Nasal endoscope, MRI, and ultrasound-guided fine needle aspiration in the diagnosis of primary head and neck tumor
10.3760/cma.j.issn.1673-0860.2014.03.012
- VernacularTitle:鼻咽镜和MRI及超声波引导穿刺检查在头颈部原发肿瘤诊断中的联合应用
- Author:
Youwang ZHANG
1
;
Yafang HUANG
;
Yongru WU
;
Lin KONG
;
Shuang HUANG
;
Chaosu HU
Author Information
1. 复旦大学附属肿瘤医院放疗科 复旦大学上海医学院肿瘤学系
- Keywords:
Head and neck neoplasms;
Lymphatic metastasis;
Laryngoscopy;
Biopsy,needle;
Endoscopic ultrasound-guided fine needle aspiration;
Magnetic resonance imaging
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2014;49(3):223-226
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the role of muhiple diagnostic methods in the head and neck tumor.Methods One hundred and ninety-six patients without definite pathological diagnosis referred from other hospitals were included in this retrospective study.All patients had a biopsy or fine needle aspiration (FNA) of the suspected region after detailed medical history enquiry,physical examination and imaging examination.Results All patients had ultrasound-guided FNA except 4 patients who had direct FNA.One hundred and seventy-one patients (87.2％) were confirmed to have tumor cells by pathological diagnosis,among them,31 patients by biopsy of primary region alone,106 by FNA,and 34 by both.The positive rate of FNA was 71.4％ (140/196) for the whole group,71.1％ (123/173),66.7％ (10/15) and 87.5％ (7/8) for retropharyngeal lymph node subgroup,parapharyngeal space subgroup and oropharynx subgroup.Conclusion The combined use of endoscope,MRI,and ultrasound-guided FNA is useful for the diagnosis of head and neck tumor.
