The importance of preoperative and perioperative Narrow Band Imaging endoscopy in the diagnosis of pre-tumor and tumor lesions of the larynx

被引:5
作者
Filipovsky, Tomas [1 ,2 ]
Kalfert, David [3 ,4 ]
Lukavcova, Eva [1 ]
Zavazalova, Sarka [1 ,2 ]
Hlozek, Jiri [1 ,2 ]
Kovar, Daniel [1 ,2 ]
Astl, Jaromir [1 ,2 ]
Holy, Richard [1 ,2 ,5 ,6 ]
机构
[1] Mil Univ Hosp Prague, Dept Otorhinolaryngol & Maxillofacial Surg, Prague, Czech Republic
[2] Charles Univ Prague, Fac Med 3, Prague, Czech Republic
[3] Motol Univ Hosp, Dept Otorhinolaryngol & Head & Neck Surg, Prague, Czech Republic
[4] Charles Univ Prague, Fac Med 1, Prague, Czech Republic
[5] Mil Univ Hosp Prague, U Vojenske Nemocnice 1200, Prague 6, Czech Republic
[6] Third Fac Med, Dept Otorhinolaryngol & Maxillofacial Surg, U Vojenske Nemocnice 1200, Prague 6, Czech Republic
关键词
Endoscopy; Histopathological results; Laryngeal tumor; Narrow band imaging; Perioperative endoscopy; Preoperative endoscopy;
D O I
10.32725/jab.2023.015
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Introduction: Narrow band imaging (NBI) is an endoscopic imaging method intended for the diagnosis of mucosal lesions of the larynx that are not visible in white-light endoscopy, but are typical of pre-tumor and tumor lesions of the larynx.The purpose of the study: To compare preoperative/perioperative white light endoscopy and NBI endoscopy with the results of histopathological examinations in pre-tumor and tumor lesions of the larynx.Methods: A prospective study, over a period of five years (5/2018-5/2023), included 87 patients with laryngeal lesions aged 24-80 years. We evaluated preoperative/ perioperative white light and NBI endoscopy, established a working prehistological diagnosis, and compared this with the definitive histopathological results of laryngeal biopsies.Results: In relation to the definitive histology score, a statistically significant correlation was found between the evaluation of the finding and the definitive histology for preoperative and perioperative white light endoscopy and NBI endoscopy (p < 0.001). Both methods showed higher precision when used perioperatively.Conclusion: NBI endoscopy is an optical method that allows us to improve the diagnosis of laryngeal lesions, perform a controlled perioperative biopsy, and refine the surgical scope. The NBI endoscopy is a suitable method for the diagnosis of early cancerous lesions of the larynx. The use of preoperative/perioperative NBI endoscopy allowed us to achieve a high level of agreement correlation (p < 0.001) between the prehistological working diagnosis and the final histopathological result. The NBI method proves its application in the diagnosis of pre-tumor and tumor lesions of the larynx.
引用
收藏
页码:107 / 112
页数:6
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