OBJECTIVE: To assess the value of computed tomography in the determination of extracapsular neoplastic spread and soft tissue infiltration of cervical lymph nodes. MATERIALS AND METHODS: Prospectively 165 CT reports of patients with squamous cell carcinoma in the head-neck region were compared with the histologic specimens after neck dissection. RESULTS: CT reached a sensitivity of 80.9% in the determination of extra-capsular neoplastic spread. The infiltration of cervical muscles and the jugular vein was always determined but-often diagnosed false-positive. Therefore, the overall specificity in determining extracapsular neoplastic spread was low with 72.7%. CONCLUSIONS: The accuracy of computed tomography (76.3%) in the determination of extracapsular neoplastic spread, infiltration of cervical muscles and the jugular vein is only partially satisfying.
OBJECTIVE: To assess the value of computed tomography in the determination of extracapsular neoplastic spread and soft tissue infiltration of cervical lymph nodes. MATERIALS AND METHODS: Prospectively 165 CT reports of patients with squamous cell carcinoma in the head-neck region were compared with the histologic specimens after neck dissection. RESULTS: CT reached a sensitivity of 80.9% in the determination of extra-capsular neoplastic spread. The infiltration of cervical muscles and the jugular vein was always determined but-often diagnosed false-positive. Therefore, the overall specificity in determining extracapsular neoplastic spread was low with 72.7%. CONCLUSIONS: The accuracy of computed tomography (76.3%) in the determination of extracapsular neoplastic spread, infiltration of cervical muscles and the jugular vein is only partially satisfying.
Authors: R A Zoumalan; A J Kleinberger; L G T Morris; A Ranade; H Yee; M D DeLacure; D Myssiorek Journal: J Laryngol Otol Date: 2010-06-24 Impact factor: 1.469
Authors: A H Aiken; S Poliashenko; J J Beitler; A Y Chen; K L Baugnon; A S Corey; K R Magliocca; P A Hudgins Journal: AJNR Am J Neuroradiol Date: 2015-07-30 Impact factor: 3.825