Atkins J P, Keane W M, Young K A, Rowe L D
Arch Otolaryngol. 1984 Aug;110(8):533-4. doi: 10.1001/archotol.1984.00800340045012.
A series of 451 consecutive patient records were reviewed. Of these, 43 had diagnoses of epidermoid carcinoma of the head and neck. Triple endoscopy, by flexible fiberoptic methods, was performed on all these patients and was critical in the determination of second primary carcinoma in eight patients. As panendoscopy shows no mortality and a low morbidity rate, it should be used in diagnosis of second primary tumors, despite a probable low percentage of second primary discovery; long-term patient survival demands use of all available resources in such diagnoses.
回顾了连续451例患者的病历。其中，43例诊断为头颈部表皮样癌。对所有这些患者均采用柔性纤维光学方法进行了三联内镜检查，该检查对确定8例患者的第二原发性癌至关重要。由于全内镜检查无死亡率且发病率低，尽管发现第二原发性癌的可能性较低，但仍应用于第二原发性肿瘤的诊断；患者的长期生存需要在这类诊断中使用所有可用资源。
