Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-30T22:30:05.187Z Has data issue: false hasContentIssue false
  • English
  • Français

Ultrasonography in laryngeal cancers

Published online by Cambridge University Press:  29 June 2007

Mustafa Erkan ,
Ismet Tolu ,
Tahsin Aslan  and
Ercihan Güney
Mustafa Erkan*
Affiliation:
Departments of OtolaryngologyErciyes University School of Medicine, Kayseri, Türkiye.
Ismet Tolu
Affiliation:
Departments of RadiologyErciyes University School of Medicine, Kayseri, Türkiye.
Tahsin Aslan
Affiliation:
Departments of OtolaryngologyErciyes University School of Medicine, Kayseri, Türkiye.
Ercihan Güney
Affiliation:
Departments of OtolaryngologyErciyes University School of Medicine, Kayseri, Türkiye.
*
Assistant Professor Dr. M. Erkan, PK.312 38002, Kayseri, Türkiye.
Get access Rights & Permissions [Opens in a new window]

Abstract

Endolaryngeal spread of laryngeal malignant tumours is usually determined by conventional endoscopy; however, it can not measure the outward extension of the tumour. As an alternative method for assessing the extension of a tumour and detecting metastatic lymph nodes, we have introduced high-resolution ultrasonography (US) in 34 patients with laryngeal epidermoid carcinoma. The ultrasonographic results were compared with the clinical, operative and histological findings. The ultrasonography revealed malignant extensions in the thyroid cartilage in nine cases, in the carotid artery in four cases, and in the thyroid gland in five cases. These were confirmed by surgical and histopathological examinations. Six patients out of the 34 were subclinical cases, who had metastatic lymph nodes, which were diagnosed by US only. In this study US had a sensitivity of 94.44 per cent and a specificity of 93.75 per cent. The sensitivity and specificity of palpation of the cervical lymph nodes were 66.66 per cent and 87.55 per cent respectively.

It may be concluded that high-resolution real-time US is a sensitive, simple and inexpensive method for evaluating laryngeal cancers and subclinical cervical lymph node metastasis.

Keywords

UltrasonographyLaryngeal neoplasmsLymph nodesNeck
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 1 , January 1993 , pp. 65 - 68
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baatenburg de Jong, R. J., Rongen, R. J., Lameris, J.S., Harthoorn, M., Verwoerd, C. D. A., Knegt, P. (1989) Metastatic neck disease: palpation vs. ultrasound examination. Archives of Otolaryngology—Head and Neck Surgery, 115: 689–690.CrossRefGoogle ScholarPubMed
Erkan, M., Tolu, I., Gülev, M., Ünlü, Y., Ekinci, N. (1991) Ilerlemiş larinks kanserlerinin sonografik deĝerlendirilmesi. Radyoloji ve Tibbi Görüntüleme Dergisi, 1: 89–93.Google Scholar
Fields, S., Dunn, F. (1973) Correlation of echographic visualization of tissue with biological composition and physiological state. Journal of the Acoustical Society of America, 54: 809–813.Google Scholar
Gritzmann, N., Traxler, M., Grasl, M., Pavelka, R. (1989) Advanced laryngeal cancer: sonographic assessment. Radiology, 171: 171–175.CrossRefGoogle ScholarPubMed
Gritzmann, N., Frühwald, F. (1988) Sonographic anatomy of the tongue and floor of the mouth. Dysphagia, 2: 196–202.CrossRefGoogle ScholarPubMed
Grunert, D., Schoning, M., Stier, B., Klingebiel, T. (1989) Sonography of the larynx in children. New perspectives due to the use of computerized sonography: 2. Sonographic findings in a case of laryngeal papillomatosis. Klinische Pediatrica, 201: 206–208.CrossRefGoogle Scholar
Leicher-Duber, A., Bleier, R., Duber, C.Thelen, M. (1991) Regional lymph node metastases in malignant tumours of the head and neck: value of diagnostic procedures. Laryngorhinootologie,70: 27–31.Google Scholar
Leicher-Duber, A., Bleier, R., Duber, C.Thelen, M. (1990) Cervical lymph node metastases: a histologically controlled comparison of palpation, sonography and computed tomography. Fortschitte aufdem Gebiete der Rontgenstralem und der Neven Bildgebenden Verfarhren, 153: 575–579.Google ScholarPubMed
Naito, K. (1990) Analysis of cervical metastatic lymphadenopathy by ultrasonography. Nippon Igaku Hoshasen Gakkai Zasshi, 50: 918–927.Google ScholarPubMed
Noyek, A. M., Holgate, R. C.Watzman, G. (1976) Sophisticated radiology in otolaryngology II. Diagnostic imaging: non roentgenographic (non X-ray) modalities. Journal of Otolaryngology, 6: 95–117.Google Scholar
Quetz, J. U., Rohr, S., Hoffmann, P., Wustrow, J., Mertens, J. (1991) B-Image sonography in lymph node staging of the head and neck area. A comparison with palpation, computerized and magnetic resonance tomography. HNO, 39: 61–63.Google Scholar
Raghavendra, B. N., Horii, S. C.Reede, D. L., Rumancik, W. M., Persky, M., Bergeron, R. T. (1987) Sonographic anatomy of the larynx, with particular reference to the vocal cords. Journal of Ultrasound Medicine, 6: 225–230.Google Scholar
Rothberg, R., Noyek, A. M., Freeman, J. L., Steinhardt, M. I., Stoll, S., Goldfinger, M. (1986) Thyroid cartilage imaging with diagnostic ultrasound. Archives of Otolaryngology—Head and Neck Surgery, 112: 503–515.CrossRefGoogle ScholarPubMed
Silvermann, P. M., Bossen, E. H., Fisher, S. R., Cole, T. B., Karobkin, M., Halvorsen, R. A. (1984) Carcinoma of the larynx and hypopharynx: computed tomographic-histopathologic correlation. Radiology, 151: 697–702.CrossRefGoogle Scholar