This is a collection of clinical cases of primary and secondary lymphodes malignancies with analysis of the information that Shear Wave Elastography can add to diagnostic workup.

1. Antonio Pio Masciotra
Campobasso – Molise – Italy
Email
antoniomasciotra@yahoo.it
Website
www.masciotra.net
YouTube Channel
https://www.youtube.com/channel/UCgCj21nKGAhR997Ia3-QegQ
Shear Wave Elastography and more in a collection of
lymphnodes primitive and secondary malignancies

2. Breast carcinoma – Axilla US
Bidimensional 3D

3. Breast carcinoma – Axilla SWE
Bidimensional 3D

4. Lymphnodes in different sites in the same patient
Bidimensional US
B cell Lymphoma inguinal B cell Lymphoma ext. iliac

5. Lymphnodes in different sites in the same patient
SWE
B cell Lymphoma inguinal
B cell Lymphoma ext. iliac

6. Lymphnodes 2D US
B cell Lymphoma Breast cancer metastasis

7. Lymphnodes 3D US
B cell Lymphoma Breast cancer metastasis

8. Lymphnodes 2D SWE
B cell Lymphoma Breast cancer metastasis

9. Lymphnodes SWE
Different stiffness depending on histology
• B cell Lymphoma - 21 kPa • Breast cancer metastasis – 16 kPa
• NET metastasis -209 kPa

10. Neck lymphnodes metastases in 65 years male with multiple myeloma

11. Neck lymphnodes metastases in 65 years male with multiple myeloma

12. Neck lymphnodes metastases in 65 years male with multiple myeloma

13. Neck lymphnodes metastases in 65 years male with multiple myeloma

14. High variability in stiffness (5 kPa to 173 kPa) and Standard deviation (3,3 kPa to 14,2 kPa)

15. High variability in stiffness (30 kPa to 231 kPa) and Standard deviation (8,2 kPa to 37,7 kPa)

16. Hyperechoic areas
are far stiffer than
hypoechoic areas
Same grade of hypoechogenicity
have very different stiffness
(11 to 88 kPa)

17. Shear Wave Elastography and more in a collection of
lymphnodes primitive and secondary malignancies