Usefulness and pitfall of Narrow band imaging combined with magnifying endoscopy for detecting an unknown head and neck primary site with cervical lymph node metastasis
Usefulness and pitfall of Narrow band imaging combined with magnifying endoscopy for detecting an unknown head and neck primary site with cervical lymph node metastasis
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DOI：
10.1016/j.anl.2012.01.007
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发表时间：
2012-10-01
影响因子：
1.7
通讯作者：
Muto, Manabu
中科院分区：
文献类型：
--
作者：
Masaki, Takashi;Katada, Chikatoshi;Muto, Manabu
目的：临床无法检测的原发性鳞状细胞癌（SCC）的宫颈淋巴结转移占头颈部恶性肿瘤的1-2%。我们回顾性评价窄带成像联合放大内镜（NBI-ME）检测头颈部浅表性鳞状细胞癌原发部位的能力。方法：报告11例患者。我们使用NBI-ME检测头颈部未知的原发部位。结果：11例患者中有8例发现原发部位。11例NBI-ME患者中有6例（54.5%）原发于头颈部，6例原发病灶均为扁平状。2例患者在NBI-ME中未检测到原发病变，1例为粘膜下肿瘤样病变，另1例在颈部清扫19个月后可检测到原发病变。结论：NBI-ME可作为原发性未知颈部淋巴结转移患者原发性病变检测的必要手段。2012爱思唯尔爱尔兰有限公司版权所有。
Objective: Cervical nodal metastasis from clinically undetectable primary squamous cell carcinoma (SCC) accounts for 1-2% of head and neck malignancies. We retrospectively evaluate the ability of Narrow band imaging combined with magnifying endoscopy (NBI-ME) to detect the primary sites of superficial SCC in the head and neck region.Methods: This was a report of 11 patients. We performed with NBI-ME to detect unknown primary sites in the head and neck.Results: Among 11 patients, primary sites were detected in eight. Primary sites were detected in the head and neck in 6(54.5%) of 11 patients on NBI-ME, all 6 primary lesions were a flat lesion. Two patients in whom primary lesions could not be detected on NBI-ME, one had submucosal tumor like lesion, the other featured by a detectable primary lesion 19 months after neck dissection.Conclusion: NBI-ME can be recommended as an essential procedure for the detection of primary lesions in patients with primary unknown cervical lymph node metastasis. (C) 2012 Elsevier Ireland Ltd. All rights reserved.