2012
DOI: 10.1002/lary.22428
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Utility of positron‐emission tomography/computed tomography imaging in the management of the neck in recurrent laryngeal cancer

Abstract: We believe that this false negative rate is too high to warrant deferring neck dissection based on PET/CT, and we recommend that patients who are clinically N0 for recurrent laryngeal cancer be offered neck dissection along with salvage laryngectomy.

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Cited by 21 publications
(18 citation statements)
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References 21 publications
(31 reference statements)
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“…However, (chondro)radionecrosis and recurrent tumor may coexist. Fluorodeoxyglucose positron emission tomography has a high negative predictive value but is burdened with a high number of false positives [21][22][23]. DWI has the potential to differentiate radionecrosis and tumor recurrence [24] although -occasionally -fungal infection, pus, and dense necrotic debris along the walls of ulcerated lesions may cause signal restriction leading to false positive interpretation.…”
Section: Magnetic Resonance In the Follow-up Of The Treated Laryngealmentioning
confidence: 98%
“…However, (chondro)radionecrosis and recurrent tumor may coexist. Fluorodeoxyglucose positron emission tomography has a high negative predictive value but is burdened with a high number of false positives [21][22][23]. DWI has the potential to differentiate radionecrosis and tumor recurrence [24] although -occasionally -fungal infection, pus, and dense necrotic debris along the walls of ulcerated lesions may cause signal restriction leading to false positive interpretation.…”
Section: Magnetic Resonance In the Follow-up Of The Treated Laryngealmentioning
confidence: 98%
“…Additionally, PET‐CT is increasingly used to improve the accuracy of staging in recurrent laryngeal cancer . Although the ability of PET‐CT to detect nodal metastasis in other tumors has been addressed, the predictive value of PET‐CT in detecting nodal disease in patients with recurrent laryngeal cancer has not been well studied . The purpose of this study was to evaluate the predictive value of PET‐CT in identifying nodal metastasis in patients with recurrent laryngeal carcinoma with a clinically and radiographically N0 neck.…”
Section: Introductionmentioning
confidence: 99%
“…30 Although the ability of PET-CT to detect nodal metastasis in other tumors has been addressed, the predictive value of PET-CT in detecting nodal disease in patients with recurrent laryngeal cancer has not been well studied. 15,16,21,[29][30][31][32][33][34][35][36][37] The purpose of this study was to evaluate the predictive value of PET-CT in identifying nodal metastasis in patients with recurrent laryngeal carcinoma with a clinically and radiographically N0 neck. The overall goal was to assess the ability of PET-CT to discriminate the need for elective neck dissection.…”
Section: Introductionmentioning
confidence: 99%
“…If the findings are negative, they undergo CECT alone 6 months later, and if these findings are negative, they undergo CECT alone 12 months later. Although studies have investigated PET/CT for surveillance, [7][8][9] ordering practices among treating physicians remain variable. The 2015 National Comprehensive Cancer Network recommendations advocate imaging within 6 months for T3/4 primary tumors or N2/3 nodal disease and then additional imaging only for new signs/symptoms, smoking, or areas inaccessible to clinical inspection (the latter being arbitrary and difficult to apply).…”
mentioning
confidence: 99%