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September 1988

Computed Tomography in Evaluating Metastatic Neck Disease

Author Affiliations

Salt Lake City

Arch Otolaryngol Head Neck Surg. 1988;114(9):1041. doi:10.1001/archotol.1988.01860210107028

To the Editor.—We would like to add some additional comments to the editorial footnote by Byron Bailey, MD, regarding the article, "Metastatic Neck Disease: A Clinical/Radiographic/Pathologic Correlative Study," by Feinmesser and colleagues.1 We have previously expressed our concerns in a personal communication to the authors prior to the publication of their article. In addition to the limitations that result from the use of an older computed tomographic (CT) scanner, as pointed out by Dr Bailey, an equally important issue that the authors did not mention in their article is their use of 10-mm sections in some patients. They suggested that exclusion of these patients would not significantly change the data in their article. However, we would suggest that the data from these patients be discarded, particularly since the authors themselves emphasize the size criteria in separating malignant from benign lymph nodes. Fifteen millimeters is accepted as the dividing