Difference between revisions of "Lymph node metastasis"

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686 bytes added ,  15:36, 17 November 2015
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==Gross==
==Gross==
*Outside:
*Outside/surface of lymph node:
**"Large" - size varies by site.
**"Large" - size varies by site.
***Neck >10 mm.<ref name=pmid18337039>{{Cite journal  | last1 = Mack | first1 = MG. | last2 = Rieger | first2 = J. | last3 = Baghi | first3 = M. | last4 = Bisdas | first4 = S. | last5 = Vogl | first5 = TJ. | title = Cervical lymph nodes. | journal = Eur J Radiol | volume = 66 | issue = 3 | pages = 493-500 | month = Jun | year = 2008 | doi = 10.1016/j.ejrad.2008.01.019 | PMID = 18337039 }}</ref>
***Neck >10 mm.<ref name=pmid18337039>{{Cite journal  | last1 = Mack | first1 = MG. | last2 = Rieger | first2 = J. | last3 = Baghi | first3 = M. | last4 = Bisdas | first4 = S. | last5 = Vogl | first5 = TJ. | title = Cervical lymph nodes. | journal = Eur J Radiol | volume = 66 | issue = 3 | pages = 493-500 | month = Jun | year = 2008 | doi = 10.1016/j.ejrad.2008.01.019 | PMID = 18337039 }}</ref>
**Shape - round more suspicious than oval.
**Shape - round more suspicious than oval.
*Sectioned:
*Sectioned lymph node:
**White firm lesion with irregular border - classic appearance.
**White firm lesion with irregular border - classic appearance.
**Non-fatty hilum.<ref name=pmid18337039/>
**Non-fatty hilum.<ref name=pmid18337039/>
Note:
*‡ Smaller lymph nodes infrequently affect the stage - at least in [[colorectal adenocarcinoma]].<ref name=pmid24676735>{{Cite journal  | last1 = Sloothaak | first1 = DA. | last2 = Grewal | first2 = S. | last3 = Doornewaard | first3 = H. | last4 = van Duijvendijk | first4 = P. | last5 = Tanis | first5 = PJ. | last6 = Bemelman | first6 = WA. | last7 = van der Zaag | first7 = ES. | last8 = Buskens | first8 = CJ. | title = Lymph node size as a predictor of lymphatic staging in colonic cancer. | journal = Br J Surg | volume = 101 | issue = 6 | pages = 701-6 | month = May | year = 2014 | doi = 10.1002/bjs.9451 | PMID = 24676735 }}</ref>


==Microscopic==
==Microscopic==
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