Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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The Correlation between CT Images and Pathological Findings in Metastatic Cervical Lymph Nodes

두경부 악성종양에서 경부임파절전이에 대한 CT Scan의 진단적 의의

  • Lee Won-Sang (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Kim Kwang-Moon (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Chung Kwang-Hyun (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Chang Hoon-Sang (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Kim Jee-Woo (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Kim Dong-Ik (Department of Radiology, Yonsei University College of Medicine)
  • 이원상 (연세대학교 의과대학 이비인후과학교실) ;
  • 김광문 (연세대학교 의과대학 이비인후과학교실) ;
  • 정광현 (연세대학교 의과대학 이비인후과학교실) ;
  • 장훈상 (연세대학교 의과대학 이비인후과학교실) ;
  • 김지우 (연세대학교 의과대학 이비인후과학교실) ;
  • 김동익 (연세대학교 의과대학 방사선과학교실)
  • Published : 1988.09.01
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Abstract

CT examination has been used in the preoperative examination of patients with head and neck cancer. The accuracy of CT in detecting nodal metastases has not been well established. We studied 35 patients (41 neck specimens) with head and neck cancer who underwent neck dissection. Surgical pathologic findings were compared with preoperative CT scan to establish the diagnostic accuracy for cervical lymph node metastases. The results of physical examination, CT scans of neck and histologic examinations were compared each other. The overall diagnostic accuracy of CT was 83.3%. Comparison with clinical accuracy shows the CT scan to be superior to the clinical examination in spite of careful physical examination, particularly in detecting occult metastases.

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