 |
|
Metastatic Neck DiseaseA Clinical/Radiographic/Pathologic Correlative Study
Raphael Feinmesser, MD;
Jeremy L. Freeman, MD, FRCS(C), FACS;
Arnold M. Noyek, MD, FRCS(C), FACS;
B. Derek Birt, MD, FRCS(C), FACS;
BYRON J. BAILEY, MD
Arch Otolaryngol Head Neck Surg. 1987;113(12):1307-1310.
Abstract
| |
• The concept of treating prophylactically the neck of the patient with head and neck cancer is based on the presence of neck metastases in a large number of cases, even if not always detected by physical examination. A modality that could reveal abnormal nodes accurately would change this management attitude so that a number of necks could be left untreated. A retrospective comparative study was undertaken to determine whether high-resolution computed tomographic (CT) scanning might play this role, and whether it has any advantage over physical examination. The radiographic findings of 79 patients with head and neck cancer who had undergone a total of 100 neck dissections were compared with the findings of physical and histo pathologic examinations. This study shows similar sensitivity rates for both physical examination and CT scanning (61.55% and 59.6%, respectively) and slight superiority of the positive predictive values of physical examination (91.4%) over those of CT scanning (81.6%). The study suggests that CT offers no advantage over physical examination and should therefore not be used for neck management decisions. Measuring the size of involved lymph nodes showed that occult nodes fall within the same range as normal nodes and thus cannot be differentiated from normal nodes by size alone.
(Arch Otolaryngol Head Neck Surg 1987;113:1307-1310)
Author Affiliations
From the Departments of Otolaryngology, Mount Sinai Hospital (Drs Feinmesser, Freeman, and Noyek) and Sunnybrook Medical Centre (Dr Birt), Toronto.
Footnotes
Accepted for publication July 8, 1987.
Read before the American Society for Head and Neck Surgery, Denver, April, 29, 1987.
Reprint requests to Department of Otolaryngology, Mount Sinai Hospital, 600 University Ave, Suite 481, Toronto, Ontario, Canada M5G 1X5 (Dr Freeman).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Prospective Study of [18F]Fluorodeoxyglucose Positron Emission Tomography and Computed Tomography and Magnetic Resonance Imaging in Oral Cavity Squamous Cell Carcinoma With Palpably Negative Neck
Ng et al.
JCO 2006;24:4371-4376.
ABSTRACT
| FULL TEXT
Correlation between the incidence of central nodal necrosis in cervical lymph node metastasis and the extent of differentiation in oral squamous cell carcinoma
Morimoto et al.
Dentomaxillofac Radiol 2006;35:18-23.
ABSTRACT
| FULL TEXT
Detection of Cervical Metastasis: A Meta-analysis Comparing Computed Tomography With Physical Examination
Merritt et al.
Arch Otolaryngol Head Neck Surg 1997;123:149-152.
ABSTRACT
Magnetic Resonance Imaging vs Palpation of Cervical Lymph Node Metastasis
van den Brekel et al.
Arch Otolaryngol Head Neck Surg 1991;117:666-673.
ABSTRACT
Improving Diagnostic Accuracy of Cervical Metastases With Computed Tomography and Magnetic Resonance Imaging
Hillsamer et al.
Arch Otolaryngol Head Neck Surg 1990;116:1297-1301.
ABSTRACT
Computed Tomography of Metastatic Cervical Lymph Nodes: A Clinical, Computed Tomographic, Pathologic Correlative Study
Moreau et al.
Arch Otolaryngol Head Neck Surg 1990;116:1190-1193.
ABSTRACT
Metastatic Neck Disease: Palpation vs Ultrasound Examination
de Jong et al.
Arch Otolaryngol Head Neck Surg 1989;115:689-690.
ABSTRACT
Computed Tomography in Evaluating Metastatic Neck Disease
STEVENS and RIC
Arch Otolaryngol Head Neck Surg 1988;114:1041-1041.
ABSTRACT
Metastatic Neck Disease
FRIEDMAN
Arch Otolaryngol Head Neck Surg 1988;114:808-808.
ABSTRACT
|
