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[采用TNM系统对头颈部区域恶性肿瘤进行临床分期:现代成像检查的作用]

[Clinical staging of malignant tumors of the head and neck region by the TNM system: contribution of modern imaging procedures].

作者信息

Galanski M, Deitmer T, Wernecke K, Naszaly F

机构信息

Institut für Klinische Radiologie, Westfälische Wilhelms-Universität Münster.

出版信息

Radiologe. 1987 Aug;27(8):339-44.

PMID:3310087
Abstract

Currently, the method of choice for evaluation of head and neck cancers is CT, because in many respects it is superior to the other imaging modalities except for MR. For parotid tumors, however, histological grading is of major importance. The staging of tumors of the hypopharynx and larynx can be done just as reliably by CT and microlaryngoscopy; the latter has the advantage of including biopsy. Ultrasound is of primary value in providing information on metastases to the cervical lymph nodes. If CT is used for staging of the primary tumor or planning radiation therapy, then it also can be utilized for the detection of lymphatic spread.

摘要

目前,头颈部癌症评估的首选方法是CT,因为在许多方面它优于除磁共振成像(MR)外的其他成像方式。然而,对于腮腺肿瘤,组织学分级至关重要。下咽和喉肿瘤的分期通过CT和显微喉镜检查同样可靠;后者的优势在于可以进行活检。超声在提供颈部淋巴结转移信息方面具有主要价值。如果CT用于原发性肿瘤的分期或放疗计划制定,那么它也可用于检测淋巴扩散。

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