Zhang B G, Ni X G
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Nov;33(11):1113-1116. doi: 10.13201/j.issn.1001-1781.2019.11.027.
The appearances of vocal cord leukoplakia are largely identical in the macroscopic examination even though the pathological character may differ. This makes it difficult for physicians to evaluate the extent of dysplasia of vocal cord leukoplakia and detect the occurrence of canceration using the conventional laryngoscopy, which might result in overtreatment or undertreatment of vocal cord leukoplakia in different patients. Therefore, an accurate preoperative assessment of the pathological character of vocal cord leukoplakia shows clinical significance in the selection of an appropriate treatment plan and predicting the prognosis of a patient. Recent studies have found that narrow band imaging(NBI) endoscopy can facilitate the early and differential diagnosis of head and neck cancers by observing the intraepithelial papillary capillary loop(IPCL) patterns at the mucosal surfaces. In this paper, the recent progress of NBI endoscopy in the diagnosis of vocal cord leukoplakia is reviewed.
尽管声带白斑的病理特征可能不同,但其在宏观检查中的表现基本相同。这使得医生难以通过传统喉镜评估声带白斑的发育异常程度并检测癌变的发生,这可能导致不同患者的声带白斑治疗过度或治疗不足。因此,对声带白斑的病理特征进行准确的术前评估在选择合适的治疗方案和预测患者预后方面具有临床意义。最近的研究发现,窄带成像(NBI)内镜检查可以通过观察黏膜表面的上皮内乳头毛细血管袢(IPCL)模式来促进头颈部癌症的早期诊断和鉴别诊断。本文综述了NBI内镜检查在声带白斑诊断中的最新进展。