examination of the normal neck: detection of normal lymph nodes and thyroid nodules.
        J Ultrasound Med. 1994; 13: 87-90
        • Stern W.B.
        • Silver C.E.
        • Zeifer B.A.
        • et al.
        Computed tomography of the clinically negative neck.
        Head Neck. 1990; 12: 109-113
        • Mancuso A.A.
        • Harnsberger H.R.
        • Muraki A.S.
        • et al.
        Computed tomography of cervical and retropharyngeal lymph nodes: normal anatomy, variants of normal, and applications in staging head and neck cancer. Part II: pathology.
        Radiology. 1983; 148: 715-723
        • Hillsamer P.J.
        • Schuller D.E.
        • McGhee R.B.
        • et al.
        Improving diagnostic accuracy of cervical metastases with computed tomography and magnetic resonance imaging.
        Arch Otolaryngol Head Neck Surg. 1990; 116: 1297-1301
        • Friedman M.
        • Mafee M.F.
        • Pacella B.L.
        • et al.
        Rationale for elective neck dissection in 1990.
        Laryngoscope. 1990; 100: 54-59
        • Close L.G.
        • Merkel M.
        • Vuitch M.F.
        • et al.
        Computed tomographic evaluation of regional lymph node involvement in cancer of the oral cavity and oropharynx.
        Head Neck. 1989; 11: 309-317
        • Steinkamp H.J.
        • Hosten N.
        • Richter C.
        • et al.
        Enlarged cervical lymph nodes at helical CT.
        Radiology. 1994; 191: 795-798
        • Vassallo P.
        • Wernecke K.
        • Roos N.
        • et al.
        Differentiation of benign from malignant superficial lymphadenopathy: the role of high-resolution US.
        Radiology. 1992; 183: 215-220
        • Mancuso A.A.
        • Harnsberger H.R.
        • Muraki A.S.
        • et al.
        Computed tomography of cervical and retropharyngeal lymph nodes: normal anatomy, variants of normal, and applications in staging head and neck cancer. Part I: normal anatomy.
        Radiology. 1983; 148: 709-714
        • Ying M.
        • Ahuja A.
        • Brook F.
        Sonographic appearances of cervical lymph nodes: variations by age and sex.
        J Clin Ultrasound. 2002; 30: 1-11
        • U S.V.
        • Shivalli S.
        • Rai S.
        • et al.
        Diagnostic accuracy of high resolution ultrasound to differentiate neoplastic and non neoplastic causes of cervical lymphadenopathy.
        J Clin Diagn Res. 2014; 8: 7
        • Ying M.
        • Ahuja A.
        • Metreweli C.
        Diagnostic accuracy of sonographic criteria for evaluation of cervical lymphadenopathy.
        J Ultrasound Med. 1998; 17: 437-445
        • Ying M.
        • Pang B.S.
        Three-dimensional ultrasound measurement of cervical lymph node volume.
        Br J Radiol. 2009; 82: 617-625
        • Curtin H.D.
        • Ishwaran H.
        • Mancuso A.A.
        • et al.
        Comparison of CT and MR imaging in staging of neck metastases.
        Radiology. 1998; 207: 123-130