Clinical Characteristics and Survival Analysis of Patients with Supraclavicular Fossa Lymphadenopathy
<b>Background:</b> Supraclavicular lymph nodes (SCLNs) are often indicative of malignancy, but the effectiveness of ultrasound (US) and hematological parameters in their assessment and the prognosis of patients with malignant SCLNs need further study. <b>Methods</b>: We retro...
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2025-06-01
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| author | Yi-Jou Kao Wan-Lun Hsu Yong-Chen Chen Wu-Chia Lo Ping-Chia Cheng Li-Jen Liao |
| author_facet | Yi-Jou Kao Wan-Lun Hsu Yong-Chen Chen Wu-Chia Lo Ping-Chia Cheng Li-Jen Liao |
| author_sort | Yi-Jou Kao |
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| description | <b>Background:</b> Supraclavicular lymph nodes (SCLNs) are often indicative of malignancy, but the effectiveness of ultrasound (US) and hematological parameters in their assessment and the prognosis of patients with malignant SCLNs need further study. <b>Methods</b>: We retrospectively reviewed 348 patients with SCLNs from July 2007 to June 2023, including patients over 18 years of age who underwent fine needle aspiration (FNA) or core needle biopsy (CNB). Our analysis focused on clinical characteristics, US features and hematological parameters to differentiate between benign and malignant SCLNs and to assess their prognostic value, especially in the Asian population. <b>Results</b>: The malignancy rate was 49%, with lung cancer (22%) and lymphoma (16%) being the most common. The malignant nodes were larger and had a greater short-to-long axis ratio, irregular margins, and abnormal vascular patterns (<i>p</i> < 0.01). The 5-year survival rate for patients with malignant SCLNs was 40%. Blood markers, such as the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune–inflammation index (SII) (SII ≥ 970), were significant prognostic factors for overall survival (OS). Compared with lymphoma patients, patients with malignancies of supraclavicular and infraclavicular origins had significantly worse OS. <b>Conclusions</b>: Our findings highlight the importance of ultrasound in evaluating SCLNs. Furthermore, hematological markers (NLR, PLR, and SII) and the origin of SCLNs have important prognostic value. |
| format | Article |
| id | doaj-art-24d6e6b9de4d405bbbc1797de15ced2a |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
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| series | Diagnostics |
| spelling | doaj-art-24d6e6b9de4d405bbbc1797de15ced2a2025-08-20T03:26:52ZengMDPI AGDiagnostics2075-44182025-06-011512148010.3390/diagnostics15121480Clinical Characteristics and Survival Analysis of Patients with Supraclavicular Fossa LymphadenopathyYi-Jou Kao0Wan-Lun Hsu1Yong-Chen Chen2Wu-Chia Lo3Ping-Chia Cheng4Li-Jen Liao5School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei City 242062, TaiwanMaster Program of Big Data in Medical Healthcare Industry, College of Medicine, Fu Jen Catholic University, New Taipei City 242062, TaiwanData Science Center, College of Medicine, Fu Jen Catholic University, New Taipei City 242062, TaiwanDepartment of Otolaryngology, Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei City 220216, TaiwanDepartment of Otolaryngology, Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei City 220216, TaiwanDepartment of Otolaryngology, Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei City 220216, Taiwan<b>Background:</b> Supraclavicular lymph nodes (SCLNs) are often indicative of malignancy, but the effectiveness of ultrasound (US) and hematological parameters in their assessment and the prognosis of patients with malignant SCLNs need further study. <b>Methods</b>: We retrospectively reviewed 348 patients with SCLNs from July 2007 to June 2023, including patients over 18 years of age who underwent fine needle aspiration (FNA) or core needle biopsy (CNB). Our analysis focused on clinical characteristics, US features and hematological parameters to differentiate between benign and malignant SCLNs and to assess their prognostic value, especially in the Asian population. <b>Results</b>: The malignancy rate was 49%, with lung cancer (22%) and lymphoma (16%) being the most common. The malignant nodes were larger and had a greater short-to-long axis ratio, irregular margins, and abnormal vascular patterns (<i>p</i> < 0.01). The 5-year survival rate for patients with malignant SCLNs was 40%. Blood markers, such as the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune–inflammation index (SII) (SII ≥ 970), were significant prognostic factors for overall survival (OS). Compared with lymphoma patients, patients with malignancies of supraclavicular and infraclavicular origins had significantly worse OS. <b>Conclusions</b>: Our findings highlight the importance of ultrasound in evaluating SCLNs. Furthermore, hematological markers (NLR, PLR, and SII) and the origin of SCLNs have important prognostic value.https://www.mdpi.com/2075-4418/15/12/1480supraclavicular lymphadenopathymalignancyprognostic factorsoverall survivalhematological parameterssonography |
| spellingShingle | Yi-Jou Kao Wan-Lun Hsu Yong-Chen Chen Wu-Chia Lo Ping-Chia Cheng Li-Jen Liao Clinical Characteristics and Survival Analysis of Patients with Supraclavicular Fossa Lymphadenopathy Diagnostics supraclavicular lymphadenopathy malignancy prognostic factors overall survival hematological parameters sonography |
| title | Clinical Characteristics and Survival Analysis of Patients with Supraclavicular Fossa Lymphadenopathy |
| title_full | Clinical Characteristics and Survival Analysis of Patients with Supraclavicular Fossa Lymphadenopathy |
| title_fullStr | Clinical Characteristics and Survival Analysis of Patients with Supraclavicular Fossa Lymphadenopathy |
| title_full_unstemmed | Clinical Characteristics and Survival Analysis of Patients with Supraclavicular Fossa Lymphadenopathy |
| title_short | Clinical Characteristics and Survival Analysis of Patients with Supraclavicular Fossa Lymphadenopathy |
| title_sort | clinical characteristics and survival analysis of patients with supraclavicular fossa lymphadenopathy |
| topic | supraclavicular lymphadenopathy malignancy prognostic factors overall survival hematological parameters sonography |
| url | https://www.mdpi.com/2075-4418/15/12/1480 |
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