Impact Of PET/CT On Treatment In Patients With Head And Neck Squamous Cell Carcinoma

Author:

García-Curdi Fernando1ORCID,Lois-Ortega Yolanda1ORCID,Muniesa-del Campo Ana2ORCID,Andrés-Gracia Alejandro3ORCID,Sebastián-Cortés José Miguel4ORCID,Vallés-Varela Héctor4ORCID,Lambea-Sorrosal Julio José5ORCID

Affiliation:

1. Department of Otorhinolaryngology, Hospital Obispo Polanco, Teruel, Spain

2. Department of Animal Pathology, Faculty of Veterinary Sciences, University of Zaragoza, Spain

3. Department of Nuclear Medicine, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain

4. Department of Otorhinolaryngology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain

5. Department of Medical Oncology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain

Abstract

<b><br>Introduction:</b> Although PET/CT is effective for staging HNSCC, its impact on patient management is somewhat controversial. For this reason, we considered it necessary to carry out a study in order to verify whether PET/CT helps to improve the prognosis and treatment in patients. This study was designed to address the impact of PET-FDG imaging when used alongside CT in the staging and therapeutic management of patients with HNSCC.</br> <b><br>Material and methods:</b> Data was collected from 169 patients diagnosed with HNSCC with both CT and PET/CT (performed within a maximum of 30 days of each other). It was evaluated whether discrepancies in the diagnosis of the two imaging tests had impacted the treatment.</br> <b><br>Results:</b> The combined use of CT and PET/CT led to a change in the treatment of 67 patients, who represented 39.7% of the sample. In 27.2% of cases, it entailed a change in the type of treatment which the patient received. In 3.0% of the cases, using both diagnostic tests led to modifications of the therapeutic intention of our patients.</br> <b><br>Conclusions:</b> Using PET/CT in addition to the conventional imaging method in staging resulted in more successful staging and more appropriate therapeutic decision-making.</br>

Publisher

Index Copernicus

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