The diagnostic accuracy of ultrasonography versus endoscopy for primary nasopharyngeal carcinoma.

OBJECTIVE:To compare the accuracy of ultrasonography (US) with the current clinical standard of endoscopy for a diagnosis of nasopharyngeal carcinoma (NPC). METHODS:A total of 150 patients suspected of having NPC underwent US and endoscopy. A diagnosis was obtained from an endoscopic biopsy collecte...

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Main Authors: Yong Gao, Jun-Jie Liu, Shang-Yong Zhu, Xiang Yi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3940890?pdf=render
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author Yong Gao
Jun-Jie Liu
Shang-Yong Zhu
Xiang Yi
author_facet Yong Gao
Jun-Jie Liu
Shang-Yong Zhu
Xiang Yi
author_sort Yong Gao
collection DOAJ
description OBJECTIVE:To compare the accuracy of ultrasonography (US) with the current clinical standard of endoscopy for a diagnosis of nasopharyngeal carcinoma (NPC). METHODS:A total of 150 patients suspected of having NPC underwent US and endoscopy. A diagnosis was obtained from an endoscopic biopsy collected from each suspected tumor and was compared with a biopsy obtained from a normal nasopharynx. The diagnostic accuracy of US and endoscopy for NPC was evaluated using receiver operating curve (ROC) analysis performed by MedCalc Software. RESULTS:The sensitivity, specificity, and accuracy of US versus endoscopy for this cohort were 90.1%, 84.8%, and 87.3% for US, and 88.7%, 97.5%, and 93.3% for endoscopy, respectively. Both US and endoscopy exhibited good diagnostic accuracy for NPC with area under the curve (AUC) values of 0.929 and 0.938, respectively. However, this difference was not significant (Z = 0.36, P = 0.72). CONCLUSION:US is a useful tool for the detection of tumors in endoscopically suspicious nasopharynx tissues, and also for the detection of subclinical tumors in endoscopically normal nasopharynx tissues.
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spelling doaj.art-57ed54cebc6f426cb0243f9d94f421252022-12-22T03:48:37ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0193e9041210.1371/journal.pone.0090412The diagnostic accuracy of ultrasonography versus endoscopy for primary nasopharyngeal carcinoma.Yong GaoJun-Jie LiuShang-Yong ZhuXiang YiOBJECTIVE:To compare the accuracy of ultrasonography (US) with the current clinical standard of endoscopy for a diagnosis of nasopharyngeal carcinoma (NPC). METHODS:A total of 150 patients suspected of having NPC underwent US and endoscopy. A diagnosis was obtained from an endoscopic biopsy collected from each suspected tumor and was compared with a biopsy obtained from a normal nasopharynx. The diagnostic accuracy of US and endoscopy for NPC was evaluated using receiver operating curve (ROC) analysis performed by MedCalc Software. RESULTS:The sensitivity, specificity, and accuracy of US versus endoscopy for this cohort were 90.1%, 84.8%, and 87.3% for US, and 88.7%, 97.5%, and 93.3% for endoscopy, respectively. Both US and endoscopy exhibited good diagnostic accuracy for NPC with area under the curve (AUC) values of 0.929 and 0.938, respectively. However, this difference was not significant (Z = 0.36, P = 0.72). CONCLUSION:US is a useful tool for the detection of tumors in endoscopically suspicious nasopharynx tissues, and also for the detection of subclinical tumors in endoscopically normal nasopharynx tissues.http://europepmc.org/articles/PMC3940890?pdf=render
spellingShingle Yong Gao
Jun-Jie Liu
Shang-Yong Zhu
Xiang Yi
The diagnostic accuracy of ultrasonography versus endoscopy for primary nasopharyngeal carcinoma.
PLoS ONE
title The diagnostic accuracy of ultrasonography versus endoscopy for primary nasopharyngeal carcinoma.
title_full The diagnostic accuracy of ultrasonography versus endoscopy for primary nasopharyngeal carcinoma.
title_fullStr The diagnostic accuracy of ultrasonography versus endoscopy for primary nasopharyngeal carcinoma.
title_full_unstemmed The diagnostic accuracy of ultrasonography versus endoscopy for primary nasopharyngeal carcinoma.
title_short The diagnostic accuracy of ultrasonography versus endoscopy for primary nasopharyngeal carcinoma.
title_sort diagnostic accuracy of ultrasonography versus endoscopy for primary nasopharyngeal carcinoma
url http://europepmc.org/articles/PMC3940890?pdf=render
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