CC BY-NC-ND 4.0 · Indographics 2022; 01(02): 208-214
DOI: 10.1055/s-0042-1759846
Review Article

Imaging of Cervical Lymph Nodes

Keerthana KM
1   Department of Radiodiagnosis, Maulana Azad Medical College, New Delhi, India
Jyoti Kumar
1   Department of Radiodiagnosis, Maulana Azad Medical College, New Delhi, India
› Institutsangaben
Funding None.


The occurrence of cervical lymph node metastases is the single most important prognostic factor for head and neck malignancy. It directly influences the staging of tumors, selection of treatment plan, and patient prognosis. Various head and neck cancers have the propensity to spread to different nodal stations in the neck. CT/MRI is routinely used to evaluate the patient of head and neck malignancy. Knowledge of various cervical nodal levels, as well as the preferential drainage pattern of various sites of head and neck malignancies, can aid in accurate imaging interpretation.


Artikel online veröffentlicht:
19. September 2023

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  • References

  • 1 Som PM. Detection of metastasis in cervical lymph nodes: CT and MR criteria and differential diagnosis. AJR Am J Roentgenol 1992; 158 (05) 961-969
  • 2 Shah JP, Strong E, Spiro RH, Vikram B. Surgical grand rounds. Neck dissection: current status and future possibilities. Clin Bull 1981; 11 (01) 25-33
  • 3 Som PM, Curtin HD, Mancuso AA. Imaging-based nodal classification for evaluation of neck metastatic adenopathy. AJR Am J Roentgenol 2000; 174 (03) 837-844
  • 4 Castelijns JA, van den Brekel MW. Imaging of lymphadenopathy in the neck. Eur Radiol 2002; 12 (04) 727-738
  • 5 Assadsangabi R, Babaei R, Songco C. et al. Multimodality oncologic evaluation of superficial neck and facial lymph nodes. Radiol Med (Torino) 2021; 126 (08) 1074-1084
  • 6 Chong V. Cervical lymphadenopathy: what radiologists need to know. Cancer Imaging 2004; 4 (02) 116-120
  • 7 Costa NS, Salisbury SR, Donnelly LF. Retropharyngeal lymph nodes in children: a common imaging finding and potential source of misinterpretation. AJR Am J Roentgenol 2011; 196 (04) W433-7
  • 8 Hoang JK, Vanka J, Ludwig BJ, Glastonbury CM. Evaluation of cervical lymph nodes in head and neck cancer with CT and MRI: tips, traps, and a systematic approach. AJR Am J Roentgenol 2013; 200 (01) W17-25
  • 9 López F, Rodrigo JP, Silver CE. et al. Cervical lymph node metastases from remote primary tumor sites. Head Neck 2016; 38 (Suppl. 01) E2374-E2385
  • 10 Wang Y, Ow TJ, Myers JN. Pathways for cervical metastasis in malignant neoplasms of the head and neck region. Clin Anat 2012; 25 (01) 54-71
  • 11 Patel S, Sakthivel P, Singh I, Gulati A, Gupta D. Frequency of skip metastases in oral cancer: an overview. Int J Head Neck Surg 2015; 6 (02) 80-85
  • 12 Balasubramanian D, Thankappan K, Battoo AJ, Rajapurkar M, Kuriakose MA, Iyer S. Isolated skip nodal metastasis is rare in T1 and T2 oral tongue squamous cell carcinoma. Otolaryngol Head Neck Surg 2012; 147 (02) 275-277
  • 13 Werner JA, Davis RK. Metastases in Head and Neck Cancer. Springer; 2004