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[计算机断层扫描在口咽癌、舌癌和口底癌分期中的应用]

[Computerized tomography in the staging of carcinoma of the oropharynx, the tongue and the mouth floor].

作者信息

Querin F, Barzan L, Morassut S, Carbone A

机构信息

Servizio di Radiologia, Stabilimento Ospedaliero, Pordenone.

出版信息

Radiol Med. 1990 Nov;80(5):617-21.

PMID:2267375
Abstract

Eighty-seven patients with carcinoma of oropharynx, tongue and floor of the mouth were examined by means of CT; (TNM criteria); tumor staging was reviewed and compared with that obtained by clinical examination, by endoscopy, at surgery and histology. CT proved to be a reliable technique to detect both the presence of neoplasms, with the exception of very superficial ones, and their deep spread to parapharyngeal space, to muscles of floor of the mouth and prevertebral pterygoid muscles. Lymph node metastases, especially to retropharyngeal nodes, were also clearly demonstrated on CT scans, which indicates this technique as the examination of choice in oropharyngeal and oral cavity tumor staging, for it yields valuable information which can integrate clinical findings.

摘要

对87例口咽、舌及口底癌患者进行了CT检查(采用TNM标准);回顾肿瘤分期,并与临床检查、内镜检查、手术及组织学检查结果进行比较。结果证明,CT是一种可靠的技术,除极表浅的肿瘤外,它既能检测肿瘤的存在,又能显示肿瘤向咽旁间隙、口底肌肉及翼状肌深层的扩散。CT扫描还能清晰显示淋巴结转移,尤其是咽后淋巴结转移,这表明该技术是口咽及口腔肿瘤分期的首选检查方法,因为它能提供有价值的信息,可补充临床检查结果。

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