[The role of computerized tomography in primary malignant tumors of the nasopharynx. Observations on 20 cases].
20 patients, with primary tumors of the nasopharynx have been studied over 3 years by CT with a second generation equipment. All cases were bioptically confirmed and 13 undifferentiated carcinomas, 4 differentiated epidermoid carcinomas, 1 adenoid-cystic carcinoma, 2 lymphomas were found. In every case, the CT provided a direct visualization of the lesion and correctly evaluated the extranasopharyngeal spread. This allowed a better T staging by classifying as T3 4 patients previously evaluated, on a clinical and radiological basis, as T2. Moreover, CT showed a circumscribed lesion on the right wall of the nasopharynx in a patient who resulted negative at clinical and radiological examination, and guided the biopsy which resulted positive for tumor. HCT, with a 100% positivity, is a better diagnostic tool with respect to posterior rhinoscopy and conventional radiology, respectively 95% and 88% positivity in the series of the authors. Finally CT was very helpful in therapy planning and post-irradiation follow-up.
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology; D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000000981:diagnostic imaging / Q000473:pathology; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D009367:Neoplasm Staging; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed / Q000295:instrumentation
Il ruolo della tomografia computerizzata nei tumori maligni primitivi della rinofaringe. Osservazioni su 20 casi.