Lymph nodes in the neck - Figure 2. Abnormality of the hilum in metastatic lymph nodes.
The lack of a regular hilum is one of the most important signs of a malignant node. The hilum may completely missing or destructed, truncated.
Lymph nodes in the neck - case 4: metastasis of a ductal invasive breat carcinoma |
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The lymph node does not present a regular hilum. It is worth noting the irregular shape of the node and the indentation caused by the node (red arrows). |
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Lymph nodes in the neck - case 14: metastasis of a papillary thyroid carcinoma |
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A fragmented, destructed hilum is demonstrated. |
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Lymph nodes in the neck - case 13: metastasis of an oxyphilic thyroid carcinoma |
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The continuity of the hilum is breaked (red arrows).