Znaczenie badań PET/CT w diagnostyce nowotworów głowy i szyi – doświadczenia własne
Journal Title: Otolaryngologia Polska - Year 2013, Vol 67, Issue 1
Abstract
Purpose: The aim of the study was to evaluate the usefulness of 18F-FDG-PET/CT in diagnosis of head and neck cancer. Material and methods: 60 18F-FDG-PET/CT examinations were performed in 50 patients diagnosed and treated for head and neck cancer in Department of Head and Neck Surgery and Nuclear Medicine Department of The Greater Poland Cancer Centre in Poznan, Poland from 2007 to 2011. Patients were divided into 2 subgroups: CUP Syndrome patients (25 PET/CT exams) and patients being under control after treatment (35 PET/CT exams). Results: In the group of CUP Syndrome patients 6 PET/CT examinations were negative, in 7 – possible primary tumor was indicated, in 10 – only cervical lymph node metastases were diagnosed, in 2 cases – distant metastases occured. Within the second subgroup 14 PET/CT examinations were negative, 11 exams – indicated the recurrent disease, 2 – cervical lymph node metastases and 8 – distant metastases. The sensitivity and specificity of 18F-FDG-PET/CT in this study within the CUP Syndrome patients group were 100% and 55% respectively. The positive predictive value was 74%. The negative predictive value was 100%. The sensitivity and specificity of 18F-FDG-PET/CT in this study within the second group of patients were 88% and 66% respectively. The positive predictive value was 71%. The negative predictive value was 86%. Conclusions: 18F-FDG-PET/CT is useful for staging of head and neck cancer, identifi- cation of an unknown primary tumor, delineation of the extent of regional lymph node involvement, detection of distant metastases and occasional synchronous primary tumor.
Authors and Affiliations
Ewa Majchrzak, Witold Cholewiński, Bartosz Szybiak, Łukasz Łuczewski, Marcin Sówka, Paweł Golusiński, Wojciech Golusiński
Keywords
Related Articles
- EP ID EP52135
- DOI -
- Views 127
- Downloads 0
Retrospektywna analiza przyczyn niepowodzeń w leczeniu nowotworów jamy ustnej i gardła w Klinice Otolaryngologii i Onkologii Laryngologicznej Uniwersytetu Medycznego w Poznaniu w latach 2000–2005
Wstęp<br/><br/>
Guzy tylnego dołu czaszki jako przyczyna nagłego pogorszenia słuchu i/lub wystąpienia zawrotów głowy
SUMMARY Introduction: The aim of the work was to analyse sudden deterioration of hearing and/or vertigo occurrence as an early symptom of posterior cranial fossa tumours. Material and methods: Among 1.394 people who repo...
The case of giant rhabdomyosarcoma of the head and neck and meagre symptomatology
SUMMARY The case of the 27-year old patient with huge tumour of the right parotid gland was shown in this article. The right parotid gland, the right parapharyn-geal space, region of the right maxillary sinus and the rig...
Analiza badań przeprowadzonych w ramach IV Europejskiego Tygodnia Profilaktyki Nowotworów Głowy i Szyi w Oddziale Otolaryngologii Międzyleskiego Szpitala Specjalistycznego w Warszawie
Wprowadzenie: Celem pracy była analiza profilu pacjentów zgłaszających się na bezpłatne badania profilaktyczne w ramach IV Europejskiego Tygodnia Profilaktyki Nowotworów Głowy i Szyi (NGiSz) do Oddziału Otolaryngologii M...
Removin ilness’ changes related with ORL in Laser-Clinic in 2005
Introduction: For 13 years now we use neodine – laser in our clinic. In 2005 we treated 463 patients using this laser with local anesthesia. There are 47 cases presented in article (28 women and 19 men) from who pieces o...