Computed Tomographic Evaluation of Posttreatment Soft-Tissue Changes by Using a Lymphedema Scoring System in Patients with Oral Cancer.
Identifieur interne : 000414 ( PubMed/Checkpoint ); précédent : 000413; suivant : 000415Computed Tomographic Evaluation of Posttreatment Soft-Tissue Changes by Using a Lymphedema Scoring System in Patients with Oral Cancer.
Auteurs : Masaya Akashi [Japon] ; Shun Teraoka [Japon] ; Yasumasa Kakei [Japon] ; Junya Kusumoto [Japon] ; Takumi Hasegawa [Japon] ; Tsutomu Minamikawa [Japon] ; Kazunobu Hashikawa [Japon] ; Takahide Komori [Japon]Source :
- Lymphatic research and biology [ 1557-8585 ] ; 2017.
Abstract
This study aimed to evaluate posttreatment soft-tissue changes in patients with oral cancer with computed tomography (CT). To accomplish that purpose, a scoring system was established, referring to the criteria of lower leg lymphedema (LE).
DOI: 10.1089/lrb.2016.0063
PubMed: 28749742
Affiliations:
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<front><div type="abstract" xml:lang="en">This study aimed to evaluate posttreatment soft-tissue changes in patients with oral cancer with computed tomography (CT). To accomplish that purpose, a scoring system was established, referring to the criteria of lower leg lymphedema (LE).</div>
</front>
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<DateCreated><Year>2017</Year>
<Month>07</Month>
<Day>27</Day>
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<DateRevised><Year>2017</Year>
<Month>07</Month>
<Day>27</Day>
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<JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year>
<Month>Jul</Month>
<Day>27</Day>
</PubDate>
</JournalIssue>
<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
</Journal>
<ArticleTitle>Computed Tomographic Evaluation of Posttreatment Soft-Tissue Changes by Using a Lymphedema Scoring System in Patients with Oral Cancer.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2016.0063</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">This study aimed to evaluate posttreatment soft-tissue changes in patients with oral cancer with computed tomography (CT). To accomplish that purpose, a scoring system was established, referring to the criteria of lower leg lymphedema (LE).</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">One hundred and six necks in 95 patients who underwent oral oncologic surgery with neck dissection (ND) were analyzed retrospectively using routine follow-up CT images. A two-point scoring system to evaluate soft-tissue changes (so-called "LE score") was established as follows: Necks with a "honeycombing" appearance were assigned 1 point. Necks with "taller than wide" fat lobules were assigned 1 point. Necks with neither appearance were assigned 0 points. Comparisons between patients with LE score ≥1 and LE score = 0 at 6 months postoperatively were performed using the Fisher exact test for discrete variables and the Mann-Whitney U test for continuous variables. Univariate predictors associated with posttreatment changes (i.e., LE score ≥1 at 6 months postoperatively) were entered into a multivariate logistic regression analysis. Values of p < 0.05 were considered to indicate statistical significance. The occurrence of the posttreatment soft-tissue changes was 32%. Multivariate logistic regression analysis showed that postoperative radiation therapy (RT) and bilateral ND were potential risk factors of posttreatment soft-tissue changes on CT images.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Sequential evaluation of "honeycombing" and the "taller than wide" appearances on routine follow-up CT revealed the persistence of posttreatment soft-tissue changes in patients who underwent oral cancer treatment, and those potential risk factors were postoperative RT and bilateral ND.</AbstractText>
</Abstract>
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<ForeName>Masaya</ForeName>
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<AffiliationInfo><Affiliation>1 Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine , Chuo-ku, Kobe, Japan .</Affiliation>
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<AffiliationInfo><Affiliation>1 Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine , Chuo-ku, Kobe, Japan .</Affiliation>
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<Author ValidYN="Y"><LastName>Kusumoto</LastName>
<ForeName>Junya</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>1 Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine , Chuo-ku, Kobe, Japan .</Affiliation>
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<Author ValidYN="Y"><LastName>Hasegawa</LastName>
<ForeName>Takumi</ForeName>
<Initials>T</Initials>
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<ForeName>Tsutomu</ForeName>
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<Author ValidYN="Y"><LastName>Komori</LastName>
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<Initials>T</Initials>
<AffiliationInfo><Affiliation>1 Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine , Chuo-ku, Kobe, Japan .</Affiliation>
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<MedlineTA>Lymphat Res Biol</MedlineTA>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">computed tomography</Keyword>
<Keyword MajorTopicYN="N">lymphedema</Keyword>
<Keyword MajorTopicYN="N">neck dissection</Keyword>
<Keyword MajorTopicYN="N">oral cancer</Keyword>
<Keyword MajorTopicYN="N">radiation therapy</Keyword>
<Keyword MajorTopicYN="N">soft-tissue changes</Keyword>
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