OBJECTIVE: To assess the accuracy of preoperative imaging studies and clinical and endoscopic examinations for recurrent laryngeal carcinoma evaluation. STUDY DESIGN AND SETTING: A retrospective comparative study was performed at a university department on 42 recurrent laryngeal carcinomas. Surgical specimens were cut into whole-organ slices. Histologic findings were compared with the findings of the different preoperative diagnostic modalities. RESULTS: The craniocaudal tumor spread was correctly evaluated by endoscopy and imaging studies in 52% and 24%, respectively, and the contralateral tumor spread in 50% and 52%, respectively. The sensitivity, specificity, and accuracy for detection of tumor infiltration of the thyroid was 48%, 88%, and 64% and of the cricoid 47%, 80%, and 67%. The accuracy of recurrent tumor classification (crT) was 50%; most tumors were underclassified. CONCLUSION: The inadequately evaluated tumor spread and the inadequately classified recurrent tumors were underestimated and underclassified in most cases, respectively.
OBJECTIVE: To assess the accuracy of preoperative imaging studies and clinical and endoscopic examinations for recurrent laryngeal carcinoma evaluation. STUDY DESIGN AND SETTING: A retrospective comparative study was performed at a university department on 42 recurrent laryngeal carcinomas. Surgical specimens were cut into whole-organ slices. Histologic findings were compared with the findings of the different preoperative diagnostic modalities. RESULTS: The craniocaudal tumor spread was correctly evaluated by endoscopy and imaging studies in 52% and 24%, respectively, and the contralateral tumor spread in 50% and 52%, respectively. The sensitivity, specificity, and accuracy for detection of tumor infiltration of the thyroid was 48%, 88%, and 64% and of the cricoid 47%, 80%, and 67%. The accuracy of recurrent tumor classification (crT) was 50%; most tumors were underclassified. CONCLUSION: The inadequately evaluated tumor spread and the inadequately classified recurrent tumors were underestimated and underclassified in most cases, respectively.
Authors: Dechen W Tshering Vogel; Peter Zbaeren; Andreas Geretschlaeger; Peter Vermathen; Frederik De Keyzer; Harriet C Thoeny Journal: Eur Radiol Date: 2012-08-04 Impact factor: 5.315
Authors: Minerva Becker; Arthur D Varoquaux; Christophe Combescure; Olivier Rager; Marc Pusztaszeri; Karim Burkhardt; Bénédicte M A Delattre; Pavel Dulguerov; Nicolas Dulguerov; Eirini Katirtzidou; Francesca Caparrotti; Osman Ratib; Habib Zaidi; Christoph D Becker Journal: Eur Radiol Date: 2017-08-15 Impact factor: 5.315
Authors: Sylvia L van Egmond; Bernard M D Vonck; Johanna J Bluemink; Frank A Pameijer; Jan Willem Dankbaar; Inge Stegeman; Marielle E P Philippens; Cornelis A T van den Berg; Luuk M Janssen; Chris H Terhaard Journal: Laryngoscope Investig Otolaryngol Date: 2019-01-15