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  • Title: [The clinical value of contrast CT in lymph node staging in the neck region].
    Author: Bongers H, Klier R, Ozdoba C, Lenz M.
    Journal: Rofo; 1990 Apr; 152(4):398-404. PubMed ID: 2160098.
    Abstract:
    Pre-treatment CT examinations of 333 patients with squamous carcinomas in the head and neck region have been analysed. Two hundred and six patients had lymph-node metastases and lymph-node staging was ascertained. The criteria for metastatic involvement were lymph node size greater than 15 mm. and changes in structure (inhomogeneity, central hypodensity and ring enhancement). CT had a sensitivity of 93% and accuracy of 89%. This was better than palpation (sensitivity 64%, accuracy 72%). CT can be regarded as a reliable basis for treatment planning.
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