Endocavitary sonography of early oral cavity malignant tumors
Background Preoperative staging is crucial for oral cancer management. The purpose of this study was to assess the tumor thickness using ultrasound and to correlate the level of histological infiltration with the tumor superficial extension and lesion thickness. Methods Thirty‐two subjects affected...
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| Veröffentlicht in: | Head & neck 2017-07, Vol.39 (7), p.1349-1356 |
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| creator | Angelelli, Giuseppe Moschetta, Marco Limongelli, Luisa Albergo, Annamaria Lacalendola, Emanuela Brindicci, Francesco Favia, Gianfranco Maiorano, Eugenio |
| description | Background
Preoperative staging is crucial for oral cancer management. The purpose of this study was to assess the tumor thickness using ultrasound and to correlate the level of histological infiltration with the tumor superficial extension and lesion thickness.
Methods
Thirty‐two subjects affected by oral cavity carcinoma were prospectively evaluated with intraoral ultrasound. The ultrasound sensitivity, the correlation between the ultrasound level of infiltration, and lesion diameters and thickness were assessed.
Results
A 91% ultrasound sensitivity was found with no significant correlation between tumor diameter and level of histological infiltration (P >.05). A thickness of 6 mm to muscular layer infiltration. Lymph adenopathies were identified in 21% of cases, associated to muscular layer infiltration in all cases.
Conclusion
In the study of early oral cavity tumors, ultrasound is accurate for demonstrating the level of tumor infiltration and contributes to the therapeutic choice. |
| doi_str_mv | 10.1002/hed.24779 |
| format | Article |
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Preoperative staging is crucial for oral cancer management. The purpose of this study was to assess the tumor thickness using ultrasound and to correlate the level of histological infiltration with the tumor superficial extension and lesion thickness.
Methods
Thirty‐two subjects affected by oral cavity carcinoma were prospectively evaluated with intraoral ultrasound. The ultrasound sensitivity, the correlation between the ultrasound level of infiltration, and lesion diameters and thickness were assessed.
Results
A 91% ultrasound sensitivity was found with no significant correlation between tumor diameter and level of histological infiltration (P >.05). A thickness of <2 mm was associated to tumor extension to the lamina propria, a value of >6 mm to muscular layer infiltration. Lymph adenopathies were identified in 21% of cases, associated to muscular layer infiltration in all cases.
Conclusion
In the study of early oral cavity tumors, ultrasound is accurate for demonstrating the level of tumor infiltration and contributes to the therapeutic choice.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.24779</identifier><identifier>PMID: 28370753</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Biopsy, Needle ; Carcinoma, Squamous Cell - diagnostic imaging ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Cohort Studies ; endocavitary sonography ; Endosonography - methods ; Female ; Head and neck ; Humans ; Immunohistochemistry ; Lamina propria ; Lymph ; Male ; Metastases ; Middle Aged ; Mouth Neoplasms - diagnostic imaging ; Mouth Neoplasms - pathology ; Mouth Neoplasms - surgery ; Neoplasm Invasiveness - pathology ; Neoplasm Staging ; Oral cancer ; Oral cavity ; oral cavity tumors ; Preoperative Care - methods ; Prognosis ; Prospective Studies ; Sensitivity and Specificity ; Tumors ; Ultrasonic imaging ; Ultrasound</subject><ispartof>Head & neck, 2017-07, Vol.39 (7), p.1349-1356</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4199-a771dc5dee67c840acff3ca1f7ec0c353e2ab4ee82f9d53b6aa3036142fa298c3</citedby><cites>FETCH-LOGICAL-c4199-a771dc5dee67c840acff3ca1f7ec0c353e2ab4ee82f9d53b6aa3036142fa298c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.24779$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.24779$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28370753$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Angelelli, Giuseppe</creatorcontrib><creatorcontrib>Moschetta, Marco</creatorcontrib><creatorcontrib>Limongelli, Luisa</creatorcontrib><creatorcontrib>Albergo, Annamaria</creatorcontrib><creatorcontrib>Lacalendola, Emanuela</creatorcontrib><creatorcontrib>Brindicci, Francesco</creatorcontrib><creatorcontrib>Favia, Gianfranco</creatorcontrib><creatorcontrib>Maiorano, Eugenio</creatorcontrib><title>Endocavitary sonography of early oral cavity malignant tumors</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
Preoperative staging is crucial for oral cancer management. The purpose of this study was to assess the tumor thickness using ultrasound and to correlate the level of histological infiltration with the tumor superficial extension and lesion thickness.
Methods
Thirty‐two subjects affected by oral cavity carcinoma were prospectively evaluated with intraoral ultrasound. The ultrasound sensitivity, the correlation between the ultrasound level of infiltration, and lesion diameters and thickness were assessed.
Results
A 91% ultrasound sensitivity was found with no significant correlation between tumor diameter and level of histological infiltration (P >.05). A thickness of <2 mm was associated to tumor extension to the lamina propria, a value of >6 mm to muscular layer infiltration. Lymph adenopathies were identified in 21% of cases, associated to muscular layer infiltration in all cases.
Conclusion
In the study of early oral cavity tumors, ultrasound is accurate for demonstrating the level of tumor infiltration and contributes to the therapeutic choice.</description><subject>Adult</subject><subject>Aged</subject><subject>Biopsy, Needle</subject><subject>Carcinoma, Squamous Cell - diagnostic imaging</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Cohort Studies</subject><subject>endocavitary sonography</subject><subject>Endosonography - methods</subject><subject>Female</subject><subject>Head and neck</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Lamina propria</subject><subject>Lymph</subject><subject>Male</subject><subject>Metastases</subject><subject>Middle Aged</subject><subject>Mouth Neoplasms - diagnostic imaging</subject><subject>Mouth Neoplasms - pathology</subject><subject>Mouth Neoplasms - surgery</subject><subject>Neoplasm Invasiveness - pathology</subject><subject>Neoplasm Staging</subject><subject>Oral cancer</subject><subject>Oral cavity</subject><subject>oral cavity tumors</subject><subject>Preoperative Care - methods</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM9LwzAYhoMobk4P_gNS8KKHbvnVJjl4kDmdMPCi55ClydbRNjNZlf73Zuu8CJ6-l4-Hl5cHgGsExwhCPFmbYowpY-IEDBEULIWEstN9piQlkNEBuAhhAyEkOcXnYIA5YZBlZAgeZk3htPoqd8p3SXCNW3m1XXeJs4lRvorBqyo5EF1Sq6pcNarZJbu2dj5cgjOrqmCujncEPp5n79N5unh7eZ0-LlJNkRCpYgwVOiuMyZnmFCptLdEKWWY01CQjBqslNYZjK4qMLHOlSJyKKLYKC67JCNz1vVvvPlsTdrIugzZVpRrj2iAR5xTlggoS0ds_6Ma1vonrJBKQ5wgLwiN131PauxC8sXLryzoqkAjKvVMZncqD08jeHBvbZR2_v-SvxAhMeuC7rEz3f5Ocz576yh_i5IA1</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Angelelli, Giuseppe</creator><creator>Moschetta, Marco</creator><creator>Limongelli, Luisa</creator><creator>Albergo, Annamaria</creator><creator>Lacalendola, Emanuela</creator><creator>Brindicci, Francesco</creator><creator>Favia, Gianfranco</creator><creator>Maiorano, Eugenio</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201707</creationdate><title>Endocavitary sonography of early oral cavity malignant tumors</title><author>Angelelli, Giuseppe ; Moschetta, Marco ; Limongelli, Luisa ; Albergo, Annamaria ; Lacalendola, Emanuela ; Brindicci, Francesco ; Favia, Gianfranco ; Maiorano, Eugenio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4199-a771dc5dee67c840acff3ca1f7ec0c353e2ab4ee82f9d53b6aa3036142fa298c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biopsy, Needle</topic><topic>Carcinoma, Squamous Cell - diagnostic imaging</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Cohort Studies</topic><topic>endocavitary sonography</topic><topic>Endosonography - methods</topic><topic>Female</topic><topic>Head and neck</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Lamina propria</topic><topic>Lymph</topic><topic>Male</topic><topic>Metastases</topic><topic>Middle Aged</topic><topic>Mouth Neoplasms - diagnostic imaging</topic><topic>Mouth Neoplasms - pathology</topic><topic>Mouth Neoplasms - surgery</topic><topic>Neoplasm Invasiveness - pathology</topic><topic>Neoplasm Staging</topic><topic>Oral cancer</topic><topic>Oral cavity</topic><topic>oral cavity tumors</topic><topic>Preoperative Care - methods</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Angelelli, Giuseppe</creatorcontrib><creatorcontrib>Moschetta, Marco</creatorcontrib><creatorcontrib>Limongelli, Luisa</creatorcontrib><creatorcontrib>Albergo, Annamaria</creatorcontrib><creatorcontrib>Lacalendola, Emanuela</creatorcontrib><creatorcontrib>Brindicci, Francesco</creatorcontrib><creatorcontrib>Favia, Gianfranco</creatorcontrib><creatorcontrib>Maiorano, Eugenio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Angelelli, Giuseppe</au><au>Moschetta, Marco</au><au>Limongelli, Luisa</au><au>Albergo, Annamaria</au><au>Lacalendola, Emanuela</au><au>Brindicci, Francesco</au><au>Favia, Gianfranco</au><au>Maiorano, Eugenio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endocavitary sonography of early oral cavity malignant tumors</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2017-07</date><risdate>2017</risdate><volume>39</volume><issue>7</issue><spage>1349</spage><epage>1356</epage><pages>1349-1356</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background
Preoperative staging is crucial for oral cancer management. The purpose of this study was to assess the tumor thickness using ultrasound and to correlate the level of histological infiltration with the tumor superficial extension and lesion thickness.
Methods
Thirty‐two subjects affected by oral cavity carcinoma were prospectively evaluated with intraoral ultrasound. The ultrasound sensitivity, the correlation between the ultrasound level of infiltration, and lesion diameters and thickness were assessed.
Results
A 91% ultrasound sensitivity was found with no significant correlation between tumor diameter and level of histological infiltration (P >.05). A thickness of <2 mm was associated to tumor extension to the lamina propria, a value of >6 mm to muscular layer infiltration. Lymph adenopathies were identified in 21% of cases, associated to muscular layer infiltration in all cases.
Conclusion
In the study of early oral cavity tumors, ultrasound is accurate for demonstrating the level of tumor infiltration and contributes to the therapeutic choice.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28370753</pmid><doi>10.1002/hed.24779</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Aged Biopsy, Needle Carcinoma, Squamous Cell - diagnostic imaging Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Cohort Studies endocavitary sonography Endosonography - methods Female Head and neck Humans Immunohistochemistry Lamina propria Lymph Male Metastases Middle Aged Mouth Neoplasms - diagnostic imaging Mouth Neoplasms - pathology Mouth Neoplasms - surgery Neoplasm Invasiveness - pathology Neoplasm Staging Oral cancer Oral cavity oral cavity tumors Preoperative Care - methods Prognosis Prospective Studies Sensitivity and Specificity Tumors Ultrasonic imaging Ultrasound |
| title | Endocavitary sonography of early oral cavity malignant tumors |
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