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[Echography in laryngeal tumors].

L E Derchi1, M Dellepiane, M Giannoni

  • 1Istituto di Radiologia, Università, Genova.

La Radiologia Medica
|March 1, 1992
PubMed
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Ultrasound (US) can image laryngeal neoplasms, especially advanced tumors, and detect spread to surrounding tissues. While not the primary method, US aids preoperative staging for laryngeal cancer.

Area of Science:

  • Oncology
  • Radiology
  • Otolaryngology

Background:

  • Sonography (US) is used for nodal staging in laryngeal neoplasms.
  • The primary lesion of laryngeal neoplasms can sometimes be imaged via US.

Purpose of the Study:

  • To investigate the capabilities of US in assessing the local stage of laryngeal neoplasms.
  • To compare US findings with clinical and surgical staging.

Main Methods:

  • Normal laryngeal US anatomy was assessed in 50 subjects.
  • US was used to examine 17 patients with advanced laryngeal tumors.
  • US findings were compared with clinical and surgical staging.

Main Results:

  • Thyroid cartilage calcification, age-related, obstructs laryngeal US imaging.

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  • Laryngeal imaging was successful in 16 of 17 advanced tumor cases.
  • US findings agreed with clinical staging in 14 cases; it identified understaging in 2 cases by detecting perilaryngeal spread.

    • Conclusions:

    • US is not the primary method for laryngeal neoplasms staging.
    • US can visualize advanced laryngeal tumors and their spread to anterolateral structures.
    • US can contribute to preoperative staging and therapeutic approach selection in select cases.