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

García-Curdi, Fernando ; Lois-Ortega, Yolanda ; Muniesa-del Campo, Ana (Universidad de Zaragoza) ; Andrés-Gracia, Alejandro (Universidad de Zaragoza) ; Sebastián-Cortés, José Miguel (Universidad de Zaragoza) ; Vallés-Varela, Héctor ; Lambea-Sorrosal, Julio José (Universidad de Zaragoza)

Resumen: Introduction: 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.

Material and methods: 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.

Results: 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.

Conclusions: Using PET/CT in addition to the conventional imaging method in staging resulted in more successful staging and more appropriate therapeutic decision-making.

Idioma: Inglés

DOI: 10.5604/01.3001.0054.2561

Año: 2024

Publicado en: Otolaryngologia Polska 78, 2 (2024), 29-34
ISSN: 0030-6657

Tipo y forma: Article (Published version)

Área (Departamento): Área Radiol. y Medicina Física (Dpto. Microb.Ped.Radio.Sal.Pú.)
Área (Departamento): Área Sanidad Animal (Dpto. Patología Animal)
Área (Departamento): Área Otorrinolaringología (Dpto. Cirugía)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)