264519

Evaluation of Laryngeal Tumors by Multi-Detector Computed Tomography and Magnetic Resonance Imaging

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Last updated: 03 Jan 2025

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Abstract

Background: Twenty to forty percent of all head and neck malignant tumors are laryngeal tumors, while sixty to seventy percent of laryngeal cancers are found at advanced stages. Laryngeal cancer is diagnosed using several techniques, such as magnetic resonance imaging (MRI) and contrast-enhanced Computed Tomography (CT). Objective: The aim of this study was to evaluate the role of multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) in diagnosis of laryngeal tumors. Patients and methods: Twenty-four patients, 21 men and 3 women. Their ages ranged from 25 to 75 years who were referred form ENT department, Zagazig University Hospital. All patients underwent clinical examination, indirect laryngoscopic examination, CT, MRI and histopathological study. Results: A highly significant difference was found between MRI and CT in masses and LNs finding among the studied patients by both MRI and CT. Both investigations agreed that 16.7 % of the studied patients had glottic mass, 12.5 % had glottic and infra glottic, and 41.7% had supra glottic and glottic with infiltration, degree of agreement in diagnosis of masses and LNs between both MRI and CT is very good (kappa= 0.775, p-value=0.000*). Agreement between CT and MRI regarding masses and LNs among the studied cases; glottic mass alone by CT 33.3% but by MRI 16.7% and glottic mass plus other sites and lymph nodes by CT 66.7% but by MRI 83.3%. Conclusion: When it comes to T staging of laryngeal carcinomas, MRI shows greater accuracy than CT. Laryngeal carcinomas with AVC involvement may be better assessed for thyroid cartilage involvement and T stage if CT and MRI are used together.  

DOI

10.21608/ejhm.2022.264519

Keywords

Laryngeal Tumors, Multi-detector Computed Tomography, Magnetic Resonance Imaging

Authors

First Name

Mohamed Abdelkhalk

Last Name

Basha

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First Name

Mennatallah Ahmed Ali

Last Name

Abd-Elmacsoud

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mennaahmed9101990@gmail.com

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First Name

Esam Mohamed

Last Name

Hemat

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First Name

Mohamed Ibrahim

Last Name

Amin

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-10-08

Publish Date

2022-10-01

Page Start

5,420

Page End

5,426

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_264519.html

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https://ejhm.journals.ekb.eg/service?article_code=264519

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Original Article

Type Code

606

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Journal

Publication Title

The Egyptian Journal of Hospital Medicine

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https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of Laryngeal Tumors by Multi-Detector Computed Tomography and Magnetic Resonance Imaging

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Article

Created At

22 Jan 2023