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Morphology: Malignant LNs

• Malignant characteristics

– Round shape

– Necrosis

– Signal intensity similar to primary tumour*

– Extracapsular tumour extension

– Speckled calcification (e.g. in mucinous

adenocarcinoma of colon or ovary)

*Barentsz J et al, Radiology 1996; 201:185-193