Alvarez Marcos C A, Martínez Sánchez J A, Noval Menéndez J, Hevia Llama R M, Suárez Nieto C, Sampedro Nuño A, Riera Velasco J R
Servicio de ORL, Hospital Valle del Nalón. Riaño-Langreo, Asturias.
Acta Otorrinolaringol Esp. 1996 Jan-Feb;47(1):33-7.
Preinvasive laryngeal lesions progress to infiltrating carcinoma in 7-15% of cases. Clinical manifestations and histological findings are not reliably predictive of progression. Quantitative cytometry improves predictive effectiveness, but is not a routine procedure. A clinico-histological scale consisting of 13 variables which were combined and used prospectively had a predictive value of 0.8 sensitivity and 0.9 specificity for progression of preinvasive laryngeal lesions.
7%至15%的喉原位病变会进展为浸润性癌。临床表现和组织学检查结果并不能可靠地预测病变进展。定量细胞计数法可提高预测有效性,但并非常规操作。一个由13个变量组成的临床组织学量表,经综合并前瞻性应用,对喉原位病变进展的预测价值为灵敏度0.8、特异度0.9。