Nix P A, Coatesworth A P
ENT SpR Yorkshire Region, Academic Surgical Unit, Research and Development Building, Castle Hill Hospital, Cottingham HU16 5JQ, UK.
Int J Clin Pract. 2003 Sep;57(7):628-30.
Carotid artery invasion by squamous cell carcinoma of the upper aerodigestive tract is a poor prognostic indicator and a relative indicator of tumour inoperability. A number of imaging modalities are available for detecting such invasion, but, because of its availability, computerised tomography (CT) is the usual modality. We have analysed the CT scans of 196 patients referred to the department with an upper aerodigestive tract squamous cell carcinoma. Comparing the scans with the operative findings indicates that CT scans significantly overestimate carotid artery invasion.
上呼吸消化道鳞状细胞癌侵犯颈动脉是预后不良的指标,也是肿瘤无法手术切除的相关指标。有多种影像学检查方法可用于检测此类侵犯,但由于其可用性,计算机断层扫描(CT)是常用的检查方法。我们分析了196例转诊至该科室的上呼吸消化道鳞状细胞癌患者的CT扫描结果。将扫描结果与手术所见进行比较表明,CT扫描显著高估了颈动脉侵犯情况。