Significance of SUV Max for Predicting Occult Lymph Node Metastasis and Prognosis in Early-Stage Tongue Squamous Cell Carcinoma

被引:9
|
作者
Xu, Chunmiao [1 ]
Li, Hailiang [1 ]
Seng, Dongjie [2 ]
Liu, Fei [3 ]
机构
[1] Zhengzhou Univ, Henan Canc Hosp, Affiliated Canc Hosp, Dept Radiol, Zhengzhou, Peoples R China
[2] Zhengzhou Univ, Childrens Hosp, Dept Otorhinolaryngol, Zhengzhou, Peoples R China
[3] Zhengzhou Univ, Dept Oral Med, Affiliated Hosp 1, Zhengzhou, Peoples R China
关键词
AMERICAN JOINT COMMITTEE; NECK DISSECTION; ORAL-CAVITY; HEAD; PET; IMPACT; ACCURACY; CANCER;
D O I
10.1155/2020/6241637
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective. Our goal was to clarify the significance of SUV max for predicting occult lymph node metastasis and prognosis in early-stage tongue squamous cell carcinoma (SCC). Methods. cT1-2N0 tongue SCC patients who underwent a preoperative PET-CT examination were prospectively enrolled. The association between SUV max and occult lymph node metastasis was analyzed. The main study endpoint was locoregional control (LRC). The Cox model was used to determine the independent factors. Results. A total of 120 patients were included for analysis, and the median SUV max was 9.7. In 60 patients with an SUV max <= 9.7, 5 patients had occult metastasis; in 60 patients with an SUV max >9.7, 13 patients had occult metastasis, and the difference was significant (p=0.041). In patients with an SUV max <= 9.7, the 5-year LRC rate was 93%; in patients with an SUV max >9.7, the 5-year LRC rate was 81%, and the difference was significant (p=0.045). Conclusion. An SUV max >9.7 was a marker for occult lymph node metastasis and could decrease LRC in patients with cT1-2N0 tongue SCC.
引用
收藏
页数:6
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