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Turkish Archives of Otolaryngology 2002; 40(3): 189-195 Abstract |
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The
Diagnosis Accuracy of the Clinical Examination and the Computed
Tomography Findings in Patients with Laryngeal Carcinoma who Undergone
Total Laryngectomy
Total Larenjektomi Yapılmış Larenks Kanserli Hastalarda Klinik ve Radyolojik Tanı Doğruluklarının Karşılaştırılması M. Faruk Oktay*, Sebahattin Cüreoğlu*, Yaşar Bükte**, Fahri Yılmaz***, Muhammet Tekin*, Üstün Osma*, İsmail Topçu* |
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| *Dicle University, Medical Faculty, Department of ENT, **Department of Radiology, and ***Department of Pathology, Diyarbakır, Turkey |
| Key Words |
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| Laryngeal neoplasm, laryngal endoscopy, CT imaging of larynx, whole organ sections of larynx |
| Abstract |
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Objectives:
An accurate pretherapeutic
evaluation of laryngeal carcinoma is required for treatment planning as
well as for evaluation and comparison of the results of different
treatment modalities. The purpose of our study was to determine whether
microlaryngoscopic findings and CT imaging correlate with
histopathological findings or not. Materials
and Methods:
In this study,
thirty-five cases of laryngeal cancer with deeply invading up to the
limits of larynx or extralaryngeal extension were studied. Each patient
had a history, clinical evaluation (including microlaryngoscopy and
biopsy), and CT examination. The surgical specimens were cut in whole-organ
slices parallel to the plane of the axial CT images. The histological
findings were compared with the clinical and CT findings. The impact of
each diagnostic method on pretherapeutic evaluation was analyzed. Results:
Clinical evaluation alone failed
to identify tumour invasion of the laryngeal cartilages and of the
extralaryngeal soft tissues, resulting in a low staging accuracy (57%).
The combination of clinical evaluation and an additional CT imaging
resulted in significantly improved staging accuracy (86%). |
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| Accepted after revision: September 19, 2002 | |||
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Correspondence: |
M. Faruk Oktay, MD Dicle Üniversitesi Tıp Fakültesi KBB Anabilim Dalı 21280 Diyarbakır - Türkiye, Phone: (0412) 248 80 01 / 4543, Fax: (0412) 248 85 20 e-mail: farukoktay@hotmail.com
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Copyright © 2002-2005 by the Turkish Otolaryngology & Head and Neck Surgery Foundation. |
