| Autor: |
García-Curdi F; Department of Otorhinolaryngology, Hospital Obispo Polanco, Teruel, Spain., Lois-Ortega Y; Department of Otorhinolaryngology, Hospital Obispo Polanco, Teruel, Spain., Muniesa-Del Campo A; Department of Animal Pathology, Faculty of Veterinary Sciences, University of Zaragoza, Spain., Andrés-Gracia A; Department of Nuclear Medicine, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain., Sebastián-Cortés JM; Department of Otorhinolaryngology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain., Vallés-Varela H; Department of Otorhinolaryngology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain., Lambea-Sorrosal JJ; Department of Medical Oncology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain. |
| Abstrakt: |
<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>. |
