Value of FDG PET/CT in staging of oral cancer: four simultaneous primary malignancies

Clinical Nuclear Medicine
Christian LinzChristina Bluemel

Abstract

Patients with squamous cell cancer (SCC) of the head and neck are at increased risk for second primary malignancies (SPMs). We report on a 53-year-old patient with primary diagnosis of SCC in the anterior floor of the mouth. Panendoscopy suspected an SPM of the right vocal cord. FDG PET/CT, as a whole-body imaging method, confirmed this suspicion and raised concern for further SPM of both esophagus and colon. All malignancies were confirmed by biopsy. Subsequently, the patient underwent radiochemotherapy. In summary, FDG PET/CT revealed unexpected multiple SPMs, prevented unnecessary resection of the oral SCC, and enabled individualized therapeutic management.

References

Aug 30, 2008·International Journal of Cancer. Journal International Du Cancer·Shu-Chun ChuangMia Hashibe
Dec 30, 2010·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Luc G T MorrisIan Ganly
Feb 18, 2011·Cancer Causes & Control : CCC·Luc G T MorrisIan Ganly
Oct 18, 2012·Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine·Guozeng XuZhiyi He

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Citations

Jul 18, 2018·Clinical Nuclear Medicine·Xiaodong WuLei Jiang
Aug 29, 2018·Clinical Nuclear Medicine·Xia Bai, Xuemei Wang

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