Luboinski B
Département de chirurgie cervico-faciale et d'oto-rhino-laryngologie, Institut Gustave-Roussy, Villejuif.
Rev Prat. 1995 Apr 1;45(7):825-9.
Pretreatment work-up in cancer of the upper aerodigestive tract should follow precise guidelines and chronology. In addition to assessment of the tumoural area, attention should be directed to the general condition of the patient and to any associated pathology. Clinical assessment of the region involved will define the localisation and extension of the tumour, its functional impact and its extension to the cervical lymph nodes. This work-up should immediately be followed by imaging study, today mainly CT scan and magnetic resonance imaging or echography. Only after these examinations are completed should panendoscopy be initiated. Its performance is essential. Routine use of this examination has led to the demonstration of the high number (up to 20% of cases) of second tumours which are underestimated in the first examination. Appropriate therapeutic indications and, in large part, the future health of the patient, depend on the proper performance of this initial work-up.
上消化道癌症的预处理检查应遵循精确的指导方针和时间顺序。除了评估肿瘤区域外，还应关注患者的一般状况以及任何相关病理情况。对受累区域的临床评估将确定肿瘤的定位和范围、其功能影响以及向颈部淋巴结的扩散情况。这项检查应紧接着进行影像学检查，目前主要是CT扫描、磁共振成像或超声检查。只有在这些检查完成后，才应开始进行全腔镜检查。其操作至关重要。常规使用这项检查已发现大量（高达20%的病例）在首次检查中被低估的第二原发肿瘤。恰当的治疗指征以及很大程度上患者未来的健康状况，取决于这项初始检查的正确实施。
