Endoscopic diagnosis of laryngeal cancer and precancerous lesions by narrow band imaging

Xg, Ni; He, Song; Zg, Xü; Gao, Lei; Lü, Ning; Yuan, Zuyang; Sq, Lai; Ym, Zhang; Jl, Yi; Xl, Wang; Zhang, L; Xy, Li; Gq, Wang

doi:10.1017/s0022215110002033

Cited by 215 publications

(374 citation statements)

References 26 publications

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“…In the NBI mode, normal laryngeal mucosa consists of submucosal vessels (appearing green) connecting with an arborescent vascular network (appearing dark brown). Abnormalities of these intraepithelial papillary capillary loop (IPCL), located beneath the basement membrane of epithelium, are usually classified in accordance with their shape changes; such changes have been found to predict the depth of superficial cancer invasion (134,135). Classification of laryngeal lesions has been reported in Figure 4.…”

Section: Narrow Band Imaging (Nbi)mentioning

confidence: 99%

“…type V); (2) suspected malignant (i.e. protuberant or ulcerative lesions covered with necrotic tissue, or leukoplakia of unknown type); or (3) benign (types I to IV) (135). In the literature, there exist only a few publications on the exclusive use of NBI in laryngology (135)(136)(137)(138)(139)(140)(141)(142).…”

Section: Narrow Band Imaging (Nbi)mentioning

confidence: 99%

“…protuberant or ulcerative lesions covered with necrotic tissue, or leukoplakia of unknown type); or (3) benign (types I to IV) (135). In the literature, there exist only a few publications on the exclusive use of NBI in laryngology (135)(136)(137)(138)(139)(140)(141)(142). However, several studies assessed the value of NBI in the head and neck also including the larynx (132,137,(143)(144)(145)(146)(147)(148).…”

Section: Narrow Band Imaging (Nbi)mentioning

confidence: 99%

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Laryngeal preneoplastic lesions and cancer: challenging diagnosis. Qualitative literature review and meta-analysis.

Mannelli

Cecconi

Gallo

2016

Critical Reviews in Oncology/Hematology

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Abstract.Background: Multi-step cancerogenesis guides laryngeal cancer onset and it includes a wide variety of pre-cancerous lesions that are macroscopically challenging to identify and distinguish from initial cancerous foci. Since the treatment of laryngeal cancer and its precursor lesions has a great impact on important laryngeal basic functions, early detection and preoperative assessment are important for a curative and function-preserving therapy. Nowadays, despite the high number of more advanced diagnostic techniques and methods, unfortunately, it is not uncommon for different clinicians to use different nomenclature or to identify different stage for the same laryngeal lesion. From these observations, it is obvious that an instrument offering the possibility to detect precancerous lesions, early cancerous lesions, and satellite foci or second primaries would be the key to improving management and outcome in laryngeal patients. Object. Different modalities of diagnostic techniques of laryngeal lesions exist. Rather than difference between benign and obvious malignant diseases, more difficult is to detect the presence of precancerous epithelial alterations. Not all tests achieve the same diagnostic accuracy, hence this meta-analysis of literature aimed to synthesize the validity of each single diagnostic technique in identifying and staging laryngeal disease. Methods: A systematic review of literature was led searching for articles mentioning the following terms including their various combinations to maximize the yield: larynx, laryngeal precancerous lesions, laryngeal cancer, white light (WL) endoscopy, stroboscopy, contact endoscopy (CE), autofluorescence (AF), ultrasound (US), narrow band imaging (NBI), computed axial tomography (CAT), magnetic resonance imaging (MRI), positron emission tomography (PET), CAT/PET. Then, a quantitative analysis was carried on for paper published after 2005 onward, reporting a minumun series of 10 patients each study, declaring sensitivity and specificity of each diagnostic system. Results: The search identified 7215 publications, of which 3616 published after 2005, with a final results of a total of 214 articles stratified and included by our selection criteria. 42 out of 214 articles were selected for quantitative synthesis. 25 out of 41 studies had a quality score of ≥ 6 (good), 16 presented a score between 4 and 5 (fair). While objections can be raised about the pooling of different diagnostic procedures under the same group and the high level of heterogeneity in the meta-analyses, the inclusion of over 4400 laryngeal lesions makes the results fairly robust. Conclusions: A comprehensive overview of the most recent advances in laryngeal imaging technology combined with all of the information needed to interpret findings and successfully manage patients with voice disorders can be found herein. With these data, clinicians can riskstratify patients and select proper examination modalities in order to provide appropriate care. Moreover, study limitations, together with p...

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Section: Narrow Band Imaging (Nbi)mentioning

confidence: 99%

Section: Narrow Band Imaging (Nbi)mentioning

confidence: 99%

Section: Narrow Band Imaging (Nbi)mentioning

confidence: 99%

See 1 more Smart Citation

Laryngeal preneoplastic lesions and cancer: challenging diagnosis. Qualitative literature review and meta-analysis.

Mannelli

Cecconi

Gallo

2016

Critical Reviews in Oncology/Hematology

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“…Such image can not be judged as suspect for neoplasia (Figure 4). Recently, NBI was used for diagnosis of oral [12], oropharyngeal [13], hypopharyngeal [14], nasopharyngeal [15] and laryngeal [16] pathologies. NBI is used for screening and for followup after chemo-and/or radiotherapy treatment of head and neck SCC [17].…”

Section: The Use Of Nbi Endoscopy In Entmentioning

confidence: 99%

“…combined with direct laryngoscopy) in combination with HDTV camera head, allow diagnosing the malignancy with high probability prior the conclusion of histology examination. Different classifications of IPCL changes were proposed for oesophagus and pharynx [23], oral cavity [12] and larynx [16]. In oesophagus and pharynx the IPCL changes are graded as Type I (normal IPCL) to Type V (cancer IPCL).…”

Section: Magnifying Endoscopy and Endoscopy With High-definition (Hdtv)mentioning

confidence: 99%

Narrow Band Imaging (NBI) — Endoscopic Method for Detection of Head and Neck Cancer

Lukeš¹,

Zábrodský²,

Plzák³

et al. 2013

Endoscopy

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Laryngeal Dysplasia, Demographics, and Treatment

Karataylı-Özgürsoy

Pacheco-Lopez

Hillel

et al. 2015

JAMA Otolaryngol Head Neck Surg

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Overall, progression of laryngeal dysplasia to cancer has remained stable during the past 20 years at a rate of approximately 8%. Although laryngeal dysplasia remains a disease predominantly found in males, there is a demographic trend toward diagnosis at earlier ages. Treatment choices may slowly be changing over time, although multi-institutional studies may be required to better categorize this shift.

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Endoscopic diagnosis of laryngeal cancer and precancerous lesions by narrow band imaging

Cited by 215 publications

References 26 publications

Laryngeal preneoplastic lesions and cancer: challenging diagnosis. Qualitative literature review and meta-analysis.

Laryngeal preneoplastic lesions and cancer: challenging diagnosis. Qualitative literature review and meta-analysis.

Narrow Band Imaging (NBI) — Endoscopic Method for Detection of Head and Neck Cancer

Laryngeal Dysplasia, Demographics, and Treatment

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