Abstract

Limited PET/CT– A New Concept in Follow-up of Head and Neck Cancer Patients

Highlights

  • Fluorine-18 Fluorodeoxyglucose (FDG) Positron emission tomography/Computed tomographic (PET/CT) imaging is used to identify metabolically active primary and metastatic cancers

  • The diaphragm distant metastasis was not seen in the absence of lung metastasis

  • Limited PET/CT from top of the head to the waist level may be sufficient in follow up of early stage head and neck cancer patients in the absence of pulmonary, lymph node or bony metastasis in the chest on initial staging scan due to the unlikely possibility of missing distant below the diaphragm metastasis

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Summary

Introduction

Fluorine-18 Fluorodeoxyglucose (FDG) Positron emission tomography/Computed tomographic (PET/CT) imaging is used to identify metabolically active primary and metastatic cancers. In head and neck cancers distant metastasis to lung is most common followed by bone and liver. Head and neck cancers comprise 5% of all malignancies [1]. The incidence of distant metastasis in head and neck cancer is relatively small compared to other malignancies, but once discovered their long term survival is poor [2]. Some head and neck cancers are seen with advanced stage disease at initial presentation. Lung is the most frequent site of distant metastasis (66%) in squamous cell cancer (SCC) of head and neck; other sites are bone 22%, and liver 10%. Majority of distant metastasis occur within the first 2 years of initial diagnosis [4] and is usually associated with poorly differentiated cancers

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