Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

Usefulness of Narrow Band Imaging Endoscopy in the Diagnosis of Head and Neck Cancer : A Prospective Study

두경부암 진단의 새로운 내시경 진단방법 협대역 영상(Narrow Band Imaging, NBI)의 유용성-전향적 연구

  • Park, Jae-Hong (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Kim, Jae-Wook (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Lee, Yong-Man (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Yoo, Hye-Jin (Soonchunhyang University College of Medicine) ;
  • Tae, Kee-Yeun (Soonchunhyang University College of Medicine) ;
  • Oh, Cheon-Whan (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Chang, Hyuck-Soon (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Lee, Seung-Won (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital)
  • 박재홍 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실) ;
  • 김재욱 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실) ;
  • 이용만 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실) ;
  • 유혜진 (순천향대학교 의과대학) ;
  • 태기연 (순천향대학교 의과대학) ;
  • 오천환 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실) ;
  • 장혁순 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실) ;
  • 이승원 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실)
  • Received : 2011.11.04
  • Accepted : 2011.11.15
  • Published : 2011.11.25
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Abstract

Background and Objectives : Narrow Band Imaging(NBI) is a novel optical technique that enhances the visualization of superficial microvascular architecture which is commonly increased and founded as an irregular shape in a neoplastic lesion. The aim of this study is the evaluation of the usefulness of NBI in the diagnosis of Head and Neck Cancer. Subjects and Methods : From December 2009 to January 2011, 31 consecutive patients who were diagnosed with head and neck malignancy were enrolled in this prospective study. The malignant findings of NBI were demarcated brownish lesion or increased intraepithelial papillary capillary loops(IPCLs) with or without irregularity. Results : There were 29 cases(93.5%) of well demarcated brownish lesion, 26 cases(83.9%) of increased IPCLs and 4 cases(12.9%) of satellite lesions. Diagnostic accuracy of endoscopic examination was increased from 83.9% to 93.5%, when NBI was applied to the conventional endoscopy(p>0.05). Conclusion : NBI is a powerful and safe screening test, which can be performed in out patient clinic without any supplementary procedure.

Keywords

References

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