Zusammenfassung
Die Bildgebung ist neben der klinischen Befunderhebung ein wichtiges Diagnostikum, das zur Therapieentscheidung und insbesondere zur Operationsplanung bei Kopf-Hals-Karzinomen herangezogen werden muss. Die Bedeutung und die Art der Bildgebung sind abhängig von der Lokalisation des Primärtumors. Bei jeder Bildgebung müssen neben der Darstellung des Primärtumors auch die Lymphabflusswege einbezogen werden, um ein Gesamtkonzept der operativen Therapie erstellen zu können. Neben der flächenhaften Tumorausdehnung ist von besonderer Bedeutung, auch das Tumorvolumen durch die Bildgebung zu erfassen, um dadurch das Ausmaß der Resektion und die möglicherweise notwendige Rekonstruktion zu indizieren. Die Art der Bildgebung, z. B. Computertomographie oder Magnetresonanztomographie, ist abhängig von der Tumorlokalisation. In manchen Fällen ergänzen sich beide Verfahren.
Abstract
Alongside clinical investigation, imaging is an important diagnostic modality for guiding treatment decisions and particularly for surgical planning in head and neck cancer. The significance and type of imaging depends on localization of the primary tumor. Beside the primary tumor, each imaging procedure must also include the lymph nodes, in order to develop an overall concept of surgical treatment. In addition to the superficial growth of a tumor, it is of utmost importance that its infiltration also be detected by imaging, in order to define the extent of tumor resection and identify potentially necessary reconstructive procedures. The type of imaging needed to understand tumor localization and size, e.g., CT or MRI, depends on the region. In some cases the methods are complementary.
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F. Bootz und S. Greschus geben an, dass kein Interessenkonflikt besteht.
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Bootz, F., Greschus, S. Bildgebung zur Operationsplanung. HNO 65, 472–481 (2017). https://doi.org/10.1007/s00106-017-0343-y
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DOI: https://doi.org/10.1007/s00106-017-0343-y
Schlüsselwörter
- Diagnostische Techniken und Verfahren
- Kopf-Hals-Tumoren
- Otorhinolaryngologische chirurgische Verfahren
- Rekonstruktive chirurgische Verfahren
- Magnetresonanztomographie
- Computertomografie