2016_Head & Neck COURSE BOOK

IDENTIFICATION OF THE PRIMARY TUMOR

NARROW BAND IMAGING

PATTERN NBI + BASE OF THE TONGUE

CLINICAL PRESENTATION RIGHT N1 LEV II-III

SAKAI ET AL REPORTED A DETECTION RATE OF TX IMPROVED FROM 40% BY WL ENDOSCOPY IN A CONVENTIONAL STRAIGHT HEAD POSITION TO 71% BY NBI WITH ADJUNCTIVE MANOEUVRES (HEAD TORSION, KILLIAN POSITION AND VALSALVA) HAYASHI ET AL. WERE ABLE TO IDENTIFY 16 PRIMARY CANCERS (10 IN THE HYPOPHARYNX AND 6 IN THE OROPHARYNX) BY NBI ALONE IN 46 PATIENTS WITH TX PREVIOUSLY EVALUATED BY CT, MRI, PET, LARYNGOSCOPY, AND GASTROINTESTINAL ENDOSCOPY

Hayashi T et al., Jpn J Clin Oncol 2010 Sakai A et al., Laryngoscope 2010

mercoledì 29 giugno 16