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Multi detector computerized tomography scans aid in the staging of Head and Neck cancers
Opeyemi, Sigbeku; Bamidele, Kolude; Adenike, Adeniji-Sofoluwe; Aderemi, Adeosun.
Afiliação
  • Opeyemi, Sigbeku; University of Ibadan/University College Hospital. Dept of Oral Pathology. Ibadan. NG
  • Bamidele, Kolude; University of Ibadan/University College Hospital. Dept of Oral Pathology. Ibadan. NG
  • Adenike, Adeniji-Sofoluwe; University of Ibadan/University College Hospital. Dept of Radiology. Ibadan. NG
  • Aderemi, Adeosun; University of Ibadan/University College HospitalCorrespondence. Dept of Otorhinolaryngology. Ibadan. NG
Braz. j. oral sci ; 15(4): 273-279, Oct.-Dec. 2016. ilus
Article em En | LILACS, BBO | ID: biblio-875786
Biblioteca responsável: BR218.1
ABSTRACT
Introduction/

Objectives:

To assess the efficacy and correlation of MDCT scans in the clinical staging of patients with HNCs prior to therapeutic intervention.

Methodology:

Thirty-four HNCs were studied according to the 2005 WHO. Clinical AJCC 6th edition & radiological staging.

Results:

14 Squamous Cell Carcinoma (SCC 41.2%) mean age 49.4 + 14.7 years, 13 Nasopharyngeal Carcinoma (NPC 38.2%) mean age 37.1 + 20.5 years, 3 Odontogenic Carcinoma (ODC 8.8% made up of 2 cases ameloblastic carcinoma 5.9% and 1 case of ameloblastic carcinosarcoma 2.9%). Others cases were 3 Adenocarcinoma (8.8%) and 1 Sinonasal Carcinoma NC (2.9%). Mean age insignificant according to gender (p = 0.342). Sensitivity, specificity, positive & negative predictive values and accuracy of clinical and radiological nodal involvements were (47.4%; 80%; 61.8%; 75%; 54.5%) & (78.9%; 93.3%; 85.3%; 93.8%; 77.8%) respectively. Difference between clinical and radiological stages was statistically significant (X2= 260.8; p=0.01). There was a low but positive correlation between the clinical and radiologic stages (Pearson's correlation r = 0.6).

Conclusion:

MDCT was significantly more accurate than clinical examination in the TNM of HNCs using AJCC/UICC TNM guidelines. Authors recommend MDCT as first line imaging technique in resource limited settings (AU)
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Texto completo: 1 Coleções: 01-internacional Base de dados: BBO / LILACS Assunto principal: Tomografia Computadorizada por Raios X / Neoplasias de Cabeça e Pescoço / Estadiamento de Neoplasias Tipo de estudo: Guideline Limite: Female / Humans / Male Idioma: En Revista: Braz. j. oral sci Assunto da revista: ODONTOLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Nigéria País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: BBO / LILACS Assunto principal: Tomografia Computadorizada por Raios X / Neoplasias de Cabeça e Pescoço / Estadiamento de Neoplasias Tipo de estudo: Guideline Limite: Female / Humans / Male Idioma: En Revista: Braz. j. oral sci Assunto da revista: ODONTOLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Nigéria País de publicação: Brasil