Computed tomography accelerates staging in patients with Merkel cell carcinoma
Autor: | Christos Perisanidis, Boban M. Erovic, Benjamin Loader, Stefan F. Nemec, Alexandra Fochtmann-Frana, Georg Haymerle, Elisabeth Foki |
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Rok vydání: | 2018 |
Předmět: |
Male
medicine.medical_specialty Skin Neoplasms Imaging 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Positron Emission Tomography Computed Tomography Diagnosis Ultrasound medicine Medical imaging Humans In patient Head & Neck Aged Neoplasm Staging Retrospective Studies Ultrasonography Cancer Skin Aged 80 and over business.industry Merkel cell carcinoma Retrospective cohort study General Medicine Middle Aged Computerized tomography medicine.disease Carcinoma Merkel Cell Otorhinolaryngology Positron-Emission Tomography 030220 oncology & carcinogenesis Female Lymph Nodes Neurosurgery Radiology Tomography X-Ray Computed business Algorithms |
Zdroj: | European Archives of Oto-Rhino-Laryngology |
ISSN: | 1434-4726 0937-4477 |
DOI: | 10.1007/s00405-018-5150-x |
Popis: | Purpose No imaging algorithms for diagnostic imaging in patients suffering from Merkel cell carcinoma (MCC) have been established so far and thus staging work-up is challenging. Long presentation-to-treatment intervals determine further treatment course and, consequently, have an impact on clinical outcome in patients with MCC. Methods In this retrospective study, diagnostic imaging of 37 MCC patients was analyzed. CT, ultrasound, and PET/PET–CT imaging for primary staging work-up with time frames from patients´ initial presentation and imaging until completion of tumor staging were analyzed. Results Tumor staging could be completed earlier when (1) less examinations (35 vs. 42 days) were carried out or (2) computed tomography was used as the initial imaging modality (28 vs. 35 days). Furthermore, CT imaging, when used as the initial imaging study, was linked to less follow-up imaging (3 vs. 6). Conclusion Computed tomography as the first-staging imaging technique in MCC patients leads to less follow-up studies and fastest completion of tumor staging. |
Databáze: | OpenAIRE |
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