Comparison of the efficacy of clinical examination, ultrasound neck and computed tomography in detection and staging of cervical lymph node metastasis in head and neck cancers

Anand, Nitin; Chaudhary, Neena; Mittal, Mahesh Kumar; Prasad, Rajni

doi:10.1007/s12070-007-0005-6

Cited by 18 publications

(22 citation statements)

References 29 publications

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“…It is well recognized that the presence of cervical metastasis is the most important prognostic factor in head and neck squamous cell carcinoma, accounting for a 50% reduction in the five-year survival rate for ipsilateral cervical lymph node metastasis [30][31][32] and 75% reduction in case of bilateral metastasis [33,34]. When the risk of metastasis exceeds 15-20%, neck dissection or radiation therapy is indicated [35,36]. Most tumours have a predictable pattern of neck metastasis.…”

Section: Lymph Node Involvementmentioning

confidence: 99%

The Outline of Prognosis and New Advances in Diagnosis of Oral Squamous Cell Carcinoma (OSCC): Review of the Literature

Omar

2013

Journal of Oral Oncology

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Objective. Oral squamous cell carcinoma (OSCC) has a remarkable incidence over the world and a fairly strenuous prognosis, encouraging further research on the prognostic factors and new techniques for diagnosis that might modify disease outcome. Data Sources. A web-based search for all types of articles published was initiated using Medline/Pub Med, with the key words such as oral cancer, prognostic factors of oral cancer, diagnostic method of oral cancer, and imaging techniques for diagnosis of oral cancer. The search was restricted to articles published in English, with no publication date restriction (last update April, 2013). Review Methods. In this paper, I approach the factors of prognosis of OSCC and the new advances in diagnostic technologies as well. I also reviewed available studies of the tissue fluorescence spectroscopy and other noninvasive diagnostic aids for OSCC. Results. The outcome is greatly influenced by the stage of the disease (especially TNM). Prognosis also depends or varies with tumour primary site, nodal involvement, tumour thickness, and the status of the surgical margins. Conclusion. Tumour diameter is not the most accurate when compared to tumour thickness or depth of invasion, which can be related directly to prognosis. There is a wide agreement on using ultrasound guided fine needle aspiration biopsies in the evaluation of lymph node metastasis.

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Section: Lymph Node Involvementmentioning

confidence: 99%

The Outline of Prognosis and New Advances in Diagnosis of Oral Squamous Cell Carcinoma (OSCC): Review of the Literature

Omar

2013

Journal of Oral Oncology

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“…Clinical palpation of cervical lymph nodes has many false negative and false positive results [5,6]. It was said to be existed in 20 -40% of cases [7,8].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Cervical Lymph Nodes in Squamous Cell Carcinoma of the Head and Neck

Saafan¹

2013

Surgery

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“…The results of the study were in accordance with those reported by Millesi et al [28] and Hodder et al [29], who found values over 90 %. Other authors obtained different results; Haberal et al [30] and Anand et al [31] found rates over 70 %, but Hohlweg-Majert et al [32] described a sensitivity of 24.5 % for US.…”

Section: Discussionmentioning

confidence: 95%

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

Martins

Salum

Cherubini

et al. 2014

J. Maxillofac. Oral Surg.

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Objective The aim of this study was to evaluate the contribution of ultrasonography in the establishment of the diagnosis of nonspecific nodular lesions of the oral soft tissues. We determined the indication of use and reliability of ultrasonography in the field of dentistry, considering whether it was of value in the conclusive diagnosis of these pathologies. Materials and Methods We recruited 65 patients from the Oral Medicine Unit of São Lucas Hospital, who had submucosal and subcutaneous nodules, without established diagnosis. They were subjected to ultrasonography of the lesion, carried out with standardization of the protocol and equipment, utilizing a Doppler system. The ultrasonographic report was prepared by an experienced professional, noting the imaging characteristics as well as the possibility of diagnosis. Two calibrated examiners analyzed the data, comparing the ultrasonographic report with the final diagnosis. Accordingly, we used established scoring, where zero corresponded to no contribution to the final diagnosis, 1 helped in the management of the case, and 2 when imaging determined the diagnosis. Results A zero score was obtained for 12.3 % of the examinations performed, and 1 and 2 accounted for respectively 41.5 and 46.1 %, totaling a contribution of about 88 %. Ultrasonography was of value in the diagnosis of vascular lesions in 93.3 % and of neoplasms in 87.5 %. In the salivary gland diseases, it contributed to the final diagnosis in 75 %. Conclusion The results demonstrated that ultrasonography is an effective tool in the determination of the definitive diagnosis of nonspecific nodular lesions of the soft tissues of the oral and maxillofacial region.

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Comparison of the efficacy of clinical examination, ultrasound neck and computed tomography in detection and staging of cervical lymph node metastasis in head and neck cancers

Cited by 18 publications

References 29 publications

The Outline of Prognosis and New Advances in Diagnosis of Oral Squamous Cell Carcinoma (OSCC): Review of the Literature

The Outline of Prognosis and New Advances in Diagnosis of Oral Squamous Cell Carcinoma (OSCC): Review of the Literature

Assessment of Cervical Lymph Nodes in Squamous Cell Carcinoma of the Head and Neck

Contribution of Ultrasonography to the Diagnosis of Submucosal and Subcutaneous Nodular Lesions of the Oral and Maxillofacial Region: Analysis of Cases

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