背景:舌癌与衰弱疾病和预后不良相关。使用成像技术,如超声检查,以协助受影响的患者的临床管理是可取的,但其可靠性仍有争议。因此,本研究的目的是探讨超声在舌癌临床病理治疗中的重要性。
方法:使用以下电子数据库中的特定搜索策略进行了范围审查:PubMed/MEDLINE,Scopus,WebofScience,谷歌学者。收集的数据包括书目信息,研究设计,超声设备,超声检查的目的,肿瘤治疗期间超声使用的时机(前,transs-,和/或术后),以及使用超声波的优缺点。
结果:在选择过程之后,共有47项研究纳入本综述。大多数研究调查了术前超声检查淋巴结转移或确定肿瘤厚度和浸润深度的用途。敏感性,特异性,超声确定临床淋巴结转移的准确性为47%至87.2%,从84.3%到95.8%,从70%到86.2%,分别。确定显微浸润深度的敏感性和特异性分别为92.3%和70.6%至82.1%,分别。
结论:超声检查似乎是研究舌癌重要预后参数的可靠成像技术,包括浸润深度和淋巴结转移。
BACKGROUND: Tongue cancer is associated with debilitating diseases and poor prognostic outcomes. The use of imaging techniques like ultrasonography to assist in the clinical management of affected patients is desirable, but its reliability remains debatable. Therefore, the aim of this study is to investigate the importance of ultrasound use for the clinicopathological management of tongue cancer.
METHODS: A scoping
review was carried out using specific search strategies in the following electronic databases: PubMed/MEDLINE, Scopus, Web of Science, and Google Scholar. Collected data included bibliographical information, study design, ultrasound equipment, the aim of the ultrasonography use, the timing of ultrasound use during oncological treatment (pre-, trans-, and/or post-operatively), and the advantages and disadvantages of the use of the ultrasound.
RESULTS: A total of 47 studies were included in this
review after following the selection process. The majority of the studies investigated the use of ultrasound pre-operatively for the investigation of lymph node metastases or to determine the tumor thickness and depth of invasion. The sensitivity, specificity, and accuracy of ultrasound to determine clinical lymph node metastases ranged from 47% to 87.2%, from 84.3% to 95.8%, and from 70% to 86.2%, respectively. The sensitivity and specificity to determine the microscopic depth of invasion were 92.3% and from 70.6% to 82.1%, respectively.
CONCLUSIONS: Ultrasonography seems to be a reliable imaging technique for the investigation of important prognostic parameters for tongue cancer, including depth of invasion and lymph node metastases.