Hillsamer P J, Schuller D E, McGhee R B, Chakeres D, Young D C
Department of Otolaryngology, Ohio State University, Columbus.
Arch Otolaryngol Head Neck Surg. 1990 Nov;116(11):1297-301. doi: 10.1001/archotol.1990.01870110069008.
Elective neck dissection in patients with head and neck cancer continues to be controversial. The management of these patients would be greatly facilitated by improvements in predicting cervical metastases. Recent investigations have suggested that computed tomography and magnetic resonance imaging are more sensitive in detecting cervical metastases than physical examination. The Department of Otolaryngology at the Ohio State University Hospitals, Columbus, undertook a prospective study to compare the preoperative sensitivities of physical examination, computed tomography, and magnetic resonance imaging with pathologic findings in 27 patients undergoing neck dissections for head and neck cancer. The results indicate that computed tomography and magnetic resonance imaging were more sensitive (84% and 92%, respectively) than physical examination (75%), although the results did not achieve statistical significance. The sensitivity of combined computed tomography and magnetic resonance imaging was 90%.
头颈部癌患者的选择性颈部清扫术仍然存在争议。预测颈部转移情况的改善将极大地促进对这些患者的治疗。最近的研究表明，计算机断层扫描（CT）和磁共振成像（MRI）在检测颈部转移方面比体格检查更敏感。位于哥伦布市的俄亥俄州立大学医院耳鼻喉科进行了一项前瞻性研究，以比较27名头颈部癌患者在接受颈部清扫术前体格检查、CT和MRI的术前敏感性与病理结果。结果表明，CT和MRI比体格检查更敏感（分别为84%和92%），而体格检查的敏感性为75%，尽管结果未达到统计学显著性。CT和MRI联合检查的敏感性为90%。
