T staging of the laryngohypopharyngeal carcinoma. A 7-year multidisciplinary experience.
Arch Otolaryngol Head Neck Surg
; 115(5): 613-20, 1989 May.
Article
in En
| MEDLINE
| ID: mdl-2706108
ABSTRACT
Sixty-six whole-organ sectioned, nonirradiated, laryngopharyngectomy specimens that were removed because of cancer during a 7-year period were uniformly examined to determine the accuracy of perioperative T staging by high-resolution computed tomography (CT) and clinical evaluation (indirect-direct laryngoscopy) by comparing this preoperative staging with the postsurgical pathologic staging. The accuracy of the clinical vs CT staging for laryngeal carcinomas was 58.8% vs 70.6%, whereas the accuracy of the staging by combination of the two modalities was 88.2%. Combined staging modalities showed the same accuracy for laryngeal and hypopharyngeal carcinomas (88.2%), whereas clinical staging accuracy for hypopharyngeal carcinomas was lower (52.9%) and CT accuracy was higher (82.4%) than that observed for laryngeal carcinomas. In the majority of the cases that were staged inaccurately, the error was one of under-estimation in particular, tumors confined to the mucosa and early infiltration of laryngeal fat spaces were not detected by CT.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Carcinoma, Squamous Cell
/
Hypopharyngeal Neoplasms
/
Pharyngeal Neoplasms
/
Laryngeal Neoplasms
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Arch Otolaryngol Head Neck Surg
Journal subject:
OTORRINOLARINGOLOGIA
Year:
1989
Document type:
Article
Affiliation country:
Italy