头颈部鳞状细胞癌的初始分期检查：它们合适吗？
Initial staging examinations for head and neck squamous cell carcinoma: are they appropriate?
作者信息
Andrle J, Schartinger V H, Schwentner I, Deibl M, Sprinzl Georg M
机构信息
Department of Otorhinolaryngology - Head and Neck Surgery, Medical University Innsbruck, Innsbruck, Austria.
出版信息
J Laryngol Otol. 2009 Aug;123(8):885-8. doi: 10.1017/S0022215109005258. Epub 2009 Apr 17.
OBJECTIVES
The presence of distant metastases affects the therapeutic regime in patients with head and neck squamous cell carcinoma. This study evaluated the necessity to undertake bone scanning, chest computed tomography and abdominal ultrasonography in patients presenting with primary advanced head and neck squamous cell carcinoma.
STUDY DESIGN
Retrospective analysis, university setting.
METHODS
One hundred and sixty-three patients with head and neck squamous cell carcinoma who were scheduled for major surgery underwent screening for distant metastases. Chest, head and neck computed tomography, abdominal ultrasonography and bone scanning were performed in all patients.
RESULTS
Distant metastases were detected in 5.52 per cent of the 163 patients. All of these patients had locoregional advanced (stage IV) tumours. Computed tomography scanning of the lungs revealed metastases in six patients. Bone metastases were found in three patients. Only one patient with primary liver metastases was detected by abdominal ultrasonography; this patient also had pulmonary metastases.
CONCLUSIONS
Computed tomography of the thorax is the most important technique for screening patients with head and neck squamous cell carcinoma.
目的
远处转移的存在会影响头颈部鳞状细胞癌患者的治疗方案。本研究评估了对原发性晚期头颈部鳞状细胞癌患者进行骨扫描、胸部计算机断层扫描和腹部超声检查的必要性。
研究设计
回顾性分析，大学附属医院。
方法
163例计划进行大手术的头颈部鳞状细胞癌患者接受了远处转移筛查。所有患者均进行了胸部、头颈部计算机断层扫描、腹部超声检查和骨扫描。
结果
163例患者中5.52%检测到远处转移。所有这些患者均有局部晚期（IV期）肿瘤。肺部计算机断层扫描显示6例有转移。3例发现骨转移。腹部超声仅检测到1例原发性肝转移患者；该患者也有肺转移。
结论
胸部计算机断层扫描是筛查头颈部鳞状细胞癌患者的最重要技术。
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