Ultrasound and fine needle aspiration cytology in the staging of neck lymph nodes in oral squamous cell carcinoma
| Autor: | R.M. Evans, D.W. Patton, K.C. Silvester, S.C. Hodder |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Sensitivity and Specificity Metastasis Biopsy medicine Carcinoma Humans Stage (cooking) Lymph node Ultrasonography Interventional Neoplasm Staging medicine.diagnostic_test business.industry Biopsy Needle Neck dissection medicine.disease Radiation therapy medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Epidermoid carcinoma Lymphatic Metastasis Carcinoma Squamous Cell Neck Dissection Surgery Mouth Neoplasms Radiotherapy Adjuvant Radiology Lymph Nodes Oral Surgery Neoplasm Recurrence Local business Neck Follow-Up Studies |
| Zdroj: | The British journal of oralmaxillofacial surgery. 38(5) |
| ISSN: | 0266-4356 |
| Popis: | We prospectively studied 49 patients with oral squamous cell carcinoma (SCC) who had their cervical regional lymph nodes examined by ultrasound (US), with or without fine needle aspiration cytology (FNAC), for the detection of metastatic spread. They were screened over a two-year period (1993-1995) by computed tomography (CT) and magnetic resonance imaging (MRI) or both to measure the primary tumour. US, with or without FNAC, was used to stage the neck. All tumours were biopsied preoperatively and the diagnosis of SCC conformed by histological examination. Management of the neck was based on US staging. Thirty-five patients had neck dissections and 14 were managed conservatively. Mean follow-up was 30 months (range 24-48). All patients were alive at one year, but one died at 14 months from recurrence of disease in the neck. There were 3 false negatives (6%). We find that US, with or without FNAC, is an accurate (86%), sensitive (92%) and specific (83%) technique for the preoperative assessment of lymph node metastases in patients with SCC. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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