MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE
Yıl: 2020 Cilt: 83 Sayı: 1 Sayfa Aralığı: 1 - 9 Metin Dili: İngilizce DOI: 10.26650/IUITFD.2019.0087 İndeks Tarihi: 27-04-2020
MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE
Öz: nodes (LN) is crucial. We elaborated the mediastinal LNs basedon location, size and age groups.Material and Method: Contrast enhanced chest computed tomographyscans of 150 children who were referred to the radiologydepartment after trauma, were evaluated retrospectively. Allparticipants were divided into five age groups (0-24, 25-60, 61-120, 121-180 and 181-216 months) which included thirty childreneach. We documented the shortest and longest axis diametersof the largest LNs and their location along with the age and genderof the children. Kolmogorov-Smirnov test, t test, Spearman’scorrelation analysis assessment and descriptive statistics wereexpressed using SPSS 22.Results: Mean ages were 11.53±10.1, 39.4±11.1, 84±15.9,154.9±17.6, 190±9.3 months in consecutive age groups and96±69.17 months in general. The most frequent locations withdetectable LNs were subcarinal (n:98, 64%), right lower paratracheal(n:88, 57%), right tracheobronchial (n:82, 56%), right upperparatracheal (n:75, 49%) and left tracheobronchial (n:61, %39)lymphatic stations. Mean short and long axis diameters were3.97±1mm (interquartile range:3.4-5.2) and 7.48±1.98mm (interquartilerange:6.3-9.1) among detected 648 LNs, respectively.Both short and long axis diameters of LNs in low cervical, prevascular,subcarinal, right-left paratracheal and right-left tracheobronchiallocations were correlated with the age (p<0.05). Bothshort and long axis diameters of subcarinal LNs (4.78±1.05mm,9.30±1.8mm) were significantly larger than right lower paratracheal(4.03±0.9mm, 7.94±1.6mm; p:0.001), right tracheobronchial(4.42±1.26mm, 8.59±2.1mm; p:0.04) and right upper paratrachealLNs (3.64±0.79mm, 7.1±1.49mm).Conclusion: Being aware of the size range for normal mediastinalLNs according to ages and locations would facilitate managementand reduce unnecessary interventions and medications.
Anahtar Kelime: SAĞLIKLI ÇOCUKLARDA MEDİASTİNAL LENF GANGLİONLARI; YAŞA GÖRE SIKLIK, BOYUT ARALIĞI VE DAĞILIM
Öz: Amaç: Klinik olarak anlamlı lenf nodları (LN) hakkında karar vermek çok önemlidir. Mediastinal LNları lokasyon, boyut ve yaş gruplarına göre değerlendirdik. Gereç ve Yöntem: Travma sonrası radyoloji bölümüne yönlendirilen 150 çocuğun kontrastlı göğüs bilgisayarlı tomografi taramaları retrospektif olarak değerlendirildi. Tüm katılımcılar her biri otuz çocuğu içeren beş yaş grubuna ayrıldı (0-24, 25-60, 61-120, 121-180 ve 181-216 ay). En büyük LNlarının kısa ve uzun eksendeki çapları konumları, yaş ve cinsiyetlerine göre değerlendirildi. SPSS 22 programı ile Kolmogorov-Smirnov testi, t testi, Spearman korelasyon analizi ve tanımlayıcı istatistikler çalışıldı. Bulgular: Ortalama yaş, gruplarda sırasıyla 11,53±10,1 ay, 39,4±11,1 ay, 84±15,9 ay, 154,9±17,6 ay, 190±9,3 ay ve toplamda 96±69,17 aydı. LN’larının en sık görüldüğü lokasyonlar subkarinal (n:98, %64), sağ alt paratrakeal (n:88, %57), sağ trakeobronşiyal (n:82, %56), sağ üst paratrakeal (n:75, %49) ve sol trakeobronşiyal (n:61, % 39) lenfatik istasyonlardı. Ortalama kısa ve uzun eksen çapları sırasıyla 647 LN arasında 3.97±1mm (çeyrekler arası aralık: 3,4-5,2) ve 7,48±1,98mm (çeyrekler arası aralık: 6,3-9,1) idi. Alt servikal, prevasküler, subkarinal, sağ-sol paratrakeal ve sağ-sol trakeobronşiyal lokasyonlarda LNlarının hem kısa hem de uzun eksen çapları yaşla korele idi (p<0,05). Subkarinal LN’larının kısa ve uzun eksen çapları (4,78±1,05 mm, 9,30±1,8mm) sağ alt paratrakeal (4,03±0,9mm, 7,94±1,6mm; p:0,001), sağ trakeobronşiyal (4,42±1,26mm, 8,59±2,1mm; p:0,04) ve sağ üst paratrakeal LN’lerden (3,64±0,79mm, 7.1±1,49mm) anlamlı derecede büyüktü.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Ince bayramoglu z, YEKELER E (2020). MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE. , 1 - 9. 10.26650/IUITFD.2019.0087 |
| Chicago | Ince bayramoglu zuhal,YEKELER Ensar MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE. (2020): 1 - 9. 10.26650/IUITFD.2019.0087 |
| MLA | Ince bayramoglu zuhal,YEKELER Ensar MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE. , 2020, ss.1 - 9. 10.26650/IUITFD.2019.0087 |
| AMA | Ince bayramoglu z,YEKELER E MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE. . 2020; 1 - 9. 10.26650/IUITFD.2019.0087 |
| Vancouver | Ince bayramoglu z,YEKELER E MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE. . 2020; 1 - 9. 10.26650/IUITFD.2019.0087 |
| IEEE | Ince bayramoglu z,YEKELER E "MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE." , ss.1 - 9, 2020. 10.26650/IUITFD.2019.0087 |
| ISNAD | Ince bayramoglu, zuhal - YEKELER, Ensar. "MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE". (2020), 1-9. https://doi.org/10.26650/IUITFD.2019.0087 |
| APA | Ince bayramoglu z, YEKELER E (2020). MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE. İstanbul Tıp Fakültesi Dergisi, 83(1), 1 - 9. 10.26650/IUITFD.2019.0087 |
| Chicago | Ince bayramoglu zuhal,YEKELER Ensar MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE. İstanbul Tıp Fakültesi Dergisi 83, no.1 (2020): 1 - 9. 10.26650/IUITFD.2019.0087 |
| MLA | Ince bayramoglu zuhal,YEKELER Ensar MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE. İstanbul Tıp Fakültesi Dergisi, vol.83, no.1, 2020, ss.1 - 9. 10.26650/IUITFD.2019.0087 |
| AMA | Ince bayramoglu z,YEKELER E MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE. İstanbul Tıp Fakültesi Dergisi. 2020; 83(1): 1 - 9. 10.26650/IUITFD.2019.0087 |
| Vancouver | Ince bayramoglu z,YEKELER E MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE. İstanbul Tıp Fakültesi Dergisi. 2020; 83(1): 1 - 9. 10.26650/IUITFD.2019.0087 |
| IEEE | Ince bayramoglu z,YEKELER E "MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE." İstanbul Tıp Fakültesi Dergisi, 83, ss.1 - 9, 2020. 10.26650/IUITFD.2019.0087 |
| ISNAD | Ince bayramoglu, zuhal - YEKELER, Ensar. "MEDIASTINAL LYMPH NODES IN HEALTHY CHILDREN; FREQUENCY, SIZE RANGE AND DISTRIBUTION BY AGE". İstanbul Tıp Fakültesi Dergisi 83/1 (2020), 1-9. https://doi.org/10.26650/IUITFD.2019.0087 |
