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首页> 外文期刊>The Journal of laryngology and otology. >Radiological staging of the chest and abdomen in head and neck squamous cell carcinoma--are computed tomography and ultrasound necessary?
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Radiological staging of the chest and abdomen in head and neck squamous cell carcinoma--are computed tomography and ultrasound necessary?

机译：头颈部鳞状细胞癌的胸部和腹部的放射学分期-是否需要计算机断层扫描和超声检查？

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摘要

The need for, and choice of, radiological staging investigations for distant metastases in the management of head and neck squamous cell carcinoma is a contentious issue. To address this problem a retrospective audit of routine computerized tomography (CT) and ultrasound scanning of the chest and abdomen respectively was undertaken. The records of 103 patients who, over a six and a half year period, underwent major surgery for head and neck squamous cell carcinoma were reviewed. A total of 57 patients (59 per cent) had CT scanning of the chest of whom two were identified as having synchronous tumours. In both cases, the lesions were identified on chest X-ray prior to scanning. Seventy patients (68 per cent) had routine ultrasound scanning of the abdomen. In none of these was metastatic disease identified. As a result of the audit findings routine CT and ultrasound scanning of the chest and abdomen has been discontinued.
机译：对于头颈部鳞状细胞癌的远处转移进行放射学分期研究的必要性和选择是一个有争议的问题。为解决此问题，对常规计算机断层扫描（CT）进行了回顾性审核，并对胸部和腹部进行了超声扫描。回顾了103名患者的记录，这些患者在六年半的时间里接受了头颈部鳞状细胞癌的大手术。共有57例患者（占59％）进行了胸部CT扫描，其中2例被确定为患有同步肿瘤。在这两种情况下，在扫描前均在胸部X光片上发现了病变。七十名患者（68％）进行了腹部常规超声检查。这些都没有发现转移性疾病。作为检查结果的结果，已经停止了常规的胸部和腹部CT和超声扫描。

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