《提克里亚安贝萨专科医院喉癌影像学表现与喉镜检查结果的一致性：一项回顾性研究》

Laryngeal Cancer Imaging Patterns and Agreement with Laryngoscopy Findings at Tikur Anbessa Specialized Hospital: A Retrospective Study.

机构信息

Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia.

出版信息

Ethiop J Health Sci. 2023 Jan;33(1):91-96. doi: 10.4314/ejhs.v33i1.12.

DOI:10.4314/ejhs.v33i1.12

PMID:36890935

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9987276/

Abstract

BACKGROUND

Head and neck cancer is the commonest cancer among male patients and the third commonest cancer in females at Tikur Anbessa Specialized Hospital from 1998 to 2010.

METHODS

A retrospective cross-sectional study of 90 patients with laryngeal mass who came to oncology and radiology departments at Tikur Anbessa specialized hospital from 2016 to 2019. Medical records were reviewed for clinical data, history, laryngoscope exam and computed tomography (CT) reports. The agreement between imaging and laryngoscope examination were analyzed.

RESULTS

The mean age of presentation was 51.5 years ±14 (SD). The primary patient complaint was hoarseness of voice 77(85.6%) followed by shortness of breath in 28(31.1%). Among 34 cases for which risk factors were indicated, 23 (67.6%) had cigarette smoking. Out of the 79 cases with laryngeal subsites described, 38 (48.1%) were transglottic, 27 (34.2%) were glottic and 12 (15.2%) were supraglottic. Extra-laryngeal spread was seen in 46(51.1%) patients and 42(46.7) were stage IVA. Out of 90 patients only 38(42.2%) patients had laryngoscope findings.

CONCLUSIONS

Transglottic involvement with extra-laryngeal spread was common with advanced stage at presentation.

摘要

背景

1998 年至 2010 年，在提克里亚·安贝萨专科医院，头颈部癌症是男性患者中最常见的癌症，也是女性中第三常见的癌症。

方法

这是一项回顾性的横断面研究，研究对象为 2016 年至 2019 年期间在提克里亚·安贝萨专科医院肿瘤学和放射科就诊的 90 例喉肿块患者。对病历进行了回顾，以获取临床数据、病史、喉镜检查和计算机断层扫描（CT）报告。分析了影像学检查与喉镜检查的一致性。

结果

患者的平均年龄为 51.5 岁±14（标准差）。主要的首发症状是声音嘶哑 77 例（85.6%），其次是呼吸困难 28 例（31.1%）。在 34 例有明确危险因素的病例中，23 例（67.6%）有吸烟史。在 79 例描述了喉内亚区的病例中，38 例（48.1%）为跨声区，27 例（34.2%）为声门区，12 例（15.2%）为声门上区。46 例（51.1%）患者有喉外侵犯，42 例（46.7%）为 IVA 期。90 例患者中只有 38 例（42.2%）有喉镜检查结果。