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Article: Prospective screening for multiple tumors of the upper aerodigestive tract: A simple routine procedure

TitleProspective screening for multiple tumors of the upper aerodigestive tract: A simple routine procedure
Authors
Issue Date1986
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.laryngoscope.com/
Citation
Laryngoscope, 1986, v. 96 n. 10, p. 1149-1153 How to Cite?
AbstractDetection of a second primary at the time of initial work-up of patients with head and neck cancers has an important bearing on management planning. In a 12-month period, a series of 105 patients with an index head and neck primary (skin malignancies excluded) of the squamous cell type were subjected to the following screening procedure. Under topical anesthesia, with the patient in the sitting position, a small-size flexible bronchofiberscope (Olympus B3R) was introduced through the nose. As the scope was advanced, the nasal cavity, nasopharynx, oropharynx, hypopharynx, and larynx were examined. The tracheobronchial tree was also examined if the chest x-ray showed abnormal findings. The endoscope was then passed down to examine the esophagus, with oxygen insufflated via the biopsy channel at a rate of 1 liter per minute. The index primary sites included the tongue (20), alveolus (7), floor of mouth (2), platelet (4), buccal mucosa (3), hypopharynx (17), and larynx (52). There was little patient discomfort and no complication. Nine patients (8.5%) were found to have simultaneous primary tumors including two patients with triple primaries and one with quadruple lesions. The additional tumors were in the following sites: esophagus (6), tonsil (2), floor of mouth (1), nasopharynx (1), bronchus (1), palate (1), and oropharynx (1). The treatment plans were changed in all nine patients with the discovery of multiple tumors. It is concluded that the panendoscopic screening in the manner described is simple, safe, and convenient and the information is contributory to treatment planning.
Persistent Identifierhttp://hdl.handle.net/10722/172551
ISSN
2015 Impact Factor: 2.272
2015 SCImago Journal Rankings: 1.342
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLau, WFen_US
dc.contributor.authorSiu, KFen_US
dc.contributor.authorWei, Wen_US
dc.contributor.authorLam, KHen_US
dc.date.accessioned2012-10-30T06:23:22Z-
dc.date.available2012-10-30T06:23:22Z-
dc.date.issued1986en_US
dc.identifier.citationLaryngoscope, 1986, v. 96 n. 10, p. 1149-1153en_US
dc.identifier.issn0023-852Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/172551-
dc.description.abstractDetection of a second primary at the time of initial work-up of patients with head and neck cancers has an important bearing on management planning. In a 12-month period, a series of 105 patients with an index head and neck primary (skin malignancies excluded) of the squamous cell type were subjected to the following screening procedure. Under topical anesthesia, with the patient in the sitting position, a small-size flexible bronchofiberscope (Olympus B3R) was introduced through the nose. As the scope was advanced, the nasal cavity, nasopharynx, oropharynx, hypopharynx, and larynx were examined. The tracheobronchial tree was also examined if the chest x-ray showed abnormal findings. The endoscope was then passed down to examine the esophagus, with oxygen insufflated via the biopsy channel at a rate of 1 liter per minute. The index primary sites included the tongue (20), alveolus (7), floor of mouth (2), platelet (4), buccal mucosa (3), hypopharynx (17), and larynx (52). There was little patient discomfort and no complication. Nine patients (8.5%) were found to have simultaneous primary tumors including two patients with triple primaries and one with quadruple lesions. The additional tumors were in the following sites: esophagus (6), tonsil (2), floor of mouth (1), nasopharynx (1), bronchus (1), palate (1), and oropharynx (1). The treatment plans were changed in all nine patients with the discovery of multiple tumors. It is concluded that the panendoscopic screening in the manner described is simple, safe, and convenient and the information is contributory to treatment planning.en_US
dc.languageengen_US
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.laryngoscope.com/en_US
dc.relation.ispartofLaryngoscopeen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAnesthesia, Localen_US
dc.subject.meshBronchoscopyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHead And Neck Neoplasms - Diagnosis - Therapyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeoplasms, Multiple Primary - Diagnosis - Therapyen_US
dc.subject.meshPalliative Careen_US
dc.subject.meshPrognosisen_US
dc.subject.meshProspective Studiesen_US
dc.titleProspective screening for multiple tumors of the upper aerodigestive tract: A simple routine procedureen_US
dc.typeArticleen_US
dc.identifier.emailWei, W: hrmswwi@hku.hken_US
dc.identifier.authorityWei, W=rp00323en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid2429131-
dc.identifier.scopuseid_2-s2.0-0023002283en_US
dc.identifier.volume96en_US
dc.identifier.issue10en_US
dc.identifier.spage1149en_US
dc.identifier.epage1153en_US
dc.identifier.isiWOS:A1986E573100016-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLau, WF=7402933215en_US
dc.identifier.scopusauthoridSiu, KF=36941387600en_US
dc.identifier.scopusauthoridWei, W=7403321552en_US
dc.identifier.scopusauthoridLam, KH=7403657342en_US

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