Poster électronique

Les adénopathies cervicales : comment les classer ?
E. Hassan, N. Moussali, I. Mimouni, A. Gharbi, A. Abdelouafi - Casablanca - Maroc
Congrès 2010
Résumé
Objectifs
Savoir le rôle de la TDM dans la caractérisation sémiologique des adénopathies cervicales et la sectorisation des adénopathies selon la classification ganglionnaire internationale.
Matériels et méthodes
Étude rétrospective de 50 dossiers de pathologies ORL (cancers, lymphomes et tuberculose). Tous les patients sont explorés par une tomodensitométrie avec injection de PDC.
Résultats
Après un rappel radio-anatomique de la région cervicale ainsi qu'un rappel des aspects radiologiques normaux et pathologiques des ganglions, nous avons classé ces adénopathies en secteurs (de I à VI) selon la classification internationale (2002).
Conclusion
La région cervico-faciale est une région riche en relais ganglionnaires qui sont estimés entre 400 à 700. Dans le bilan d'extension des cancers ORL, les adénopathies cervicales occupent une place importante tant pour le diagnostic initial que pour la surveillance des patients après traitement. La sectorisation des adénopathies doit être connue et utilisée de manière courante par tout radiologue. Elle facilite la communication entre chirurgiens, cliniciens et radiologues.
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Shana Phillips

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