When should MRI be recommended for the accurate clinical staging of base of tongue carcinoma?

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dc.contributor.authorHirunpat, Siripornen_US
dc.contributor.authorJongsatitpaiboon, Jaturongen_US
dc.contributor.authorAngunsri, Nakarinen_US
dc.contributor.authorChowchuvech, Vorapongen_US
dc.date.accessioned2009-05-27T17:42:57Z
dc.date.available2009-05-27T17:42:57Z
dc.date.issued2007-04-19en_US
dc.descriptionAsian Pacific Journal of Cancer Prevention.en_US
dc.description.abstractBACKGROUND AND PURPOSE: According to the American Joint Committee on Cancer (AJCC) cancer staging criteria (6th edition), cross-sectional imaging for base of tongue carcinoma is recommended when the deep tissue extent of a primary tumor is in question. The aim of this study was to establish which group of patients MRI might most benefit from accurate clinical staging of base of tongue carcinomas. PATIENTS AND METHODS: The clinical stagings of 33 patients with pathologically proven squamous cell carcinomas of the base of tongue were performed by two otorhinolaryngologic surgeons. Their results were compared with the results from MRI interpreted by a neuroradiologist and the numbers of patients being upstaged, downstaged or with an unchanged stage were recorded and analyzed. RESULTS: The tumor stages were changed in 13 of 33 patients (39.4%, 95% CI: 23.9-57.87%) and the overall stage groupings were changed in 10 (30.3 %, 95%CI: 15.6-48.7%) after performing MRI. Mis-staging by clinical examination in the overall stage grouping was as high as 83.3% (95%CI: 35.9-99.6%) in stages II and III and 85.7% (95% CI: 42.1-99.6%) in T3. CONCLUSION: MRI should be recommended in base of tongue carcinoma whenever clinical examination suggests overall stage groupings II, III or tumor stage T3.en_US
dc.description.affiliationDepartment of Radiology, Prince of Songkla University Hospital, Hat-Yai, Songkla, Thailand. hirsirip@hotmail.comen_US
dc.identifier.citationHirunpat S, Jongsatitpaiboon J, Angunsri N, Chowchuvech V. When should MRI be recommended for the accurate clinical staging of base of tongue carcinoma? Asian Pacific Journal of Cancer Prevention. 2007 Apr-Jun; 8(2): 310-4en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/37737
dc.language.isoengen_US
dc.source.urihttps://www.apocp.orgen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMagnetic Resonance Imaging --methodsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeoplasm Staging --methodsen_US
dc.subject.meshReproducibility of Resultsen_US
dc.subject.meshTongue Neoplasms --pathologyen_US
dc.titleWhen should MRI be recommended for the accurate clinical staging of base of tongue carcinoma?en_US
dc.typeJournal Articleen_US
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