Liao reported a score for determining if enlarged cervical lymph nodes were benign or malignant based on features seen on ultrasonography. The authors are from Far Eastern Memorial Hospital and National Taiwan University in Taipei.
Patient selection: cervical lymphadenopathy
Examination: ultrasonography
Parameters:
(1) age in years, from 10 to 83 years
(2) shortest to longest axis ratio (S/L ratio)
(3) internal echo
(4) vascular pattern
Parameter
Finding
Points
age in years
0.06 * (age)
S/L ratio
4.76 * (ratio)
internal echo
uniform/homogenous
0
non-uniform
2.15
vascular pattern
avascular or hilar
0
other (mixed, spotted, peripheral)
1.8
total score =
= SUM(points for all of the parameters)
Interpretation:
• A score >= 7 indicates malignancy.
• Ultrasound guided FNA for cytology is recommended for confirmation.
Performance:
• The area under the ROC curve was 0.91.
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