| PET-CT in recurrent head neck cancers: a study to evaluate impact on patient management. | |
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MedLine Citation:
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PMID: 19235784 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND OBJECTIVES: PET-CT has shown promise in the management of head neck cancers. However, there have been only few studies evaluating its impact on management of patients with recurrent cancers in the presence of available clinicoradiologic methods of assessment. We conducted this study to assess the same in patients with suspected recurrent head and neck cancer. METHODS: Case histories were presented to two oncologists, who were blinded to PET-CT reports. Treatment plans were made by these oncologists based on clinical findings and other conventional imaging. These plans were then compared to the actual treatment received by patients after PET-CT. Any change was recorded as "change in management." RESULTS: Forty-nine patients with suspected recurrent head and neck cancer were evaluated in the study. Overall, there was a 38.7% change in management because of the addition of PET-CT to conventional methods of assessment. Eight patients (16.3%) had a major change in therapy while in 11 patients (22.4%), diagnostic procedures like endoscopies, biopsies and examination under anesthesia were avoided. CONCLUSION: In our study, PET-CT had a significant impact on the management of patients with suspected recurrent head neck cancer. |
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Authors:
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G H Pantvaidya; J P Agarwal; M S Deshpande; V Rangarajan; V Singh; A Kakade; A K D'Cruz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of surgical oncology Volume: 100 ISSN: 1096-9098 ISO Abbreviation: J Surg Oncol Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-09-22 Completed Date: 2009-10-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0222643 Medline TA: J Surg Oncol Country: United States |
Other Details:
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Languages: eng Pagination: 401-3 Citation Subset: IM |
Copyright Information:
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(c) 2009 Wiley-Liss, Inc. |
Affiliation:
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Department of Head and Neck Surgery, Tata Memorial Hospital, Mumbai, India. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Antineoplastic Agents / therapeutic use Decision Making* False Negative Reactions False Positive Reactions Female Head and Neck Neoplasms / pathology*, therapy Humans Lymphatic Metastasis / diagnosis Male Middle Aged Neck Dissection Neoplasm Recurrence, Local / pathology*, therapy Palliative Care Positron-Emission Tomography* Sensitivity and Specificity Tomography, X-Ray Computed* Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Antineoplastic Agents |
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