- 경부의 기구찌병 : CT 및 초음파 소견
- ㆍ 저자명
- 김창수
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1996년|35권 4호|pp.453-458 (6 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Purpose : This study was undertaken to evaluate the CT and ultrasonographic characteristics of Kikuchi diseaseshowing cervical lymphadenopathy. Materials and Methods : We evaluated the radiological findings of seven patientswith histologically proven kikuchi disease. Two males and five females aged between 14 and 27 years(mean, 24.8)were included. Contrast enhanced CT scan was performed in six patients, and US in two. Results : Clinical symptomspresented included palpable cervical lymphadenopathy(n=7), fever(n=5) and tenderness(n=6). In five patients, CTshowed upper and middle internal jugular chains and spinal accessory chains, right lower internal jugular chainand right supraclavicular node in one. Five of seven patients had bilateral involvement. On contrast-enhancedCT(n=6), homogeneous lymph node enhancement was seen in three patients with isodense enhancement in two, andhyperdense enhancement in one patients. Another three patients had inhomogeneously enhanced lymph nodes withcentral low density. Extranodal extension was seen in five. On US(n=3), the nodes were homogeneously isoechoic andsmoothly marginated in two patients, and another patient had inhomogeneous lymph nodes with centralhypoechogenicity and a thick rim. Conclusion : Clinical and radiological finding in our Kikuchi disease patientswere nonspecific, and the diagnosis should be established only after lymph node biopsy. We suggest that Kikuchidisease be should included in the differential diagnosis of conglomerated cervical lymphadenopathy, especially inyoung women.