Enhanced contact endoscopy for the detection of neoangiogenesis in tumors of the larynx and hypopharynx
Objectives/Hypothesis Image‐enhanced endoscopy, such as narrow band imaging and the Storz Professional Image Enhancement System, have been increasingly used in patients with suspect lesions of the larynx and hypopharynx during preoperative and intraoperative assessment. Study Design In the present s...
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| Published in: | The Laryngoscope Vol. 125; no. 7; pp. 1600 - 1606 |
|---|---|
| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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United States
Blackwell Publishing Ltd
01-07-2015
Wiley Subscription Services, Inc |
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| Abstract | Objectives/Hypothesis
Image‐enhanced endoscopy, such as narrow band imaging and the Storz Professional Image Enhancement System, have been increasingly used in patients with suspect lesions of the larynx and hypopharynx during preoperative and intraoperative assessment.
Study Design
In the present study, a contact endoscope was coupled with the systems of image‐enhanced endoscopy, as to precisely distinguish the peculiar neoangiogenetic changes in inflammation, and precancerous and cancerous lesions of the larynx and hypopharynx.
Methods
We performed a single‐blind study with this original approach of a series of 44 patients with different lesions of the larynx and hypopharynx.
Results
We observed five obvious vascular patterns matching the diagnosis in 41 patients out of 44, with accuracy in the differential diagnosis between normal tissue and hyperplasia versus mild dysplasia and carcinoma of 97.6%.
Conclusions
Enhanced contact endoscopy allows for predicting histologic changes of laryngeal and hypopharyngeal lesions from inflammation to cancer on based on fine evaluation of the neoangiogenetic changes of the chorion. This innovative procedure can be considered an important tool during diagnosis, treatment, and follow‐up of patients with precancer and cancer of the larynx and hypopharynx.
Level of Evidence
1b. Laryngoscope, 125:1600–1606, 2015 |
|---|---|
| AbstractList | OBJECTIVES/HYPOTHESISImage-enhanced endoscopy, such as narrow band imaging and the Storz Professional Image Enhancement System, have been increasingly used in patients with suspect lesions of the larynx and hypopharynx during preoperative and intraoperative assessment.STUDY DESIGNIn the present study, a contact endoscope was coupled with the systems of image-enhanced endoscopy, as to precisely distinguish the peculiar neoangiogenetic changes in inflammation, and precancerous and cancerous lesions of the larynx and hypopharynx.METHODSWe performed a single-blind study with this original approach of a series of 44 patients with different lesions of the larynx and hypopharynx.RESULTSWe observed five obvious vascular patterns matching the diagnosis in 41 patients out of 44, with accuracy in the differential diagnosis between normal tissue and hyperplasia versus mild dysplasia and carcinoma of 97.6%.CONCLUSIONSEnhanced contact endoscopy allows for predicting histologic changes of laryngeal and hypopharyngeal lesions from inflammation to cancer on based on fine evaluation of the neoangiogenetic changes of the chorion. This innovative procedure can be considered an important tool during diagnosis, treatment, and follow-up of patients with precancer and cancer of the larynx and hypopharynx. Objectives/Hypothesis Image‐enhanced endoscopy, such as narrow band imaging and the Storz Professional Image Enhancement System, have been increasingly used in patients with suspect lesions of the larynx and hypopharynx during preoperative and intraoperative assessment. Study Design In the present study, a contact endoscope was coupled with the systems of image‐enhanced endoscopy, as to precisely distinguish the peculiar neoangiogenetic changes in inflammation, and precancerous and cancerous lesions of the larynx and hypopharynx. Methods We performed a single‐blind study with this original approach of a series of 44 patients with different lesions of the larynx and hypopharynx. Results We observed five obvious vascular patterns matching the diagnosis in 41 patients out of 44, with accuracy in the differential diagnosis between normal tissue and hyperplasia versus mild dysplasia and carcinoma of 97.6%. Conclusions Enhanced contact endoscopy allows for predicting histologic changes of laryngeal and hypopharyngeal lesions from inflammation to cancer on based on fine evaluation of the neoangiogenetic changes of the chorion. This innovative procedure can be considered an important tool during diagnosis, treatment, and follow‐up of patients with precancer and cancer of the larynx and hypopharynx. Level of Evidence 1b. Laryngoscope, 125:1600–1606, 2015 Image-enhanced endoscopy, such as narrow band imaging and the Storz Professional Image Enhancement System, have been increasingly used in patients with suspect lesions of the larynx and hypopharynx during preoperative and intraoperative assessment. In the present study, a contact endoscope was coupled with the systems of image-enhanced endoscopy, as to precisely distinguish the peculiar neoangiogenetic changes in inflammation, and precancerous and cancerous lesions of the larynx and hypopharynx. We performed a single-blind study with this original approach of a series of 44 patients with different lesions of the larynx and hypopharynx. We observed five obvious vascular patterns matching the diagnosis in 41 patients out of 44, with accuracy in the differential diagnosis between normal tissue and hyperplasia versus mild dysplasia and carcinoma of 97.6%. Enhanced contact endoscopy allows for predicting histologic changes of laryngeal and hypopharyngeal lesions from inflammation to cancer on based on fine evaluation of the neoangiogenetic changes of the chorion. This innovative procedure can be considered an important tool during diagnosis, treatment, and follow-up of patients with precancer and cancer of the larynx and hypopharynx. Objectives/Hypothesis Image-enhanced endoscopy, such as narrow band imaging and the Storz Professional Image Enhancement System, have been increasingly used in patients with suspect lesions of the larynx and hypopharynx during preoperative and intraoperative assessment. Study Design In the present study, a contact endoscope was coupled with the systems of image-enhanced endoscopy, as to precisely distinguish the peculiar neoangiogenetic changes in inflammation, and precancerous and cancerous lesions of the larynx and hypopharynx. Methods We performed a single-blind study with this original approach of a series of 44 patients with different lesions of the larynx and hypopharynx. Results We observed five obvious vascular patterns matching the diagnosis in 41 patients out of 44, with accuracy in the differential diagnosis between normal tissue and hyperplasia versus mild dysplasia and carcinoma of 97.6%. Conclusions Enhanced contact endoscopy allows for predicting histologic changes of laryngeal and hypopharyngeal lesions from inflammation to cancer on based on fine evaluation of the neoangiogenetic changes of the chorion. This innovative procedure can be considered an important tool during diagnosis, treatment, and follow-up of patients with precancer and cancer of the larynx and hypopharynx. Level of Evidence 1b. Laryngoscope, 125:1600-1606, 2015 |
| Author | Puxeddu, Roberto Carta, Filippo Sionis, Sara Gerosa, Clara |
| Author_xml | – sequence: 1 givenname: Roberto surname: Puxeddu fullname: Puxeddu, Roberto email: puxeddu@unica.it organization: Department of Surgery, Section of Otorhinolaryngology, University of Cagliari, Cagliari, Italy – sequence: 2 givenname: Sara surname: Sionis fullname: Sionis, Sara organization: Department of Surgery, Section of Otorhinolaryngology, University of Cagliari, Cagliari, Italy – sequence: 3 givenname: Clara surname: Gerosa fullname: Gerosa, Clara organization: Department of Surgery, Section of Pathology, University of Cagliari, Cagliari, Italy – sequence: 4 givenname: Filippo surname: Carta fullname: Carta, Filippo organization: Department of Surgery, Section of Otorhinolaryngology, University of Cagliari, Cagliari, Italy |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25582112$$D View this record in MEDLINE/PubMed |
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| Copyright | 2014 The American Laryngological, Rhinological and Otological Society, Inc. 2015 The American Laryngological, Rhinological and Otological Society, Inc. |
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| Keywords | Storz Professional Image Enhancement System larynx cancer hypopharynx narrow band imaging Enhanced contact endoscopy |
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| Notes | ArticleID:LARY25124 istex:0115617B22DB8EBCAA3FD99BEF0C228319DD7DA3 Sardinia Regional Government (P.O.R. Sardegna F.S.E. Operational Programme of the Autonomous Region of Sardinia, European Social Fund 2007-2013-Axis IV Human Resources, Objective l.3, Line of Activity l.3.1 "Avviso di chiamata per il finanziamento di Assegni di Ricerca"). ark:/67375/WNG-S8PM7SJ9-Q This work was supported by the Sardinia Regional Government (P.O.R. Sardegna F.S.E. Operational Programme of the Autonomous Region of Sardinia, European Social Fund 2007–2013–Axis IV Human Resources, Objective l.3, Line of Activity l.3.1 “Avviso di chiamata per il finanziamento di Assegni di Ricerca”). The authors have no other funding, financial relationships, or conflicts of interest to disclose. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23 |
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| Title | Enhanced contact endoscopy for the detection of neoangiogenesis in tumors of the larynx and hypopharynx |
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