Abstract
Objective: T o investigate the features of the superficial
mucosa and microvascular network of the vocal cords in patients with
suspected laryngeal cancer using contact endoscopy (CE).
Design: A retrospective review of patients with leukoplakia and
cancer of vocal cords.
Main outcome measure: Fourty-two patients (mean age = 57.2 ±7.6
years), were prospectively evaluated. Eighteen had malignant lesions and
24 had leukoplakia, proven on histologic exam. Eight cancer patients and
8 patients with leukoplakia had bilateral lesions. Therefore, a total of
58 lesions (26 malignant and 32 non-malignant) was found.
Contact-endoscopic imaging findings were classified into five types (I
to V) based on the features of the mucosal intraepithelial capillary
loops.
Results: The CE-based intraepithelial papillary capillary loop
classification was strongly correlated with the histological findings.
Smoking habits didn’t significantly differ between patients with
unilateral and bilateral lesions.
Conclusions: CE imaging of the vocal cord mucosal capillaries
may be useful in the early detection of laryngeal cancer and
precancerous lesions.
Key words: Vascular patterns, epithelium, hyperplasia, contact
endoscopy, leukoplakia