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Study
Lessons from a standardized program using PET-CT to avoid neck dissection after primary
radiotherapy for N2 squamous cell carcinoma of the oropharynx.
Hitchcock et al., Florida College of Medicine
Oral Oncol. 2015 Jul 8.
Design
Changed clinical practice to LND, from CT+
(4wk)
to FDG-PET+
(12wk)
Monitored in a prospective trial
Current evaluation:
50 first consecutive patients with:
Oropharyngeal carcinoma (mainly tongue base / tonsil)
N2a-b (retropharyngeal nodes included)
Suitable candidates for neck dissection
LND at positive or equivocal PET at 12 weeks
Follow-up at least 1 year after PET (regular CT+palpation)