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Ultrasound‐guided resection for squamous cell carcinoma of the buccal mucosa: A feasibility study

Adriaansens, Carleen M. E. M. ; Koning, Klijs J. ; Bree, Remco ; Dankbaar, Jan Willem ; Breimer, Gerben E. ; Es, Robert J. J. ; Noorlag, Rob

Head & neck, 2023-03, Vol.45 (3), p.647-657 [Revista revisada por pares]

Hoboken, USA: John Wiley & Sons, Inc

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Título:
Ultrasound‐guided resection for squamous cell carcinoma of the buccal mucosa: A feasibility study
Autor: Adriaansens, Carleen M. E. M. ; Koning, Klijs J. ; Bree, Remco ; Dankbaar, Jan Willem ; Breimer, Gerben E. ; Es, Robert J. J. ; Noorlag, Rob
Materias: Buccal mucosa ; buccal mucosa squamous cell carcinoma ; Carcinoma, Squamous Cell - diagnostic imaging ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Feasibility Studies ; Head and Neck Neoplasms - pathology ; Humans ; image‐guided surgery ; Magnetic resonance imaging ; Margins of Excision ; Mouth Mucosa - diagnostic imaging ; Mouth Mucosa - pathology ; Mouth Mucosa - surgery ; Mouth Neoplasms - diagnostic imaging ; Mouth Neoplasms - pathology ; Mouth Neoplasms - surgery ; Oral cancer ; Original ; resection margins ; Squamous cell carcinoma ; Squamous Cell Carcinoma of Head and Neck - diagnostic imaging ; Squamous Cell Carcinoma of Head and Neck - pathology ; Squamous Cell Carcinoma of Head and Neck - surgery ; Tumors ; ultrasonography ; Ultrasonography, Interventional ; Ultrasound
Es parte de: Head & neck, 2023-03, Vol.45 (3), p.647-657
Notas: Funding information
KWF Kankerbestrijding, Grant/Award Number: 13577
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content type line 23
Funding information KWF Kankerbestrijding, Grant/Award Number: 13577
Descripción: Background Image‐guided surgery could help obtain clear (≥5.0 mm) resection margins. This feasibility study investigated ultrasound‐guided resection accuracy of buccal mucosa squamous cell carcinoma (BMSCC). Methods MRI and ultrasound measurements of tumor thickness were compared to histology in 13 BMSCC‐patients. Ultrasound measured margins (at five locations) on the specimen were compared to the corresponding histological margins. Results Accuracy of in‐ and ex‐vivo ultrasound (mean deviation from histology: 1.6 mm) for measuring tumor thickness was comparable to MRI (mean deviation from histology: 2.6 mm). The sensitivity to detect clear margins using ex‐vivo ultrasound was low (48%). If an ex‐vivo ultrasound cutoff of ≥7.5 mm would be used, the sensitivity would increase to 86%. Conclusions Ultrasound‐guided resection of BMSCC's is feasible. In‐ and ex‐vivo ultrasound measure tumor thickness in BMSCC accurately. We recommend ≥7.5 mm resection margins on ex‐vivo ultrasound to obtain histological clear margins. Additional research is required to establish the effect of 7.5 mm ultrasound cutoff.
Editor: Hoboken, USA: John Wiley & Sons, Inc
Idioma: Inglés

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Ultrasound‐guided resection for squamous cell carcinoma of the buccal mucosa: A feasibility study

Adriaansens, Carleen M. E. M. ; Koning, Klijs J. ; Bree, Remco ; Dankbaar, Jan Willem ; Breimer, Gerben E. ; Es, Robert J. J. ; Noorlag, Rob

Hoboken, USA: John Wiley & Sons, Inc

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