Fruehwald F, Salomonowitz E, Neuhold A, Pavelka R, Mailath G
J Ultrasound Med. 1987 Mar;6(3):121-37. doi: 10.7863/jum.1987.6.3.121.
In an effort to improve preoperative evaluation of tumors of the tongue, a prospective study on the value of ultrasound (US) for the staging of 50 surgically proven cancers of the tongue and floor of mouth was performed. Sonography was correlated with clinical staging and surgical outcome. Real-time high-frequency transducers and an echo-free silicone interface were used. The dorsal and middle thirds of the tongue were scanned from a submental access and the tip of the tongue directly. US accurately defined tumor sizes and locations in all cases. US staged cancers correctly in all cases but one. In contrast, clinical staging was correct in only 66% of cases. Surgically relevant details, such as crossing of the midline of the tongue or infiltration of the lateral pharyngeal wall, were detected with US. The major limitations of US include the nonvisualization of the epiglottis and retropharyngeal space as well as bone infiltration.
为了改善舌部肿瘤的术前评估，我们对50例经手术证实的舌癌和口底癌进行了一项关于超声（US）分期价值的前瞻性研究。超声检查与临床分期及手术结果相关。使用了实时高频探头和无回声硅胶界面。从颏下途径直接扫描舌背和舌中三分之一以及舌尖。超声在所有病例中均准确界定了肿瘤大小和位置。除1例病例外，超声对所有癌症的分期均正确。相比之下，临床分期仅在66%的病例中正确。超声检测到了手术相关细节，如舌中线的跨越或咽侧壁的浸润。超声的主要局限性包括会厌和咽后间隙无法可视化以及骨浸润情况。
