HNO.70450702.ger.abstr-passage-0
abstract
Kleine Laesionen der Mandibula durch Plattenepithelkarzinome des Mundraums entgehen oft den bildgebenden Verfahren , sind aber fuer die Therapie von grosser Bedeutung . In einer prospektiven Studie ueberprueften wir die Wertigkeit von Sonographie , Orthopantomographie und Computertomographie ( CT ) zur Darstellung knoecherner Laesionen und verglichen sie mit der 99mTechnetium-Methylendiphosphonat-Single-Photon-Emission-Computertomographie ( 99mTc-MDP-SPECT); 35 Patienten mit an die Mandibula grenzenden Karzinomen wurden praeoperativ den genannten Untersuchungsmethoden unterzogen . Im Rahmen des Stagings wurde eine 99mTc-MDP-Skelettszintigraphie durchgefuehrt . Anschliessend fand eine SPECT des Gesichtsschaedels statt und wurde fuer die Region des Unterkiefers qualitativ und quantitativ ausgewertet . Anhand der Histologie der Mandibula bewerteten wir die Sensitivitaet und Spezifitaet der bildgebenden Verfahren . Histologisch wiesen 12/35 Patienten Karzinominfiltrationen der Mandibula auf ; 2/12 17% ) ( Laesionen wurden praeoperativ mittels OPG und sonographisch , 3/12 ( 25% ) mittels CT nachgewiesen . Die SPECT zeigte bei 11 Patienten Mehrbelegungen im Bereich des makroskopisch sichtbaren Tumors . Hier konnte bei allen 11 Patienten postoperativ histologisch eine Arrosion bestaetigt werden . Bei 1/12 Patienten ( 8% ) mit histologischer Periostarrosion fand sich keine Radionuklidmehrbelegung . Die hohe Sensitivitaet der 99mTc-MDP-SPECT zum Nachweis ossaerer Laesionen wertet die Skelettszintigraphie mit SPECT im Staging des Mundbodenkarzinoms erheblich auf .
HNO.70450702.ger.abstr-s1-r1-t1.1-t6.1
location_of
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s1-r2-t6.1-t4.1
associated_with
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s1-r3-t2.1-t4.1
treats
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s1-r4-t1.1-t5.1
adjacent_to
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s2-t5
HNO.70450702.ger.abstr-s1-r5-t4.1-t6.1
associated_with
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s1-r6-t4.1-t3.1
produces
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s1-r7-t5.1-t1.1
adjacent_to
HNO.70450702.ger.abstr-s2-t5
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s1-r8-t5.1-t4.1
location_of
HNO.70450702.ger.abstr-s2-t5
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s1-r9-t3.1-t4.1
location_of
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s1-r10-t1.1-t4.1
location_of
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s1-r11-t5.1-t6.1
location_of
HNO.70450702.ger.abstr-s2-t5
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s1-r12-t1.1-t3.1
surrounds
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s1-r13-t3.1-t1.1
developmental_form_of
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s1-r14-t5.1-t3.1
location_of
HNO.70450702.ger.abstr-s2-t5
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s1-r15-t3.1-t6.1
location_of
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s1-r16-t6.1-t2.1
uses
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s2-r1-t2.1-t4.1
affects
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s2-r2-t4.1-t2.1
performs
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s2-r3-t2.1-t6.1
associated_with
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s2-r4-t6.1-t4.1
occurs_in
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s2-r5-t3.1-t4.1
affects
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s2-r6-t4.1-t1.1
performs
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s2-r7-t3.1-t6.1
associated_with
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s2-r8-t5.1-t3.1
location_of
HNO.70450702.ger.abstr-s2-t5
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s2-r9-t6.1-t3.1
associated_with
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s2-r10-t5.1-t2.1
location_of
HNO.70450702.ger.abstr-s2-t5
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s2-r11-t6.1-t2.1
associated_with
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s2-r12-t4.1-t3.1
performs
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s2-r13-t1.1-t6.1
associated_with
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s2-r14-t6.1-t1.1
associated_with
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s2-r15-t5.1-t1.1
location_of
HNO.70450702.ger.abstr-s2-t5
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s2-r16-t1.1-t4.1
affects
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s2-r17-t5.1-t6.1
location_of
HNO.70450702.ger.abstr-s2-t5
HNO.70450702.ger.abstr-s2-t6
HNO.70450702.ger.abstr-s4-r1-t3.1-t2.1
adjacent_to
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s4-r2-t2.1-t1.1
location_of
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s4-r3-t4.1-t2.1
adjacent_to
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s4-r4-t3.1-t1.1
location_of
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s4-r5-t2.1-t4.1
adjacent_to
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s4-r6-t4.1-t1.1
location_of
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s4-r7-t2.1-t3.1
adjacent_to
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s5-r1-t3.1-t1.1
issue_in
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s5-r2-t2.1-t1.1
issue_in
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s6-r1-t2.1-t1.1
occurs_in
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s6-r2-t3.1-t2.1
location_of
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s7-r1-t2.1-t1.1
performs
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s7-r2-t3.1-t2.1
occurs_in
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s7-r3-t1.1-t2.1
affects
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s7-r4-t3.1-t1.1
associated_with
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s7-r5-t1.1-t3.1
associated_with
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-r1-t4.1-t1.1
associated_with
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s10-r2-t3.1-t4.1
causes
HNO.70450702.ger.abstr-s10-t3
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s10-r3-t2.1-t1.1
location_of
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s10-r4-t2.1-t4.1
location_of
HNO.70450702.ger.abstr-s10-t2
HNO.70450702.ger.abstr-s10-t4
HNO.70450702.ger.abstr-s10-r5-t1.1-t4.1
associated_with
HNO.70450702.ger.abstr-s10-t1
HNO.70450702.ger.abstr-s10-t4