Current concepts in imaging of laryngeal and hypopharyngeal cancer

Keberle, Marc; Kenn, W.; Hahn, Dietbert

doi:10.1007/s00330-002-1319-0

Cited by 38 publications

(22 citation statements)

References 34 publications

(57 reference statements)

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“…3,4 The shapes and sizes of the 34 tumors on sonography were compared with those on CT in similar transverse sections. In a section where a lesion was shown, its maximal size and transverse and posteroanterior dimensions were measured.…”

Section: Imaging Evaluationmentioning

confidence: 99%

“…Dedicated CT scanning is able to supply valuable information for tumor staging. 3,4 Magnetic resonance imaging also has a great deal of value in showing the hypopharyngeal and laryngeal anatomy in detail and is reported to be more sensitive than CT for detecting minor cartilage invasion. 5 However, CT and magnetic resonance imaging cannot be performed in real time and have limitations when the mobility of the larynx needs to be evaluated.…”

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confidence: 99%

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Sonographic Assessment of Hypopharyngeal Carcinoma

Xia

Zhu

Cheng

et al. 2011

Journal of Ultrasound in Medicine

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Preliminary Studyt is usually difficult to detect hypopharyngeal carcinoma at an early stage because of inconspicuous pharyngeal symptoms. The patient often presents with advanced disease that has a poor prognosis. 1 Endoscopic and imaging examinations are considered indispensable approaches in diagnosis of hypopharyngeal carcinoma. Endoscopy can be used to directly observe a tumor arising from mucosa, on which biopsy can be performed. Additionally, its ability to show the laryngeal structure and movement is helpful for tumor staging. 2 However, it is difficult to determine the depth and extrahypopharyngeal invasion of advanced carcinoma, and it is frequently impossible to visualize the inferior part of a bulky lesion that obstructs passage of the endoscope. Xia, MD, Qiang Zhu, MD, Yun Cheng, MD, Han Xue Zhao, MD, Zhen Zhen Jin, MD Received July 20, 2010, Chun Xia ORIGINAL RESEARCHObjectives-This study investigated the ability of sonography for diagnosis of hypopharyngeal carcinoma.Methods-Between November 2008 and January 2010, 34 consecutive patients with hypopharyngeal carcinoma (34 tumors) were examined by sonography. The visualization capability of sonography was evaluated by grading criteria of "excellent," "good," "moderate," and "poor" in comparison with computed tomography (CT). Localization of the primary tumor foci and intrahypopharyngeal and extrahypopharyngeal invasion were initially assessed by sonography and confirmed with surgical and pathologic findings. Laryngeal movement was observed on real-time sonography and compared with endoscopic findings.Results-On sonography, 29 of the 34 lesions (85.3%) were graded excellent, similar to the shapes and dimensions of the tumors on CT. Localization was correctly undertaken in 26 of the 28 foci resected (92.9%), with excellent agreement between sonography and surgical and pathologic findings (κ = 0.823; P < .001). In evaluating intrahypopharyngeal and extrahypopharyngeal invasion with sonography, the sensitivity and specificity were 90.9% and 82.4%, respectively, for intrahypopharyngeal intersubsite spreading, 50.0% and 96.2% for diagnosis of thyroid cartilage destruction, both 100% for evaluation of cervical esophagus, neck soft tissue, and thyroid gland involvement, and 76.9% and 100% for assessment of hemilarynx fixation.Conclusions-Sonography has a similar role in visualization of hypopharyngeal carcinoma as CT and is satisfactory in localization of the primary focus and assessment of tumor extension inside and outside the hypopharynx.

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Section: Imaging Evaluationmentioning

confidence: 99%

mentioning

confidence: 99%

Sonographic Assessment of Hypopharyngeal Carcinoma

Xia

Zhu

Cheng

et al. 2011

Journal of Ultrasound in Medicine

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“…5 Agada et al 6 reported the accuracy of CT staging compared with pathologic specimens, demonstrating that 45% of patients were overstaged and 10% were understaged by CT. Other studies have examined the potential benefits of smaller sections, by using coronal/sagittal and 3D reconstructions and having patients do a variety of breathing maneuvers, including quiet breathing, breath-holding, and modified Valsalva maneuvers. 7 Results in these studies varied, but most found that reconstructions are helpful and that breathing maneuvers improve imaging quality.…”

Section: Discussionmentioning

confidence: 99%

Staging of Laryngeal Cancer Using 64-Channel Multidetector Row CT: Comparison of Standard Neck CT with Dedicated Breath-Maneuver Laryngeal CT

Gilbert¹,

Dalley²,

Maronian³

et al. 2009

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:With a 64-channel multidetector row CT, imaging acquisition during speech, swallowing, or phonation has become feasible. However, the actual benefit of these additional focused images should be critically evaluated with respect to radiation dose. The purpose of this study was to determine if dedicated laryngeal CT using breath-holding and straw-blowing improved the accuracy of TNM-staging for patients with biopsy-proved laryngeal carcinomas in comparison with a standard neck CT.

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“…The main reason for the latter is the presence of artifacts from tooth fillings on CT at the suprahyoid level. The otolaryngologist can easily judge mucosal spread, but imaging is necessary to detect invasion of cartilage and for better assessment of submucosal spread [37]. Spiral CT is standard for imaging head and neck tumors.…”

Section: The First Group: Neoplasmsmentioning

confidence: 99%

Evaluation of the patient with hoarseness

Goten

2004

Eur Radiol

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Hoarseness has a broad range of etiologies, and in most cases a diagnosis can be made by recording an accurate history and by conducting a thorough physical examination. This paper will present an overview of the more common voice disorders and explain in which cases imaging studies such as computed tomography or magnetic resonance imaging are necessary. The essential imaging features will be discussed.

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Current concepts in imaging of laryngeal and hypopharyngeal cancer

Cited by 38 publications

References 34 publications

Sonographic Assessment of Hypopharyngeal Carcinoma

Sonographic Assessment of Hypopharyngeal Carcinoma

Staging of Laryngeal Cancer Using 64-Channel Multidetector Row CT: Comparison of Standard Neck CT with Dedicated Breath-Maneuver Laryngeal CT

Evaluation of the patient with hoarseness

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