Document Detail


Clinical impact of positron emission tomography (PET) with (18F)fluorodeoxyglucose (FDG) in head and neck tumours.
MedLine Citation:
PMID:  17364351     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONCLUSION: PET plays an important role in staging, on suspicion of recurrence and for detection of occult primary tumours in the head and neck. OBJECTIVE: Since 1998 we have used positron emission tomography (PET) with (18F)fluorodeoxyglucose (FDG) to assess selected patients. This procedure has often helped in making decisions on staging and treatment. PATIENTS AND METHODS: The case records of the first 80 patients (104 PET examinations) were studied retrospectively. RESULTS: A total of 39 examinations were performed for staging. PET detected all primary tumours except two (stage T1), and staging was adjusted after 13%. In all, 33 PET examinations were performed on suspicion of recurrent tumour. In 52% of these PET determined further treatments; in 21% PET had a direct impact on the surgical planning. In 18 patients with metastases from an occult primary tumour, PET detected 39% of those tumours; in 22% it was the sole modality to do so. No recurrences or second primary tumours were detected when PET was used for follow-up of clinically cured patients. Results were similar when squamous cell carcinomas (SCCs) were considered alone as compared to the complete material. The mean standardized uptake value (SUV) was higher for cases deemed tumour-positive than in negative cases.
Authors:
Tomas Ekberg; Jens S?rensen; Mats Engstr?m; Erik Blomquist; Anders Sundin; Matti Anniko
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  127     ISSN:  0001-6489     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-03-16     Completed Date:  2007-04-10     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  186-93     Citation Subset:  IM    
Affiliation:
Department of Otorhinolaryngology and Head & Neck Surgery, University Hospital (Akademiska Sjukhuset), Uppsala, Sweden. tomas.ekberg@akademiska.se
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Female
Fluorodeoxyglucose F18 / diagnostic use*
Head and Neck Neoplasms / radionuclide imaging*,  secondary
Humans
Male
Middle Aged
Neoplasm Metastasis
Neoplasm Recurrence, Local / radionuclide imaging
Neoplasm Staging
Neoplasms, Unknown Primary / radionuclide imaging
Positron-Emission Tomography
Radiopharmaceuticals / diagnostic use*
Retrospective Studies
Sensitivity and Specificity
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 63503-12-8/Fluorodeoxyglucose F18

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