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Systemic Metastases in Neck Nodes
Eunice Y. L. Dai, MBBS, FRCR; K. T. Wong, MBChB, FRCR; Anil T. Ahuja, MD, FRCR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Scanning Tips

            TERMINOLOGY

            • Definitions

              • Cervical metastatic adenopathy from systemic, particularly infraclavicular, primary tumor
              • Virchow node is left supraclavicular nodal metastases
                • Usually abdominal or pelvic primary malignancy

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. López F et al: Cervical lymph node metastases from remote primary tumor sites. Head Neck. 38 Suppl 1:E2374-85, 2016
                                    2. Saindane AM: Pitfalls in the staging of cervical lymph node metastasis. Neuroimaging Clin N Am. 23(1):147-66, 2013
                                    3. Ahuja AT et al: Sonographic evaluation of cervical lymph nodes. AJR Am J Roentgenol. 184(5):1691-9, 2005
                                    4. Castelijns JA et al: Detection of lymph node metastases in the neck: radiologic criteria. AJNR Am J Neuroradiol. 22(1):3-4, 2001
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            • Scanning Tips

                                              TERMINOLOGY

                                              • Definitions

                                                • Cervical metastatic adenopathy from systemic, particularly infraclavicular, primary tumor
                                                • Virchow node is left supraclavicular nodal metastases
                                                  • Usually abdominal or pelvic primary malignancy

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • CT Findings

                                                    • MR Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. López F et al: Cervical lymph node metastases from remote primary tumor sites. Head Neck. 38 Suppl 1:E2374-85, 2016
                                                                      2. Saindane AM: Pitfalls in the staging of cervical lymph node metastasis. Neuroimaging Clin N Am. 23(1):147-66, 2013
                                                                      3. Ahuja AT et al: Sonographic evaluation of cervical lymph nodes. AJR Am J Roentgenol. 184(5):1691-9, 2005
                                                                      4. Castelijns JA et al: Detection of lymph node metastases in the neck: radiologic criteria. AJNR Am J Neuroradiol. 22(1):3-4, 2001