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Effect of a training course on the diagnosis of vocal fold leukoplakia by narrow-band imaging

Published online by Cambridge University Press:  23 October 2020

B-G Zhang
Affiliation:
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
J-Q Zhu
Affiliation:
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
W Zhang
Affiliation:
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital and Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, China
F-X Su
Affiliation:
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital and Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, China
G-Q Wang
Affiliation:
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
X-G Ni*
Affiliation:
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
*
Author for correspondence: Dr Xiao-Guang Ni, Department of Endoscopy, Cancer Hospital, Chinese Academy of Medical Sciences, No. 17 Panjiayuannanli, Chaoyang District, PO Box 2258, Beijing100021, PR China E-mail: [email protected]

Abstract

Objective

To investigate the value of narrow-band imaging training for differentiating between benign and malignant vocal fold leukoplakia.

Method

Thirty cases of vocal fold leukoplakia were selected.

Results

Narrow-band imaging endoscopy training had a significant positive effect on the specificity of the differential diagnosis of vocal fold leukoplakia. In addition, the consistency of diagnostic typing of vocal fold leukoplakia by narrow-band imaging improved to ‘moderate agreement’ following the combination of types I and II and the combination of types IV, V and VI in the typing of vocal fold leukoplakia.

Conclusion

The narrow-band imaging training course may improve the ability of laryngologists to diagnose vocal fold leukoplakia. The new endoscopic diagnostic classification by narrow-band imaging needs to be further simplified to facilitate clinical application.

Type
Main Articles
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr X-G Ni takes responsibility for the integrity of the content of the paper

References

Isenberg, JS, Crozier, DL, Dailey, SH. Institutional and comprehensive review of laryngeal leukoplakia. Ann Otol Rhinol Laryngol 2008;117:74–9CrossRefGoogle ScholarPubMed
Weller, MD, Nankivell, PC, McConkey, C, Paleri, V, Mehanna, HM. The risk and interval to malignancy of patients with laryngeal dysplasia; a systematic review of case series and meta-analysis. Clin Otolaryngol 2010;35:364–72CrossRefGoogle ScholarPubMed
Gallo, A, de Vincentiis, M, Della Rocca, C, Moi, R, Simonelli, M, Minni, A et al. . Evolution of precancerous laryngeal lesions: a clinicopathologic study with long-term follow-up on 259 patients. Head Neck 2001;23:42–73.0.CO;2-1>CrossRefGoogle ScholarPubMed
Anis, MM. Correlating laryngoscopic appearance of laryngeal lesions with histopathology. Laryngoscope 2019;129:1308–12CrossRefGoogle ScholarPubMed
Gono, K, Obi, T, Yamaguchi, M, Ohyama, N, Machida, H, Sano, Y et al. . Appearance of enhanced tissue features in narrow-band endoscopic imaging. J Biomed Opt 2004;9:568–77CrossRefGoogle ScholarPubMed
Cosway, B, Drinnan, M, Paleri, V. Narrow band imaging for the diagnosis of head and neck squamous cell carcinoma: a systematic review. Head Neck 2016;38(suppl 1):E2358–67CrossRefGoogle Scholar
Sun, C, Han, X, Li, X, Zhang, Y, Du, X. Diagnostic performance of narrow band imaging for laryngeal cancer: a systematic review and meta-analysis. Otolaryngol Head Neck Surg 2017;156:589–97CrossRefGoogle ScholarPubMed
Ni, XG, He, S, Xu, ZG, Gao, L, Lu, N, Yuan, Z et al. . Endoscopic diagnosis of laryngeal cancer and precancerous lesions by narrow band imaging. J Laryngol Otol 2011;125:288–96CrossRefGoogle ScholarPubMed
Ni, XG, Zhu, JQ, Zhang, QQ, Zhang, BG, Wang, GQ. Diagnosis of vocal cord leukoplakia: the role of a novel narrow band imaging endoscopic classification. Laryngoscope 2019;129:429–34CrossRefGoogle ScholarPubMed
Gale, N, Pilch, BZ, Sidransky, D, Westra, W, Califano, J. Epithelial precursor lesions. In: Barnes, L, Eveson, JW, Reichart, P, Sidransky, D, eds. World Health Organization Classification of Tumours Head and Neck Tumours. Lyon: IARC Press, 2005;140–3Google Scholar
Zhang, N, Cheng, L, Chen, M, Chen, J, Yang, Y, Xie, M et al. . Relationship between laryngoscopic and pathological characteristics of vocal cords leukoplakia. Acta Otolaryngol 2017;137:1199–203CrossRefGoogle ScholarPubMed
Li, C, Zhang, N, Wang, S, Cheng, L, Wu, H, Chen, J et al. . A new classification of vocal fold leukoplakia by morphological appearance guiding the treatment. Acta Otolaryngol 2018;138:584–9CrossRefGoogle ScholarPubMed
Fang, TJ, Lin, WN, Lee, LY, Young, CK, Lee, LA, Chang, KP et al. Classification of vocal fold leukoplakia by clinical scoring. Head Neck 2016;38(suppl 1):E19982003CrossRefGoogle ScholarPubMed
Ni, XG, Wang, GQ. The role of narrow band imaging in head and neck cancers. Curr Oncol Rep 2016;18:10CrossRefGoogle ScholarPubMed
Rzepakowska, A, Sielska-Badurek, E, Żurek, M, Osuch-Wójcikiewicz, E, Niemczyk, K. Narrow band imaging for risk stratification of glottis cancer within leukoplakia. Head Neck 2018;40:2149–54CrossRefGoogle ScholarPubMed
Mehlum, CS, Rosenberg, T, Dyrvig, AK, Groentved, AM, Kjaergaard, T, Godballe, C. Can the Ni classification of vessels predict neoplasia? A systematic review and meta-analysis. Laryngoscope 2018;128:168–76CrossRefGoogle ScholarPubMed
Shoffel-Havakuk, H, Lahav, Y, Meidan, B, Haimovich, Y, Warman, M, Hain, M et al. . Does narrow band imaging improve preoperative detection of glottic malignancy? A matched comparison study. Laryngoscope 2017;127:894–9CrossRefGoogle ScholarPubMed
Yang, Y, Fang, J, Zhong, Q, Xu, W, Ma, H, Feng, L et al. . The value of narrow band imaging combined with stroboscopy for the detection of applanate indiscernible early-stage vocal cord cancer. Acta Otolaryngol 2018;138:400–6CrossRefGoogle ScholarPubMed
Rzepakowska, A, Sielska-Badurek, E, Cruz, R, Sobol, M, Osuch-Wójcikiewicz, E, Niemczyk, K. Narrow band imaging versus laryngovideostroboscopy in precancerous and malignant vocal fold lesions. Head Neck 2018;40:927–36CrossRefGoogle ScholarPubMed
Staníková, L, Šatanková, J, Kučová, H, Walderová, R, Zeleník, K, Komínek, P. The role of narrow-band imaging (NBI) endoscopy in optical biopsy of vocal cord leukoplakia. Eur Arch Otorhinolaryngol 2017;274:355–9CrossRefGoogle ScholarPubMed
De Vito, A, Meccariello, G, Vicini, C. Narrow band imaging as screening test for early detection of laryngeal cancer: a prospective study. Clin Otolaryngol 2017;42:347–53CrossRefGoogle ScholarPubMed
Żurek, M, Rzepakowska, A, Osuch-Wójcikiewicz, E, Niemczyk, K. Learning curve for endoscopic evaluation of vocal folds lesions with narrow band imaging. Braz J Otorhinolaryngol 2019;85:753–9CrossRefGoogle ScholarPubMed
Minami, H, Inoue, H, Ikeda, H, Satodate, H, Hamatani, S, Nakao, K et al. . Usefulness of background coloration in detection of esophago-pharyngeal lesions using NBI magnification. Gastroenterol Res Pract 2012;2012:529782CrossRefGoogle ScholarPubMed
Ni, XG, Wang, GQ, Hu, FY, Xu, XM, Xu, L, Liu, XQ et al. . Clinical utility and effectiveness of a training program in the application of a new classification of narrow band imaging for vocal cord leukoplakia: a multicenter study. Clin Otolaryngol 2019;44:729–35CrossRefGoogle Scholar