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癌周注射放射性胶体后颈部淋巴闪烁显像对淋巴结转移的预测

Prediction of lymph node metastases by lymphoscintigraphy of the neck after peri-cancer injection of a radiocolloid.

作者信息

Parell G J, Becker G D, Simpson G T

出版信息

Otolaryngol Head Neck Surg. 1981 Jan-Feb;89(1):67-8. doi: 10.1177/019459988108900114.

DOI:10.1177/019459988108900114
PMID:6784083
Abstract

Radionuclide imaging is used to evaluate the status of neck nodes preoperatively in small group of patients with oral squamous cell carcinoma. An area adjacent to the carcinoma, and a similar area on the opposite side of the oral cavity, are injected with Technetium (Tc) 99m labeled sulfur minicolloid. Differences in imaging intensity between both sides of the neck is used to predict the presence of metastases. Neck dissection confirms the histologic status of the nodes. The scan correctly predicts the presence of metastases in 100% (2/2) of patients with palpable nodes, and the absence of metastases in 75% (3/4) of patients with clinically tested negative necks.

摘要

放射性核素成像用于评估一小部分口腔鳞状细胞癌患者术前颈部淋巴结的状况。在癌灶相邻区域以及口腔另一侧的类似区域注射锝(Tc)99m标记的硫微胶体。利用颈部两侧成像强度的差异来预测转移灶的存在。颈部清扫术可确认淋巴结的组织学状态。该扫描能正确预测100%(2/2)可触及淋巴结患者存在转移,以及75%(3/4)临床检查颈部阴性患者不存在转移。

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