Cytology and direct human papillomavirus testing on fine needle aspirates from cervical lymph node metastases of patients with oropharyngeal squamous cell carcinoma or occult primary

Cytopathology ◽  
2018 ◽  
Vol 29 (5) ◽  
pp. 449-454 ◽  
Author(s):  
F. Rollo ◽  
M. G. Dona’ ◽  
R. Pellini ◽  
B. Pichi ◽  
F. Marandino ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Human Papillomavirus ◽  
Lymph Node ◽  
Cell Carcinoma ◽  
Lymph Node Metastases ◽  
Cervical Lymph Node ◽  
Fine Needle ◽  
Cervical Lymph Node Metastases ◽  
Fine Needle Aspirates ◽  
Node Metastases

scholarly journals Cervical Lymph Node Metastases in Oral Squamous Cell Carcinoma—How Much Imaging Do We Need?

Diagnostics ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 199
Author(s):  
Johannes Laimer ◽  
Anke Lauinger ◽  
Otto Steinmassl ◽  
Vincent Offermanns ◽  
Astrid E. Grams ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Lymph Node ◽  
Oral Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Lymph Node Metastases ◽  
Cervical Lymph Node ◽  
Cervical Lymph Node Metastases ◽  
Study Results ◽  
Node Metastases

Cervical lymph node metastases in oral squamous cell carcinoma (OSCC) are key predictors of disease specific survival. It was therefore the aim of this study to evaluate how much imaging is minimally needed for reliable and efficient identification of cervical lymph node metastases. In this retrospective cross-sectional study, results (metastasis yes/no) of ultrasound (US), computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) were compared to the final histopathological results of the corresponding neck dissection (ND) specimens (metastasis yes/no). A score was calculated to account for cervical lymph node size, shape, clustering, peripheral enhancement, hilus sign, architecture, blood flow, and central necrosis. Sensitivity and specificity were analyzed for each imaging technique separately. In 164 patients diagnosed with OSCC, 96 underwent uni- or bilateral ND (122 ND in total). One hundred percent sensitivity was achieved by CT+MRI, MRI+PET, US+CT+MRI, US+MRI+PET, CT+MRI+PET, and US+CT+MRI+PET. The highest specificity was realized by US with 79% (95% CI [0.698–0.890]). Specificity for CT+MRI and PET+MRI was 51% (95% CI [0.359–0.665]) and 70% (95% CI [0.416–0.984]), respectively. Regarding 100% sensitivity with acceptable specificity, the combination of CT+MRI or PET+MRI appeared to be suitable for staging cervical lymph nodes in primary OSCC.

SUBSEQUENT CERVICAL LYMPH NODE METASTASES FROM STAGE I II SQUAMOUS CELL CARCINOMA OF THE ORAL TONGUE: THE ASSOCIATION OF THEIR FEATURES AND PROGNOSIS

Toukeibu Gan ◽  
2006 ◽  
Vol 32 (4) ◽  
pp. 449-454 ◽  
Author(s):  
Yukinori KIMURA ◽  
Akio YANAGISAWA ◽  
Noriko YAMAMOTO ◽  
Kazuyoshi KAWABATA ◽  
Hiroki MITANI ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Lymph Node ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Lymph Node Metastases ◽  
Cervical Lymph Node ◽  
Stage I ◽  
Oral Tongue ◽  
Cervical Lymph Node Metastases ◽  
Node Metastases
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