摘要
本文通过192例首次放疗的鼻咽癌CT扫描所见,分析CT扫描对鼻咽癌临床分期的价值关系。使常规临床分期T_1、T_2分别从8.85％、65.63％减少至1.56％、40.10％;而T_3、T_4分别从22.92％、2.60％上升为44.27％、14.06％。192例中分期升级者70例(36.46％),符合者120例(62.50％),2例颅底片可疑骨质破坏而CT扫描正常。CT扫描的一个重要特点是对粘膜下浸及邻近部位受侵的早期诊断,有着重要的价值。CT扫描是鼻咽癌临床分期准确估计的最完整的补充。
By comparing the results of the CT Scanning with clinical examination on 192 cases of firstly treated patients with nasopharyngeal carcinoma from December 1985 to August 1988 in our hospital, the role of CT Scanning on clinical staging was evaluated. After CT examination the clinical staging ahas been changed. The percentages of T 1 and T 2 cases were decreased from 8.85% to 1.56% and from 65.63% to 40.10%, respectively, and the percentages of T3 and T4 cases were increased from 22.92% to 44.27% and from 2.60% to 14.06% respectively. In our series, comparing to conventional clincal staging 70 cases (36.46%) were upgraded by CT Scanning. The concordance rate was 62.50% (120 cases). Two patients were suspicious to have involvement in the base of skull by conventional submental radiography, but CT Scanning showed normal. An important feature of CT Scanning of nasopharyngeal carcinoma is that it has high value for early diagnosis of the involvement of submucosa and adjacent structures. CT Scanning was suggested to be the most valuable complement for the clinical staging of nasopharyngeal carcinoma.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1990年第2期116-118,共3页
Chinese Journal of Cancer
