Management of pulmonary nodules in head and neck cancer patients - Our experience and interpretation of the British Thoracic Society Guidelines
Autor: | John T. Murchison, Iain J. Nixon, Matthew King, Helen Reid, Andrew S. Evans, Richard Green |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Lung Neoplasms Adolescent Risk of malignancy Population Metastasis 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans education Aged Aged 80 and over education.field_of_study Lung business.industry Incidence (epidemiology) Incidence Head and neck cancer Carcinoma Solitary Pulmonary Nodule Nodule (medicine) Middle Aged medicine.disease medicine.anatomical_structure 030228 respiratory system Head and Neck Neoplasms 030220 oncology & carcinogenesis Radiological weapon Practice Guidelines as Topic Multiple Pulmonary Nodules Surgery Female Radiology medicine.symptom business Tomography X-Ray Computed Follow-Up Studies |
Zdroj: | The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland. 15(4) |
ISSN: | 1479-666X |
Popis: | Background and purpose of the study: The frequency of lung nodules in the head and neck cancer population is unknown, currently the only guidance available recommends following local policy. The aim of this study was to determine the incidence of pulmonary nodules in our head and neck cancer group and interpret the recently updated British Thoracic Society (BTS) Lung Nodule Guidelines in a head and neck cancer setting. Methods 100 patients were diagnosed with head and neck cancer between July 2013–March 2014, clinico-pathological, demographic and radiological data was extracted from the electronic records. Images with lung findings were re-reviewed by a single consultant radiologist for patients with lung pathology on the initial staging CT report. Results Twenty patients (20%) had discreet pulmonary findings on CT. Eleven (11%) had lung nodules, 6 (6%) had lesions suspicious for metastasis and 3 (3%) had co-incidental bronchogenic primary cancers. These patients were re-imaged between 6 and 18 months and in 1 patient the previously identified 7 mm nodule had progressed to 16 mm at 1 year. There was no set follow up imaging protocol used. Conclusion The MDT in NHS Lothian has reviewed the BTS guidance and now has a local policy for the management of lung nodules in head and neck cancer patients. Lung Nodules in the head and neck cancer population are common >10%. Higher risk patients with larger nodules should be risk assessed with validated assessment tools. PET-CT has a place in the assessment of lung nodules when risk of malignancy is high. |
Databáze: | OpenAIRE |
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