ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Intraoral Ultrasound Compares Favorably to Histopathology in Oral Tongue Malignancy Evaluation

by Amy E. Hamaker • March 10, 2019

  • Tweet
  • Email
Print-Friendly Version

How useful is intraoral ultrasound (US) in the determination of tumor dimensions and margin location of oral tongue carcinoma?

Background: The invasive nature of oral tongue carcinoma tumors into the underlying tongue musculature makes it difficult to assess the deep margin. Tumor thickness (TT) or depth of invasion (DOI) have been widely studied and closely correlate with locoregional recurrence rates and predict occult nodal metastasis. US has been seen as particularly useful in resolving the interface between tongue tumors and the surrounding myo-architecture at the deep margin.

You Might Also Like

  • Survival Rates Comparable in Children and Adults with Oral Tongue Squamous Cell Cancer
  • Oral Tongue Squamous Cancer in Never Smokers
  • Younger Patients with Oral Tongue Squamous Cell Carcinoma Have Better Survival Rates
  • Perineural Invasion Predictive of Poor Survival Outcomes in Tongue Cancer
Explore This Issue
March 2019

Bottom line: Intraoral ultrasound is useful in the evaluation of oral tongue malignancies when compared with histopathological methods.

Study design: Systematic literature review of 19 articles featuring 678 patients with oral SCC of the tongue.

Example of sonographic visualization of oral tongue squamous cell carcinoma. Tumor is identified as a hypoechoic area on ultrasound. (B) Schematic representation of the difference between TT and DOI.  © Reprinted from Oral Surg Oral Med Oral Pathol Oral Radiol, 119(2):246–253, Copyright 2015, with permission from Elsevier.

Example of sonographic visualization of oral tongue squamous cell carcinoma. Tumor is identified as a hypoechoic area on ultrasound. (B) Schematic representation of the difference between TT and DOI.
© Reprinted from Oral Surg Oral Med Oral Pathol Oral Radiol, 119(2):246–253, Copyright 2015, with permission from Elsevier.

Setting: PubMed, Embase, and Cochrane databases.

Synopsis: Ultrasonographic tumor thickness (UTT) was the most widely reported metric. Sonographic metrics were compared to a variety of clinical and histopathologic parameters such as histopathologic tumor thickness (HTT), locoregional recurrence, cervical node metastasis rates, margin distance, and survival rates. Ten studies correlated US’s ability to accurately measure TT compared to HTT; eight demonstrated statistically significant correlations. Compared to MRI tumor thickness values, UTT values matched HTT values more closely. Patients with lymph node metastasis had a significantly higher rate of tumors with irregular margin and D-type pattern on US. Studies describing intraoperative US as an adjunct to improve deep margin resection found a clear and statistically significant difference in the deep margin achieved. Variability in optimal cutoff values reported by different groups was an impediment toward a broader application of US for preoperative UTT; however, UTT cutoff points above which significantly higher rates of lymph node metastasis occur include 3, 4, 5, 6, 7, 8, and 11 mm. Limitations included variation in sonographic equipment used, potentially important studies that did not have full-text articles published in English, and varied approaches to statistical analysis and data among articles.

Citation: Tarabichi O, Bulbul M, Kanumuri VV, et. al. Utility of intraoral ultrasound in managing oral tongue squamous cell carcinoma: systematic review. Laryngoscope. 2019;129:662-670.

Filed Under: Head and Neck, Literature Reviews Tagged With: intraoral ultrasound, malignancy, tongue, ultrasoundIssue: March 2019

You Might Also Like:

  • Survival Rates Comparable in Children and Adults with Oral Tongue Squamous Cell Cancer
  • Oral Tongue Squamous Cancer in Never Smokers
  • Younger Patients with Oral Tongue Squamous Cell Carcinoma Have Better Survival Rates
  • Perineural Invasion Predictive of Poor Survival Outcomes in Tongue Cancer

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Weaning Patients Off of PPIs
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Vertigo in the Elderly: What Does It Mean?
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.