Screening for distant metastases in patients with head and neck cancer: what is the current clinical practice?
| Autor: | R. de Bree, Jonas A. Castelijns, Otto S. Hoekstra, Johannes A. Langendijk, C.R. Leemans, Jolijn Brouwer |
|---|---|
| Přispěvatelé: | VU University medical center, Damage and Repair in Cancer Development and Cancer Treatment (DARE), Guided Treatment in Optimal Selected Cancer Patients (GUTS) |
| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: |
Larynx
medicine.medical_specialty Radiography LARYNX Bone and Bones medicine Carcinoma FAILURE Humans COMPUTED-TOMOGRAPHY Neoplasm Metastasis Radionuclide Imaging Lymph node Ultrasonography medicine.diagnostic_test business.industry Head and neck cancer medicine.disease Head and neck squamous-cell carcinoma Surgery medicine.anatomical_structure Liver Otorhinolaryngology Bone scintigraphy Head and Neck Neoplasms Lymphatic Metastasis TESTS Carcinoma Squamous Cell CHEST Radiography Thoracic SQUAMOUS-CELL CARCINOMA business |
| Zdroj: | Brouwer, J, de Bree, R, Hoekstra, O S, Langendijk, J A, Castelijns, J A & Leemans, C R 2005, ' Screening for distant metastases in patients with head and neck cancer: what is the current clinical practice? ', Clinical Otolaryngology, vol. 30, no. 5, pp. 438-443 . https://doi.org/10.1111/j.1365-2273.2005.01068.x Clinical Otolaryngology, 30(5), 438-443. Blackwell Publishing Ltd Oxford, UK Clinical Otolaryngology, 30(5), 438-443. Wiley |
| ISSN: | 1749-4478 0307-7772 |
| Popis: | Objectives: The detection of distant metastases during screening influences the choice of treatment in patients with head and neck squamous cell carcinoma (HNSCC). There is no consensus on the diagnostic technique that has to be used nor on the subgroup of HNSCC patients that may benefit from screening. Design: Questionnaire on current practice concerning the diagnostic work-up in HNSCC patients for screening for distant metastases. Participants: Investigators in the 12 otolaryngology / head and neck and seven oromaxillofacial departments treating head and neck cancer in the Netherlands. Results: The response rate was 100%. Indications for screening were cervical lymph node metastases (63%), mutilating surgery (58%), locoregional recurrence (47%), advanced T-stage (32%), second primary tumour (21%). Diagnostic techniques routinely used for screening besides chest X-ray were chest CT (84%), liver ultrasound (53%), liver CT (16%) and bone scintigraphy (42%). Forty-two per cent of the clinicians were not satisfied with the current methods of screening. Conclusion: This survey shows a substantial variation in indications and diagnostic techniques used for screening for distant metastases between the major institutions treating head and neck cancer in the Netherlands. There is a need for guidelines for screening for distant metastases in patients with head and neck cancer. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|