Determining Invasion Depth in Superficial Pharyngeal Carcinoma by Transoral Ultrasonography
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- Kouhei Yumii
- Department of Otorhinolaryngology Head and Neck Surgery Graduate School of Biomedical and Health Sciences, Hiroshima University Hiroshima Japan
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- Tsutomu Ueda
- Department of Otorhinolaryngology Head and Neck Surgery Graduate School of Biomedical and Health Sciences, Hiroshima University Hiroshima Japan
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- Yuji Urabe
- Department of Gastrointestinal Endoscopy and Medicine Hiroshima University Hospital Hiroshima Japan
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- Motomitsu Fukuhara
- Department of Endoscopy Hiroshima University Hospital Hiroshima Japan
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- Nobuyuki Chikuie
- Department of Otorhinolaryngology Head and Neck Surgery Graduate School of Biomedical and Health Sciences, Hiroshima University Hiroshima Japan
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- Takayuki Taruya
- Department of Otorhinolaryngology Head and Neck Surgery Graduate School of Biomedical and Health Sciences, Hiroshima University Hiroshima Japan
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- Takashi Kono
- Department of Otorhinolaryngology Head and Neck Surgery Graduate School of Biomedical and Health Sciences, Hiroshima University Hiroshima Japan
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- Takao Hamamoto
- Department of Otorhinolaryngology Head and Neck Surgery Graduate School of Biomedical and Health Sciences, Hiroshima University Hiroshima Japan
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- Minoru Hattori
- Center for Medical Education Institute of Biomedical & Health Sciences Hiroshima University Hiroshima Japan
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- Masaya Takumida
- Department of Otorhinolaryngology Head and Neck Surgery Graduate School of Biomedical and Health Sciences, Hiroshima University Hiroshima Japan
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- Takashi Ishino
- Department of Otorhinolaryngology Head and Neck Surgery Graduate School of Biomedical and Health Sciences, Hiroshima University Hiroshima Japan
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- Sachio Takeno
- Department of Otorhinolaryngology Head and Neck Surgery Graduate School of Biomedical and Health Sciences, Hiroshima University Hiroshima Japan
説明
<jats:sec><jats:title>Objectives</jats:title><jats:p>To examine the clinical usefulness of transoral ultrasonography (US) in determining the invasion depth of superficial pharyngeal carcinoma (SPC). Determining the invasion depth of SPC is crucial for transoral surgery including determining treatment strategy. This study aimed to examine the usefulness of transoral US in determining the invasion depth of SPC.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Forty‐six patients with 51 lesions who underwent both magnifying endoscopy with narrow‐band imaging (ME‐NBI) and transoral US were included. The primary outcomes were the sensitivity, specificity, positive (PPV), and negative predictive values (NPV) of ME‐NBI and transoral US findings for pathological tumor depth in SPCs.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The accuracy (82.4%), sensitivity (85.2%), PPV (82.1%), and NPV (82.6%) rates of US for subepithelial propria (SEP) were higher than those of ME‐NBI and macroscopic classification, indicating that transoral US is superior to ME‐NBI in determining the invasion depth. All cases where the SEP was clearly invaded (SEP deep) could be diagnosed as SEP by transoral US.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Transoral US may be useful in determining the invasion depth of SPCs.</jats:p></jats:sec><jats:sec><jats:title>Level of Evidence</jats:title><jats:p>3 <jats:italic>Laryngoscope</jats:italic>, 133:2192–2197, 2023</jats:p></jats:sec>
収録刊行物
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- The Laryngoscope
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The Laryngoscope 133 (9), 2192-2197, 2022-11-28
Wiley
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詳細情報 詳細情報について
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- CRID
- 1360861705572373760
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- ISSN
- 15314995
- 0023852X
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- データソース種別
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- Crossref
- KAKEN