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Related Experiment Videos

Symptom-directed selective endoscopy: long-term efficacy.

M S Benninger1, A Shariff, K Blazoff

  • 1Department of Otolarynology-Head and Neck Surgery, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202, USA. Mbenning@HFHS.org

Archives of Otolaryngology--Head & Neck Surgery
|August 4, 2001
PubMed
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Symptom-directed, selective endoscopy effectively identifies synchronous head and neck cancers, offering a cost-effective alternative to routine panendoscopy for early tumor detection.

Area of Science:

  • Oncology
  • Otolaryngology
  • Diagnostic Imaging

Background:

  • Synchronous primary neoplasms occur in patients with head and neck mucosal squamous cell carcinoma.
  • Routine panendoscopy and radiological tests are traditionally used for detection.
  • Symptom-directed, selective endoscopy was previously proposed as an efficient, cost-effective alternative.

Purpose of the Study:

  • To evaluate the long-term success of symptom-directed, selective endoscopy in identifying synchronous primary neoplasms.
  • To assess the program's longitudinal success in clinical practice over six years.

Main Methods:

  • Review of 100 patients from the original selective endoscopy study cohort (minimum 6-month follow-up).
  • Review of a random sample of 101 subsequent patients with at least 6-month follow-up or until death.

Related Experiment Videos

  • Utilized symptom-directed evaluation, direct laryngopharyngoscopy, and chest X-rays for the new cohort.

    • Main Results:

    • No additional synchronous primary cancers were found in the original cohort, indicating initial detection was comprehensive.
    • Sixteen metachronous primary cancers were identified between 12 and 70 months post-initial evaluation.
    • Eight synchronous primary cancers were detected in the new cohort; no additional tumors emerged within six months.

    Conclusions:

    • Symptom-directed, selective endoscopy is an effective strategy for detecting synchronous primary cancers.
    • It serves as a viable alternative to routine panendoscopy in managing head and neck cancer patients.