Clinical value of endosonography in the assessment of laryngeal cancer

Abstract

This study confirms that endosonography is highly effective in staging laryngeal cancer. Therefore, the latter may constitute a complementary diagnostic tool in these tumors and additionally may assist in choosing an adequate treatment.

Systematic review of the diagnostic value of magnetic resonance imaging for early glottic carcinoma

“…Appraisal of the seven eligible studies is presented in Table 1 9, 10, 11, 12, 13, 14, 15. All seven studies were prospective.…”

“…Only two articles only included glottic laryngeal carcinoma and were therefore considered most relevant 10, 13. Two articles included supraglottic, glottis, and subglottic carcinomas 12, 15. Banko et al included supraglottic and glottic tumors and Carriero and Wu evaluated “laryngeal tumors” in which laryngeal level is not further specified, although Wu only included patients with involvement of the anterior vocal commissure.…”

“…Studies were heterogeneous in study methods and outcomes. Five studies describe completely excised tumors 9, 10, 12, 13, 15. Allegra et al performed two excision biopsies, four chordectomies, and 10 supracricoid laryngectomies (CHEP), all for T1 and T2 glottic carcinomas.…”

“…Whole organ slices were cut parallel to the plane of the axial MRI. Kraft et al included 76 patients of which 11 T1 and 26 T2 tumors, both glottic and subglottic 12. T stage according to laryngeal level is not further specified.…”

“…It is therefore unclear if complete surgical excision was carried out 11, 14. MRI field strengths varied between 1 and 3 Tesla and was not reported in one study 12. Imaging consisted mostly of T2 and T1W contrasts with scans in several directions.…”