Contribution of narrow band imaging in delineation of laryngopharyngeal superficial cancer spread: a prospective study.
Dysplasia
Laryngeal carcinoma
Narrow band imaging
Prospective study
Superficial cancer spread
Tumor delineation
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
10
10
2020
accepted:
11
11
2020
pubmed:
6
1
2021
medline:
24
4
2021
entrez:
5
1
2021
Statut:
ppublish
Résumé
The aim of this study was to assess the performance of Narrow Band Imaging (NBI) added to White Light (WL) in the delineation of laryngopharyngeal superficial cancer spread during office-based transnasal flexible endoscopy. This bi-centric prospective study was conducted between October 2014 and December 2017. We included consecutive patients with laryngopharyngeal malignant tumors. Transnasal flexible endoscopy was performed by two endoscopists who were blinded to each other's assessments and who examined each patient independently. The first endoscopist only performed a WL examination, while the second endoscopist carried out both WL and NBI. The extent of tumor involvement was reported based on predefined anatomical sub-units. Biopsies in NBI + /WL- sub-units were subsequently performed during panendoscopy. Eighty-four patients were included in the study. A total of 72 NBI + /WL- sub-units were sampled in 38 patients, and 37 of the biopsies were positive (51.4%): 16 for invasive carcinoma, 17 for high-grade dysplasia/carcinoma in situ and 4 for low-grade dysplasia. Ultimately, 26.2% of patients had at least one positive biopsy in an NBI + /WL- sub-unit and, therefore, a better tumor delineation. The clinical T stage was upgraded in 4.8% of cases examined. Adding NBI to WL imaging during transnasal flexible endoscopy in patients presenting with laryngopharyngeal pre-malignant or malignant lesions improves the delineation of superficial cancer spread, thereby leading to better adapted treatments. Clinicaltrials.gov registration number: NCT02035735.
Identifiants
pubmed: 33398548
doi: 10.1007/s00405-020-06499-2
pii: 10.1007/s00405-020-06499-2
doi:
Banques de données
ClinicalTrials.gov
['NCT02035735']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1491-1497Subventions
Organisme : Centre Hospitalier Universitaire de Toulouse
ID : Appel d'Offre Local
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