title: [Realtime sonography in the diagnosis and follow-up of malignant tongue tumors. II. Detection and staging].
abstract: 92 sonographic examinations performed in 62 patients were evaluated to determine the possible application of sonography in the diagnosis and follow-up of malignant tumours of the tongue. Squamous cell carcinomas were by far dominant and proved to be hypoechoic, mainly inhomogeneous and ill-defined masses. In most cases, they ranged between 2 and 4 cm. in diameter. In 50% of the lesions an infiltration of the pharynx wall was confirmed, and exulcerations were correctly detected by sonography in 75%. In preoperative determination of the size of the tumour, sonography correctly detected the size in 93% of the cases and was thus markedly superior to the clinical palpatory examination, which determined a mere 43% correctly. Sonography should be included in the pretherapeutic staging of tumours of the tongue to objectify the clinical findings. It is also adequate to document tumour behaviour during radiation.
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging / Q000379:methods; D010610:Pharyngeal Neoplasms / Q000473:pathology; D010614:Pharynx / Q000473:pathology; D014059:Tongue / Q000473:pathology; D014062:Tongue Neoplasms / Q000175:diagnosis* / Q000473:pathology; D014463:Ultrasonography / Q000379:methods*
vernacular_title: Real-time-Sonographie in Diagnostik und Verlaufskontrolle maligner Zungentumoren.Teil II: Nachweis und Staging.