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Stereological Evaluation of Laryngeal Cancers Using Computed Tomography Via the Cavalieri Method: Correlation Between Tumor Volume and Number of Neck Lymph Node Metastases    
Yazarlar
Özgür Yörük
Atatürk Üniversitesi, Türkiye
Şenol Dane
Turgut Özal Üniversitesi, Türkiye
Harun Üçüncü
Muğla Sıtkı Koçman Üniversitesi, Türkiye
Bülent Aktan
Atatürk Üniversitesi, Türkiye
Doç. Dr. İsmail CAN
Kafkas Üniversitesi, Türkiye
Özet
Tumor volume is accepted to be a significant prognostic factor for cancers arising in the head and neck regions. There were few studies on laryngeal tumor volume calculations. The purposes of this study were (1) to describe and adapt the relevant methods of computed tomography and stereology to estimate laryngeal tumor volume measured by the Cavalieri method; (2) to examine the possible correlation between tumor size and the number of involved neck lymph nodes in patients with laryngeal malignancies; and (3) to investigate if there is left-right asymmetry for this correlation and the number of involved lymph nodes in bilateral laryngeal malignancies. Fifty-two patients with bilateral laryngeal cancer only from a total of 137 patients with laryngeal cancer who underwent neck dissection during the study period were included in the study. In all cases, neck dissection was part of the treatment of laryngeal cancer. The Cavalieri estimator was used to estimate the tumor volumes on computed tomographic images. The tumor volume increased with the number of involved lymph nodes in the bilateral laryngeal malignancies in both the right and left neck regions. In addition, the volume of the primary lesion and the number of lymph node metastases in the cancer cells in the right neck region were well correlated in patients with laryngeal cancer but not the number of lymph node metastases in the left neck region. Correct, unbiased, reliable volume measurements for staging and therapeutic decision making of laryngeal cancers via the Cavalieri method may be possible.
Anahtar Kelimeler
Laryngeal cancer,lateralization,lymph nodes,Cavalieri,metastasis
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü SCI, SSCI, AHCI, SCI-Exp dergilerinde yayımlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı Journal of Craniofacial Surgery
Dergi ISSN 1049-2275
Dergi Tarandığı Indeksler SCI
Makale Dili İngilizce
Basım Tarihi 01-2009
Cilt No 20
Sayı 5
Sayfalar 1504 / 1507
Doi Numarası 10.1097/SCS.0b013e3181b09bc3
Makale Linki http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpagean=00001665-200909000-00042