Laparoscopic ultrasonography of abdominal lymph nodes: Correlation with pathologic findings

Otto M. Van Delden, Laurens Th De Wit, Frans Jan H Hulsmans, G. Johan A Offerhaus, Henk W. Venema, Dirk J. Gouma

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


The value of laparoscopic ultrasonographic criteria for distinguishing benign from malignant lymph nodes was assessed. The following criteria were evaluated in 41 lymph nodes: (1) long axis diameter, (2) short axis diameter, (3) long axis-short axis ratio, (4) nodal border delineation, (5) presence of hyperechoic hilar reflection, (6) echogenicity, and (7) inhomogeneity. Pathologic examination showed malignant infiltration in 11 lymph nodes and the absence of malignant infiltration in 30 lymph nodes. The presence of a hyperechoic center or a long axis-short axis ratio more than 2 suggested the absence of malignant infiltration, whereas inhomogeneity was suggestive of malignant infiltration. The other criteria did not seem useful in distinguishing benign from malignant lymph nodes.

Original languageEnglish (US)
Pages (from-to)21-27
Number of pages7
JournalJournal of Ultrasound in Medicine
Issue number1
StatePublished - Jan 1998
Externally publishedYes


  • Abdomen, lymph nodes
  • Laparoscopic ultrasonography
  • Lymph nodes,laparoscopic ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics


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