Khan Sohail Ahmed, Zia Sadaf, Naqvi Syeda Uzma, Adel Hatem, Adil Syed Omair, Hussain Munawar
Dr. Sohail Ahmed Khan, FCPS. Assistant Professor, Dow Institute of Radiology, Dow University of Health Sciences, Karachi, Pakistan.
Dr. Sadaf Zia, FCPS. Assistant Professor, Department of E.N.T, Dow International Medical College (Ojha campus), Dow University of Health Sciences, Karachi, Pakistan.
Pak J Med Sci. 2017 Mar-Apr;33(2):353-357. doi: 10.12669/pjms.332.11429.
To determine the relationship of tumor thickness of oral lesions with metastasis in neck based on CT scan.
A total of 58 oral squamous cell carcinoma patients having the median age of 46 (39-55) years. with either gender presented with malignant tumor of buccal mucosa and tongue were prospectively enrolled. A CT Scan with contrast was performed on all patients. Correlation of tumor thickness level with metastasis in neck was calculated using spearman's rank correlation coefficient test.
Median age of the patients was 46 (39-55) years with preponderance of male gender, i.e. 48 (82.8%). Strong positive significant correlation was observed in between transverse dimension (TS) tumor size and stages of tumor (rho 0.673, p-value <0.001), Anterioposterior (AP) tumor size and stages of tumor (rho 0.675, p-value <0.001), and Craniocaudal (CC) tumor size and stages of tumor (rho 0.771, p-value <0.001).
CT scan of neck with contrast can be used for predicting the positive presence of lymph node in neck with primary tumors having a size of more than 4 mm.
基于CT扫描确定口腔病变的肿瘤厚度与颈部转移之间的关系。
前瞻性纳入58例口腔鳞状细胞癌患者，中位年龄46（39 - 55）岁，性别不限，均患有颊黏膜和舌部恶性肿瘤。对所有患者进行增强CT扫描。采用Spearman等级相关系数检验计算肿瘤厚度水平与颈部转移的相关性。
患者中位年龄46（39 - 55）岁，男性居多，共48例（82.8%）。观察到肿瘤横向尺寸（TS）与肿瘤分期之间存在强正相关（rho 0.673，p值<0.001），肿瘤前后径（AP）与肿瘤分期之间存在强正相关（rho 0.675，p值<0.001），以及肿瘤头尾径（CC）与肿瘤分期之间存在强正相关（rho 0.771，p值<0.001）。
对于大小超过4mm的原发性肿瘤，颈部增强CT扫描可用于预测颈部淋巴结转移情况。
