2007
DOI: 10.1093/annonc/mdm270
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Combined 18F-fluorodeoxyglucose-positron emission tomography and computed tomography as a primary screening method for detecting second primary cancers and distant metastases in patients with head and neck cancer

Abstract: Background: The aim of this study was to evaluate the ability of Results: Of the 349 eligible patients (267 men and 82 women), 14 (4.0%) had second primary cancers and 26 (7.4%) had distant metastases at initial staging or during mean follow-up of 15 months after treatment. FDG-PET/CT correctly identified second cancers or distant metastases in 39 of these 40 patients; there was one false negative and 23 false positive FDG-PET/CT results. Therefore, FDG-PET/CT had a sensitivity of 97.5%, a specificity of 92.6%… Show more

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Cited by 109 publications
(90 citation statements)
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“…A robust Warburg effect in human metastatic lesions, detected with combined 18 F-fluorodeoxyglucosepositron emission tomography imaging, indicates that metastatic cells have impaired energy metabolism like that of most cancer cells [18,20,246]. Hence, invasion and metastasis can be linked to impaired energy metabolism if this impairment occurs in cells of hematopoietic or myeloid origin.…”
Section: Invasion and Metastasismentioning
confidence: 99%
“…A robust Warburg effect in human metastatic lesions, detected with combined 18 F-fluorodeoxyglucosepositron emission tomography imaging, indicates that metastatic cells have impaired energy metabolism like that of most cancer cells [18,20,246]. Hence, invasion and metastasis can be linked to impaired energy metabolism if this impairment occurs in cells of hematopoietic or myeloid origin.…”
Section: Invasion and Metastasismentioning
confidence: 99%
“…In head and neck oncology, the main clinical situations comprise the initial staging and investigation of lymph node metastatic disease (7,8) and hematogenic disease, detection of primary lesions in cases of occult primary tumors (9) , evaluation of response to radiotherapy and/or chemotherapy, and investigation of early recurrence of disease and second primary tumor. In all such conditions changes in the approach may potentially occur (10) .…”
Section: Introductionmentioning
confidence: 99%
“…1 In 39 of these 40 patients FDGPET-CT correctly picked up second cancers or distant metastasis. There was one false negative and 23 false positive result.…”
Section: 2mentioning
confidence: 98%
“…After imaging, the staging of the tumour or node is upgraded in at least 30% of cases. 1 The incidence of distant metastasis in advanced head and neck malignances is influenced by various factors like location and size of primary tumour (T), lymph node stage and local control of disease above the clavicle. Lung metastases are most common in squamous cell carcinoma accounting for around 66% other being bone.…”
Section: Introductionmentioning
confidence: 99%