| Metastatic carcinoma in the neck: a clinical, radiological, scintigraphic and pathological study. | |
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MedLine Citation:
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PMID: 1649018 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study was undertaken to compare clinical evaluation of the neck with 99mTc(v) DMSA planar scintigraphy and computerized tomography (CT) in patients with head and neck carcinoma. Twenty-six patients were studied and in all but one the neck was previously untreated. A total of 31 neck dissections were performed and the specimens examined histopathologically. CT was approximately as accurate (71%) as clinical examination (68%) and more accurate than 99mTc(v) DMSA planar scintigraphy (48%) in predicting which necks contained metastatic carcinoma. Overall, 13% of necks had their staging correctly changed by 99mTc(v) DMSA scintigraphy compared with 10% for CT. Although scintigraphy upstaged 13% of clinically N0 necks compared to 6% for CT, it was less sensitive and specific than either clinical examination or CT. 99mTc(v) DMSA planar scintigraphy has no role to play in the investigation of patients with metastatic carcinoma to include the clinically N0 neck. |
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Authors:
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J C Watkinson; C E Todd; L Paskin; S Rankin; T Palmer; O H Shaheen; S E Clarke |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: Clinical otolaryngology and allied sciences Volume: 16 ISSN: 0307-7772 ISO Abbreviation: Clin Otolaryngol Allied Sci Publication Date: 1991 Apr |
Date Detail:
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Created Date: 1991-08-21 Completed Date: 1991-08-21 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7701793 Medline TA: Clin Otolaryngol Allied Sci Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 187-92 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology, Guy's Hospital, London, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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secondary Adult Aged Aged, 80 and over Carcinoma, Squamous Cell / pathology, radiography, radionuclide imaging, secondary* Female Head and Neck Neoplasms / pathology, radiography, radionuclide imaging, secondary* Humans Lymph Node Excision Male Middle Aged Neoplasm Staging Organotechnetium Compounds / diagnostic use Palpation Succimer / diagnostic use Technetium Tc 99m Dimercaptosuccinic Acid Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Organotechnetium Compounds; 304-55-2/Succimer; 65438-08-6/Technetium Tc 99m Dimercaptosuccinic Acid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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