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[对比增强CT在颈部淋巴结分期中的临床价值]

[The clinical value of contrast CT in lymph node staging in the neck region].

作者信息

Bongers H, Klier R, Ozdoba C, Lenz M

机构信息

Radiologische Klinik, Universität Tübingen, Abteilung für Radiologische Diagnostik.

出版信息

Rofo. 1990 Apr;152(4):398-404. doi: 10.1055/s-2008-1046893.

DOI:10.1055/s-2008-1046893
PMID:2160098
Abstract

Pre-treatment CT examinations of 333 patients with squamous carcinomas in the head and neck region have been analysed. Two hundred and six patients had lymph-node metastases and lymph-node staging was ascertained. The criteria for metastatic involvement were lymph node size greater than 15 mm. and changes in structure (inhomogeneity, central hypodensity and ring enhancement). CT had a sensitivity of 93% and accuracy of 89%. This was better than palpation (sensitivity 64%, accuracy 72%). CT can be regarded as a reliable basis for treatment planning.

摘要

对333例头颈部鳞状癌患者的治疗前CT检查进行了分析。206例患者有淋巴结转移,并确定了淋巴结分期。转移受累的标准是淋巴结大小大于15毫米以及结构改变(不均匀性、中心低密度和环形强化)。CT的敏感性为93%,准确性为89%。这优于触诊(敏感性64%,准确性72%)。CT可被视为治疗计划的可靠依据。

相似文献

1
[The clinical value of contrast CT in lymph node staging in the neck region].[对比增强CT在颈部淋巴结分期中的临床价值]
Rofo. 1990 Apr;152(4):398-404. doi: 10.1055/s-2008-1046893.
2
[Cervical lymph node metastases: a histologically controlled comparison of palpation, sonography and computed tomography].[颈部淋巴结转移:触诊、超声检查和计算机断层扫描的组织学对照比较]
Rofo. 1990 Nov;153(5):575-9. doi: 10.1055/s-2008-1033441.
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[Computerized tomography of the soft tissue of the neck. Lymph nodes and their differential diagnosis. II: Clinical value of CT in lymph node staging].[颈部软组织的计算机断层扫描。淋巴结及其鉴别诊断。II:CT在淋巴结分期中的临床价值]
Rontgenblatter. 1990 Jul;43(7):312-20.
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[B-image sonography in lymph node staging of the head and neck area. A comparison with palpation, computerized and magnetic resonance tomography].[头颈部区域淋巴结分期中的B超成像。与触诊、计算机断层扫描和磁共振成像的比较]
HNO. 1991 Feb;39(2):61-3.
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[Reactive enlargement of cervical lymph nodes and cervical lymph node metastases: sonography (M/Q quotient) and computed tomography].[颈部淋巴结反应性肿大与颈部淋巴结转移:超声检查(M/Q 商)与计算机断层扫描]
Aktuelle Radiol. 1992 Jul;2(4):188-95.
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[CT scanning of the cervical lymph node metastases: compared with histologic sections].[颈部淋巴结转移的CT扫描:与组织学切片对比]
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[Computed tomography of the soft tissues of the neck. Lymph node metastases and their differential diagnosis. I. Methods and the principal CT criteria for lymph node metastases].[颈部软组织的计算机断层扫描。淋巴结转移及其鉴别诊断。I. 淋巴结转移的方法及主要CT标准]
Rontgenblatter. 1990 Jun;43(6):270-81.
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[A histologically controlled study of the value of sonography and palpation for the detection and exclusion of neck lymph node enlargements and metastases].[超声检查和触诊对颈部淋巴结肿大及转移灶检测与排除价值的组织学对照研究]
Aktuelle Radiol. 1991 Nov;1(6):312-8.
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[Cervical lymph node metastasis: significance of computerized tomography and palpation. A histologically controlled comparison].[颈部淋巴结转移:计算机断层扫描与触诊的意义。组织学对照比较]
Rofo. 1991 Oct;155(4):305-11. doi: 10.1055/s-2008-1033268.
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[Ultrasound evaluation of characteristics of cervical lymph nodes with special reference to color Doppler ultrasound. A contribution to differentiating reactive from metastatic lymph node involvement in the neck].[颈部淋巴结特征的超声评估,特别参考彩色多普勒超声。对颈部反应性与转移性淋巴结受累的鉴别诊断的贡献]
Laryngorhinootologie. 1999 Oct;78(10):566-72. doi: 10.1055/s-1999-9181.

引用本文的文献

1
[Value of 18F fluorodeoxyglucose positron emission tomography in radiotherapy planning of head-neck tumors].
Strahlenther Onkol. 1998 Jul;174(7):358-64. doi: 10.1007/BF03038350.
2
Diagnosis and treatment of the N0 neck in carcinomas of the upper aerodigestive tract: current status of diagnostic procedures.上消化道癌N0颈部的诊断与治疗:诊断程序的现状
Eur Arch Otorhinolaryngol. 1993;250(8):432-8. doi: 10.1007/BF00181084.