ROLE OF MODERN IMAGING IN DECISION-MAKING FOR ELECTIVE NECK DISSECTION

被引：45

作者：

FEINMESSER, R

FREEMAN, JL

FEINMESSER, M

NOYEK, A

MULLEN, JBM

机构：

[1] UNIV TORONTO,MT SINAI HOSP,DEPT OTOLARYNGOL,401-600 UNIV AVE,TORONTO M5G 1X5,ONTARIO,CANADA

[2] HEBREW UNIV JERUSALEM,HADASSAH MED CTR,DEPT OTOLARYNGOL,JERUSALEM,ISRAEL

[3] HEBREW UNIV JERUSALEM,HADASSAH MED CTR,DEPT PATHOL,JERUSALEM,ISRAEL

[4] UNIV TORONTO,MT SINAI HOSP,DEPT RADIOL,TORONTO M5G 1X5,ONTARIO,CANADA

[5] UNIV TORONTO,MT SINAI HOSP,DEPT PATHOL,TORONTO M5G 1X5,ONTARIO,CANADA

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 1992年 / 14卷 / 03期

关键词：

D O I：

10.1002/hed.2880140302

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

This study examines patterns of early metastatic spread as recorded in 19 clinically negative, histologically positive (occult) neck dissection specimens. Microscopic metastatic deposits were detected in this study in nodes measuring 10 mm and less. No nodes with extension of tumor beyond the capsule and into adjacent structures were noted. Central necrosis was detected in only one node. We suggest that the first stages of metastatic disease as evaluated by the pathologist in clinically occult nodes are minimal and may easily evade the eyes of both pathologists and radiologists. Imaging proved to be efficacious in upstaging clinically occult necks that were previously irradiated.

引用

页码：173 / 176

页数：4

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