To evaluate the efficacy of ultrasonography for patients with head and neck
squamous cell carcinoma before and during radiotherapy (RT), consecutive p
atients with macroscopic lesions were examined before and during RT. Each s
can was performed percutaneously in a short time (less than 5 min). The dem
onstration rate of primary tumors and the largest node of previously known
metastatic cervical nodes were measured. Of all 190 patients, 91 primary tu
mors were detected (47.9%). Primary tumors in oral cavity, oropharynx, hypo
pharynx and cervical esophagus were determined in over 70% and, for those o
f nasopharynx and larynx, the demonstration rates were 30% or less. Nodal m
etastases were visualized in 78 of 80 patients with regional metastases (97
.5%). Using the above information, 73 patients (38.4%) received the benefit
of radiation therapy. Short-time sonography is a valuable modality for pat
ients with selected sites of head and neck cancers. (E-mail: miyasita@nms.a
c.jp) (C) 2001 World Federation for Ultrasound in Medicine & Biology.