Sonographic characteristics of presumptively normal main axillary and superficial cervical lymph nodes in dogs

Tawni I. Silver Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 5B4, Canada.

Search for other papers by Tawni I. Silver in
Current site
Google Scholar
PubMed
Close
 DVM, MS
,
Joshua A. Lawson Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK S7N 5B4, Canada.

Search for other papers by Joshua A. Lawson in
Current site
Google Scholar
PubMed
Close
 PhD
, and
Monique N. Mayer Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK S7N 5B4, Canada.

Search for other papers by Monique N. Mayer in
Current site
Google Scholar
PubMed
Close
 DVM, MS

Abstract

Objective—To evaluate the B-mode and Doppler ultrasonographic appearance of presumptively normal main axillary and large superficial cervical lymph nodes (MALNs and SCLNs, respectively) in adult dogs.

Animals—51 healthy adult dogs (data from 1 dog were not analyzed).

Procedures—For each dog, weight, distance from the cranial aspect of the first sternebra to the caudal aspect of the left ischiatic tuberosity, and thoracic height and width at the level of the xiphoid process were recorded. Via B-mode and Doppler ultrasonography, echogenic characteristics, size in relation to body size and weight, and vascular supply of the MALNs and the SCLNs were evaluated (1 SCLN in 1 dog was not ultrasonographically visible).

Results—Most MALNs were clearly margined, solitary, and ovoid; echopatterns were homogenous or cortical and hypo- to isoechoic, compared with surrounding soft tissues. Size measurements of MALNs correlated with dogs' body length, thoracic width and height, and body weight. Most SCLNs were clearly margined, fusiform, and hypoechoic (compared with surrounding soft tissues) with a cortical or homogenous echopattern. Size measurements of SCLNs correlated with dogs' body length, thoracic width and height, and body weight. In 50 of the 100 MALNs, an intranodal vascular supply was detected; in contrast, an intranodal vascular supply in SCLNs was detected infrequently.

Conclusions and Clinical Relevance—Results indicated that, in dogs, anatomically separate lymph nodes have different echogenic and vascular characteristics; body size (skeletal length, height, and width), along with body weight, were correlated with sizes of presumptively normal MALNs and SCLNs.

Abstract

Objective—To evaluate the B-mode and Doppler ultrasonographic appearance of presumptively normal main axillary and large superficial cervical lymph nodes (MALNs and SCLNs, respectively) in adult dogs.

Animals—51 healthy adult dogs (data from 1 dog were not analyzed).

Procedures—For each dog, weight, distance from the cranial aspect of the first sternebra to the caudal aspect of the left ischiatic tuberosity, and thoracic height and width at the level of the xiphoid process were recorded. Via B-mode and Doppler ultrasonography, echogenic characteristics, size in relation to body size and weight, and vascular supply of the MALNs and the SCLNs were evaluated (1 SCLN in 1 dog was not ultrasonographically visible).

Results—Most MALNs were clearly margined, solitary, and ovoid; echopatterns were homogenous or cortical and hypo- to isoechoic, compared with surrounding soft tissues. Size measurements of MALNs correlated with dogs' body length, thoracic width and height, and body weight. Most SCLNs were clearly margined, fusiform, and hypoechoic (compared with surrounding soft tissues) with a cortical or homogenous echopattern. Size measurements of SCLNs correlated with dogs' body length, thoracic width and height, and body weight. In 50 of the 100 MALNs, an intranodal vascular supply was detected; in contrast, an intranodal vascular supply in SCLNs was detected infrequently.

Conclusions and Clinical Relevance—Results indicated that, in dogs, anatomically separate lymph nodes have different echogenic and vascular characteristics; body size (skeletal length, height, and width), along with body weight, were correlated with sizes of presumptively normal MALNs and SCLNs.

Contributor Notes

Address correspondence to Dr. Silver (tawni.silver@usask.ca).
  • 1 Nyman HT, Lee MH, McEvoy FJ, et al. Comparison of B-mode and Doppler ultrasonographic findings with histologic features in benign and malignant superficial lymph nodes in dogs. Am J Vet Res 2006; 67: 978984.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2 Nyman HT, Kristensen AT, Skovgaard IM, et al. Characterization of normal and abnormal canine superficial lymph nodes using gray-scale B-mode, color flow mapping, power, and spectral Doppler ultrasonography: a multivariate study. Vet Radiol Ultrasound 2005; 46: 404410.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3 Dernell WS, Withrow SJ. Preoperative patient planning and margin evaluation. Clin Tech Small Anim Pract 1998; 13: 1721.

  • 4 Agthe P, Caine AR, Posch B, et al. Ultrasonographic appearance of jejunal lymph nodes in dogs without clinical signs of gastrointestinal disease. Vet Radiol Ultrasound 2009; 50: 195200.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5 Steinkamp HJ, Wissgott C, Rademaker J, et al. Current status of power Doppler and color Doppler sonography in the differential diagnosis of lymph node lesions. Eur Radiol 2002; 12: 17851793.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6 Wisner ER, Nyland TG, Mattoon JS. Ultrasonographic examination of cervical masses in the dog and cat. Vet Radiol Ultrasound 1994; 35: 310315.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7 Nyman HT, Kristensen AT, Flagstad A, et al. A review of the sonographic assessment of tumor metastases in liver and superficial lymph nodes. Vet Radiol Ultrasound 2004; 45: 438448.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8 Mayer MN, Lawson JA, Silver TI. Sonographic characteristics of presumptively normal canine medial iliac and superficial inguinal lymph nodes. Vet Radiol Ultrasound 2010; 51: 638641.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9 Norris AM, Harauz G, Ege GN, et al. Lymphoscintigraphy in canine mammary neoplasia. Am J Vet Res 1982; 43: 195199.

  • 10 Gelb HR, Freeman LJ, Rohleder JJ, et al. Feasibility of contrast-enhanced ultrasound-guided biopsy of sentinel lymph nodes in dogs. Vet Radiol Ultrasound 2010; 51: 628633.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11 Bezuidenhout AJ. The lymphatic system. In: Evans HE, ed. Miller's anatomy of the dog. 3rd ed. Philadelphia: WB Saunders Co, 1993;717757.

    • Search Google Scholar
    • Export Citation
  • 12 Burns GO, Scrivani PV, Thompson MS, et al. Relation between age, body weight, and medial retropharyngeal lymph node size in apparently healthy dogs. Vet Radiol Ultrasound 2008; 49: 277281.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13 Laflamme DP. Development and validation of a body condition score system for dogs. Canine Pract 1997; 22(4):1015.

  • 14 Bushberg JT, Seibert JA, Leidholdt EM Jr, et al. Ultrasound. In: Bushberg JT, Seibert JA, Leidholdt EM Jr, et al. The essential physics of medical imaging. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2002;469553.

    • Search Google Scholar
    • Export Citation

Advertisement