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Pharyngo-laryngeal examination with the narrow band imaging technology: early experience

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Irjala, Heikki Matar, Nayla Remacle, Marc [UCL] Lawson, Georges [UCL]

The prognosis of cancer patients is highly dependent on the time of diagnosis. Early, stage 1 disease is often curable whereas late stage diseases are usually beyond curable treatments. Therefore, new diagnostic tools for malignancies of the upper aerodigestive tract are developed all the time and narrow band imaging (NBI) is one of these new options for early diagnostics. In this paper, we describe the implementation of NBI technique in our institution. During the first 6 weeks we used NBI to examine 73 patients with different types of pharyngeal or laryngeal problems. Most of the patients (77%) were on follow-up visits after earlier malignant disease. In our series we had 11 NBI-positive patients and the histological diagnosis was carcinoma or dysplasia among 10 of these. Among the NBI negative patients we found four carcinomas. It is notable that NBI affected the decision of a biopsy procedure in three patients, with final diagnosis of dysplasia or carcinoma. In conclusion, we find NBI useful in the diagnostics of malignancies of the upper aerodigestive tract. This is a useful tool in improving the accuracy of the diagnostics. However, it still takes an experienced clinician and a learning curve can be expected. © 2011 Springer-Verlag.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2011
Language Anglais
Journal information "European Archives of Oto-Rhino-Laryngology" - Vol. 268, no.6, p. 801-806 (2011)
Peer reviewed yes
Publisher Springer ((Germany) Heidelberg)
issn 0937-4477
e-issn 1434-4726
Publication status Publié
Affiliation UCL - (MGD) Service d'oto-rhino-laryngologie
Keywords Cancer ; Detection ; Diagnosis ; Endoscopy ; Narrow band imaging
Links
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Bibliographic reference Irjala, Heikki ; Matar, Nayla ; Remacle, Marc ; Lawson, Georges. Pharyngo-laryngeal examination with the narrow band imaging technology: early experience. In: European Archives of Oto-Rhino-Laryngology, Vol. 268, no.6, p. 801-806 (2011)
Permanent URL http://hdl.handle.net/2078.1/125952