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Laryngeal radionecrosis versus recurrent cancer: a clinical approach
W F McGuirt1, K M Greven, J W Keyes
1Department of Otolaryngology, Wake Forest University Medical Center, Winston-Salem, North Carolina 27157-1034, USA.
The Annals of Otology, Rhinology, and Laryngology
|April 29, 1998
Abstract:
A group of 38 patients was studied by positron emission tomography utilizing fluorine18-labeled deoxyglucose (FDG-PET) scanning to examine the ability to differentiate postirradiation laryngeal recurrent cancer from radionecrosis. The resulting 79% correct diagnosis showed the technique to be far superior to conventional computed tomography scanning (61%) and clinical examination (43%). An algorithmic approach to evaluating and treating patients with radionecrosis and/or recurrent cancer by utilizing FDG-PET scanning is presented.