Hostname: page-component-76dd75c94c-68sx7 Total loading time: 0 Render date: 2024-04-30T08:15:34.071Z Has data issue: false hasContentIssue false
  • English
  • Français

Ultrasound versus physical examination in staging carcinoma of the mobile tongue

Published online by Cambridge University Press:  29 June 2007

Harindra M. Narayana ,
Naresh K. Panda ,
S. B. S. Mann ,
Sudha Katariya  and
R. K. Vasishta
Harindra M. Narayana
Affiliation:
Department of Otolaryngology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Naresh K. Panda
Affiliation:
Department of Otolaryngology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
S. B. S. Mann*
Affiliation:
Department of Otolaryngology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Sudha Katariya
Affiliation:
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
R. K. Vasishta
Affiliation:
Department of Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
*
Address for correspondence: Dr S. B. S. Mann, Professor and Head, Department of Otolaryngology, PGIMER, Chandigarh-160 012, India Fax: 0172-540401.
Get access Rights & Permissions [Opens in a new window]

Abstract

Surgical therapy for early lesions of the tongue should have the potential to be both oncologically sound and easy to rehabilitate. Obviously, the amount of tongue left behind after surgery is proportional to the post-operative function. Hence accurate mapping of the diseased tongue is of paramount importance in order to limit or extend the resection margins. We have evaluated the use of ultrasound in carcinoma of the tongue, and also compared its relative accuracy with physical examination for determining the extent of growth, keeping the histopathological size as a gold standard. We found that ultrasound is more accurate in detecting T2 and T3 tumours than T1 lesions. Intraoral sonographic mappng may be the answer for such small lesions. In addition, ultrasonography is beneficial in showing spread to contiguous areas of the tongue. However, post-radiation fibrosis and frank residual disease were not differentiated accurately by ultrasound. Thus ultrasonography can be an effective investigative tool and together with physical examination it can increase diagnostic accuracy leading to precise surgery for carcinoma of the tongue.

Keywords

Tongue neoplasmsCarcinomaUltrasonic diagnosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 1 , January 1996 , pp. 43 - 47
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bruneton, J. N., Roux, P., Caramella, E. (1986) 4Tongue and tonsil cancer. Staging with ultrasound. Radiology 158 (3): 743–746.CrossRefGoogle Scholar
Fruhwald, F., Neuhold, A., Seidi, G. (1985) Sonographic surgical and clinical correlation diagnosis and control of course of tongue infiltration by cancer. Radiologie 25 (10): 483–487.Google Scholar
Fruhwald, F., Neuhold, A., Seidi, G. (1986) Sonography of tongue and floor of mouth. Part II. Neoplasm of tongue. European Journal of Radiology 62 (2): 108–112.Google Scholar
Ikejoe, J., Nakanishi, K., Morimoto, S., Takashima, S. Inoue, T., Masaki, N., Kozuka, T. (1991) Sonographic staging of cancer of the mobile tongue. Acta Radiologica 32: 6–8.Google Scholar
Mettler, F. A., Schultz, K., Kelsey, C. A. (1979) Gray Scale ultrasonography in the evaluation of neoinvasion of base of the tongue. Radiology 133 (3): 781–784.Google Scholar
Pavelka, R., Streinzer, H., Zrunek, M. (1986) Evaluation of real-time sonography in pre-therapeutic staging of malignant tumours of tongue and mouth floor. Laryngology, Rhinology and Otology (Stuttg.) 65 (11): 632–639.CrossRefGoogle Scholar