Bootz F, Greschus S
Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde/Chirurgie, Universität Bonn, Sigmund-Freud-Straße 25, 53127, Bonn, Deutschland.
HNO. 2017 Jun;65(6):472-481. doi: 10.1007/s00106-017-0343-y.
Alongside clinical investigation, imaging is an important diagnostic modality for guiding treatment decisions and particularly for surgical planning in head and neck cancer. The significance and type of imaging depends on localization of the primary tumor. Beside the primary tumor, each imaging procedure must also include the lymph nodes, in order to develop an overall concept of surgical treatment. In addition to the superficial growth of a tumor, it is of utmost importance that its infiltration also be detected by imaging, in order to define the extent of tumor resection and identify potentially necessary reconstructive procedures. The type of imaging needed to understand tumor localization and size, e.g., CT or MRI, depends on the region. In some cases the methods are complementary.
除临床检查外，影像学检查是指导治疗决策的重要诊断方式，对于头颈癌的手术规划尤为重要。影像学检查的意义和类型取决于原发肿瘤的位置。除原发肿瘤外，每次影像学检查还必须包括淋巴结，以便制定全面的手术治疗方案。除了肿瘤的浅表生长外，通过影像学检查检测其浸润情况也至关重要，以便确定肿瘤切除范围并确定可能需要的重建手术。了解肿瘤位置和大小所需的影像学检查类型，如CT或MRI，取决于具体部位。在某些情况下，这些方法是互补的。
