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Tytuł:
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Role of intraoral color Doppler sonography in predicting delayed cervical lymph node metastasis in patients with early-stage tongue cancer: a pilot study.
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Autorzy:
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Ariji Y; Associate Professor, Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry, Nagoya, Japan. Electronic address: .
Goto M; Assistant Professor, Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University School of Dentistry, Nagoya, Japan.
Fukano H; Associate Professor, Department of Maxillofacial Surgery, Aichi-Gakuin University School of Dentistry, Nagoya, Japan.
Sugita Y; Associate Professor, Department of Oral Pathology, Aichi-Gakuin University School of Dentistry, Nagoya, Japan.
Izumi M; Associate Professor, Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry, Nagoya, Japan.
Ariji E; Professor and Chairman, Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry, Nagoya, Japan.
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Źródło:
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Oral surgery, oral medicine, oral pathology and oral radiology [Oral Surg Oral Med Oral Pathol Oral Radiol] 2015 Feb; Vol. 119 (2), pp. 246-53. Date of Electronic Publication: 2014 Nov 11.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: New York, NY : Elsevier
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MeSH Terms:
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Ultrasonography, Doppler, Color*/instrumentation
Carcinoma, Squamous Cell/*diagnostic imaging
Lymphatic Metastasis/*diagnostic imaging
Tongue Neoplasms/*diagnostic imaging
Adult ; Aged ; Aged, 80 and over ; Carcinoma, Squamous Cell/pathology ; Female ; Humans ; Lymphatic Metastasis/pathology ; Male ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Staging ; Pilot Projects ; Tongue Neoplasms/pathology
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Entry Date(s):
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Date Created: 20150112 Date Completed: 20151111 Latest Revision: 20161125
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Update Code:
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20240104
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DOI:
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10.1016/j.oooo.2014.10.021
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PMID:
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25577418
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Objective: To clarify the intraoral color Doppler sonographic features of tongue cancer in relation to cervical lymph node metastasis.
Study Design: Thirty-one patients (24 men and 7 women; 32-87 years old; median 60.6 years) with T1-2 N0 squamous cell carcinoma of the tongue were enrolled. Preoperative clinical information and sonographic findings were collected. Patients were followed up for 2 years or more, and the presence of delayed lymph node metastasis was investigated. Significant clinical and sonographic factors were evaluated in relation to lymph node metastasis.
Results: Significant differences in maximum and minimum tumor size, clinical type, tumor depth and thickness, shape of the invading front of the tumor, vascular index (VI) of the tumor area, and asymmetry of the VI of the deep lingual artery were observed between patients with cervical lymph node metastasis and those without. The areas under the curve (AUCs) of tumor thickness and the VI of the tumor area were 0.861 and 0.909, respectively, on receiver operating characteristic (ROC) curve analysis for predicting lymph node metastasis. The AUC for the VI showed a slightly higher value, although the difference was not significant (P = .532).
Conclusions: Intraoral color Doppler sonography is recommended, as it may identify predictive factors of cervical lymph node metastasis.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
Comment in: Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Jan;121(1):106-7. (PMID: 26482190)
Comment in: Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Jan;121(1):107. (PMID: 26679364)
