Comparison of Clinical Evaluation and Computed Tomographic Diagnostic Accuracy for Tumors of the Larynx and Hypopharynx

Laryngoscope - Tập 106 Số 5 - Trang 589-594 - 1996
Hossam Thabet1, Donald G. Sessions1, Mokhtar H. Gado1, Douglas A. Gnepp2, Joseph E. Harvey1, Mohammed Talaat3
1Departments of Otolaryngology‐Head and Neck Surgery and Radiology of the Washington University Medical School, St. Louis
2Department of Pathology of St. Louis University Medical School
3Department of Otolaryngology of the University of Alexandria.

Tóm tắt

AbstractNinety‐five patients with laryngeal and hypopharyngeal cancer were examined and staged preoperatively by clinical evaluation (CE) and computed tomography(CT). The CE and CT staging were compared to each other and to the pathologic(PT) staging of the tumors. The CT staging showed high accuracy in staging transglottic (88%), supraglottic (68%), and oropharyngeal tumors invading the larynx (68%) when compared to the PT findings. The CT staging was less effective in evaluating glottic tumors (46%), both overstaging (12%) and understaging (20%) cases. Combined CE‐CT evaluation showed higher accuracy in staging all tumors (84%) compared to CE alone (52%) or CT alone (68%). The findings suggest that combined CE‐CT should be used to evaluate laryngeal and hypopharyngeal tumors.Laryngoscope, 106:589‐594, 1996

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Thông tin xuất bản

Laryngoscope

Tập 106 Số 5

589-594

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