对于临床诊断为N0颈部的早期口腔舌癌患者，颈部超声检查是否必要？
Is neck ultrasound necessary for early stage oral tongue carcinoma with clinically N0 neck?
作者信息
To E W H, Tsang W M, Cheng J, Lai E, Pang P, Ahuja A T, Ying M
机构信息
Division of Head and Neck, Plastic & Reconstructive Surgery, Prince of Wales Hospital, Shatin, Hong Kong.
出版信息
Dentomaxillofac Radiol. 2003 May;32(3):156-9. doi: 10.1259/dmfr/20155904.
OBJECTIVES
To define the necessity of neck ultrasound for investigation of T1 and T2 oral tongue carcinoma with N0 neck.
METHODS
The medical records of all patients with early stage (T1-2 N0) oral tongue cancer treated surgically between January 1985 and December 2000 were reviewed. Patients with 30 neck dissections were identified for analysis. The result of neck ultrasound examination was correlated with the histological examination.
RESULTS
The sensitivity, specificity and overall accuracy of ultrasound examination were found to be 47%, 93% and 70%, respectively. The implication of ultrasound examination with respect to elective neck treatment was discussed in the management of the N0 neck.
CONCLUSIONS
It is concluded that ultrasound alone is inadequate for making decisions regarding neck management of patients with T1 and T2 N0 carcinoma of the tongue and cannot replace a policy of elective neck dissection.
目的
明确颈部超声对于T1和T2期无颈部淋巴结转移（N0）的口腔舌癌进行检查的必要性。
方法
回顾了1985年1月至2000年12月间所有接受手术治疗的早期（T1 - 2 N0）口腔舌癌患者的病历。确定了30例接受颈部清扫术的患者进行分析。将颈部超声检查结果与组织学检查结果进行关联。
结果
超声检查的敏感性、特异性和总体准确率分别为47%、93%和70%。在N0颈部的管理中讨论了超声检查对选择性颈部治疗的意义。
结论
得出结论，仅靠超声不足以对T1和T2期N0舌癌患者的颈部管理做出决策，且不能取代选择性颈部清扫术的策略。
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