摘要
喉癌是头颈部最常见的恶性肿瘤之一,以鳞状细胞癌最为多见。喉癌的治疗采取手术为主的多学科综合治疗,手术方案的选择与肿瘤的分期密切相关。第8版美国癌症联合会(American Joint Committee on Cancer,AJCC)TNM分期标准中,肿瘤累及范围、声带活动、软骨侵犯情况等是分期的主要依据[1]。喉癌起源于黏膜层,喉镜很容易发现病变并能评价声带活动情况[2],但因其不能评估黏膜下浸润情况而导致分期过低;而CT及MRI为喉癌术前最常用的影像学检查方法,在评估肿瘤黏膜下扩散、软骨侵犯、颈部淋巴结及远处转移等方面起着重要作用,能为肿瘤的分期及可切除性提供重要信息。
The T stage of laryngeal carcinoma is directly related to the choice of surgical,and CT and MRI are useful tools to assess staging of laryngeal carcinoma preoperatively.In this review,current status and progress of CT and MRI in preoperative T staging of laryngeal carcinoma were summarized.Conventional CT and MRI still have limitations in the evaluation of preoperative T staging of laryngeal carcinoma,however DECT,DWI and other technologies can provide more useful information.The limitation of this article is that CT and MRI are not compared with other examination methods.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2020年第5期470-474,共5页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
云南省应用基础研究(昆医联合专项)[No:2017FE467(-052)]。
关键词
喉肿瘤
分期
体层摄影术
X线计算机
磁共振成像
laryngeal neoplasms
staging
computed tomography
magnetic resonance imaging
