Laryngeal radionecrosis versus recurrent cancer: A clinical approach

被引:31
作者
McGuirt, WF
Greven, KM
Williams, DW
Keyes, JW
Watson, N
机构
[1] Wake Forest Univ, Baptist Med Ctr, Dept Otolaryngol, Winston Salem, NC 27103 USA
[2] Wake Forest Univ, Baptist Med Ctr, Dept Radiat Therapy, Winston Salem, NC 27103 USA
[3] Wake Forest Univ, Baptist Med Ctr, Dept Radiol, Winston Salem, NC 27103 USA
关键词
algorithm; FDG-PET scanning; larynx; postirradiation necrosis; radionecrosis; recurrent cancer;
D O I
10.1177/000348949810700406
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
A group of 38 patients was studied by positron emission tomography utilizing fluorine(18)-labeled deoxyglucose (FDG-PET) scanning to examine the ability to differentiate postirradiation laryngeal recurrent cancer from radionecrosis. The resulting 79% correct diagnosis showed the technique to be far superior to conventional computed tomography scanning (61%) and clinical examination (13%). An algorithmic approach to evaluating and treating patients with radionecrosis and/or recurrent cancer by utilizing FDG-PET scanning is presented.
引用
收藏
页码:293 / 296
页数:4
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