Bruneton J N, Roux P, Caramella E, Manzino J J, Vallicioni J, Demard F
Radiology. 1986 Mar;158(3):743-6. doi: 10.1148/radiology.158.3.3511504.
A prospective study on the value of ultrasound (US) for the staging of 70 cases of cancer of the tongue and tonsil was performed. A real-time, high-frequency transducer was used, and the examination was often coupled with endobuccal palpation. US did not visualize the tumor in nine of 42 cases of tongue cancer (seven stage T1 and two anterior stage T2 tumors); US accurately defined tumor size in 33 cases. The degree of in-depth extension and the location with respect to the median line (only four false results) were evaluated correctly. With regard to 28 tonsil cancers, US depicted extension from the tonsillar fossa to the tongue in all cases but one (13 of 14 cases). US is valuable for the detection of cervical lymph nodes associated with both tongue and tonsil tumors and is a safe and helpful technique for the follow-up of medium-size lesions. The major limitations of US include the nonvisualization of superficial lesions, reduced accuracy for evaluation of the extension of large tumors, and analysis of posterior pharyngeal extension.
对70例舌癌和扁桃体癌患者进行了一项关于超声（US）分期价值的前瞻性研究。使用实时高频探头，检查常结合口腔内触诊。在42例舌癌患者中，有9例（7例T1期和2例早期T2期肿瘤）超声未显示肿瘤；超声在33例中准确界定了肿瘤大小。正确评估了深度浸润程度和相对于中线的位置（仅4例假阳性结果）。对于28例扁桃体癌，除1例（14例中的13例）外，超声在所有病例中均显示了从扁桃体窝向舌部的浸润。超声对于检测与舌癌和扁桃体癌相关的颈部淋巴结很有价值，并且是对中等大小病变进行随访的一种安全且有用的技术。超声的主要局限性包括无法显示浅表病变、评估大肿瘤浸润的准确性降低以及对咽后部浸润的分析。
