Kerawala Cyrus J, Bisase Brian, Lee Jon
Head and Neck Unit, The Royal Marsden Hospital, London, United Kingdom.
Br J Oral Maxillofac Surg. 2009 Jul;47(5):363-5. doi: 10.1016/j.bjoms.2008.10.013. Epub 2008 Dec 31.
Many patients who present with primary malignant disease of the head and neck are examined under anaesthesia to see if they have synchronous tumours. Although previous studies have attempted to establish whether this is either efficient or cost-effective, the patients included tended to include heterogeneous index sites as well as newly-diagnosed and previously-diagnosed tumours. Seventy-four patients who presented with newly-diagnosed early carcinoma of the mobile tongue (T1 N0 / T2 N0) were studied. None had any symptoms of other upper aerodigestive tract disease and all had panendoscopy including bronchoscopy and oesophagoscopy. Only three had serious abnormalities, of which two were synchronous carcinomas. In no patient did the findings of the panendoscopy influence definitive treatment of the index tumour.Although there was no morbidity associated with panendoscopy among these patients, the routine use of panendoscopy we conclude that it is not warranted.
许多患有头颈部原发性恶性疾病的患者会在麻醉状态下接受检查，以确定是否存在同步肿瘤。尽管先前的研究试图确定这样做是否有效或具有成本效益，但纳入的患者往往包括异质性的索引部位以及新诊断和先前诊断的肿瘤。对74例新诊断为活动期舌早期癌（T1 N0 / T2 N0）的患者进行了研究。这些患者均无其他上消化道疾病的症状，且均接受了包括支气管镜检查和食管镜检查在内的全内镜检查。只有3例有严重异常，其中2例为同步癌。全内镜检查的结果对索引肿瘤的最终治疗均无影响。虽然这些患者中全内镜检查未出现并发症，但我们得出结论，常规使用全内镜检查并无必要。
