Initial staging of squamous cell carcinoma of the oral cavity, larynx and pharynx (excluding nasopharynx). Part 2: Remote extension assessment and exploration for secondary synchronous locations outside of the upper aerodigestive tract. 2012 SFORL guidelines.

Erwan De Monès; Chloé Bertolus; Pierre-Yves Salaun; F. Dubrulle; J. C. Ferrié; S. Temam; D. Chevalier; S. Vergez; F. Lagarde; P. Schultz; M. Lapeyre; B. Barry; S. Tronche; D. De Raucourt; S. Morinière

doi:10.1016/j.anorl.2012.09.003

Initial staging of squamous cell carcinoma of the oral cavity, larynx and pharynx (excluding nasopharynx). Part 2: Remote extension assessment and exploration for secondary synchronous locations outside of the upper aerodigestive tract. 2012 SFORL guidelines.

Erwan De Monès ^{1, *} Chloé Bertolus ^{2, 3} Pierre-Yves Salaun ^{4, 5} F. Dubrulle ⁶ J. C. Ferrié ⁷ S. Temam ⁸ D. Chevalier ⁹ S. Vergez ¹⁰ F. Lagarde ¹¹ P. Schultz ¹² M. Lapeyre ¹³ B. Barry ¹⁴ S. Tronche ¹⁵ D. De Raucourt ¹⁶ S. Morinière ¹⁷

* Auteur correspondant

1 Service d'ORL

2 Department of Maxillofacial Surgery

3 PARIS - PSL - Chir Maxillo-Faciale - Service de Chirurgie Maxillo-Faciale

4 Department of Nuclear Medicine

5 GETBO - Groupe d'Etude de la Thrombose de Bretagne Occidentale

6 LILLE - Radio - Service de Radiologie

7 POITIERS - Radio - Service de Radiologie

8 VILLEJUIF - ORL et CCF - Service d'ORL et de Chirurgie Cervico-Faciale

9 LILLE - ORL et CCF - Service d'ORL et de Chirurgie Cervico-Faciale

10 Department of Head and Neck Surgery

11 ORLEANS - ORL et CCF - Service d'ORL et de Chirurgie Cervico-Faciale

12 STRASBOURG - ORL et CCF - Service d'ORL et de Chirurgie Cervico-Faciale

13 CLERMONT FERRAND - Radiothérapie - Service de Radiothérapie

14 PARIS - BICHAT - ORL et CCF - Service d'ORL et de Chirurgie Cervico-Faciale

15 SFORL - SFORL

16 CAEN - ORL et CCF - Service d'ORL et de Chirurgie Cervico-Faciale

17 TOURS - ORL et CCF - Service d'ORL et de Chirurgie Cervico-Faciale

Abstract : OBJECTIVES: This report presents the French Society of ORL (SFORL) guidelines for exploration for remote metastasis and synchronous second cancer in initial staging of head and neck squamous cell carcinoma. MATERIALS AND METHODS: An exhaustive literature review was analyzed by a multidisciplinary work-group. RESULTS: The thorax is the most frequent location of remote metastases and synchronous second cancer outside of the upper aerodigestive tract. Thoracic CT is recommended as first-line examination in all cases (grade B). 18-FDG PET/CT is recommended when the thoracic CT image is doubtful or in case of high metastatic risk (grade B), for the detection of non-pulmonary remote metastasis. Esophageal exploration is recommended in case of significant risk of synchronous esophageal cancer (hypopharyngeal or oropharyngeal tumor, chronic alcohol intoxication) (grade B). The reference examination is flexible endoscopy of the upper digestive tract (grade B). CONCLUSION: The present grade B recommendations rationalize the roles of the various first-line radiological and endoscopic examinations for remote metastasis and synchronous second cancer, so as to limit the number of examinations performed, thereby reducing the time needed for initial staging.

Type de document :

Article dans une revue

Eur Ann Otorhinolaryngol Head Neck Dis, 2013, 130 (2), pp.107-12. 〈10.1016/j.anorl.2012.09.003〉

Domaine :

Sciences du Vivant [q-bio]

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http://hal.univ-brest.fr/hal-00933898
Contributeur : Ghislaine Calvez <>
Soumis le : mardi 21 janvier 2014 - 11:56:11
Dernière modification le : mardi 27 mars 2018 - 15:22:02

Initial staging of squamous cell carcinoma of the oral cavity, larynx and pharynx (excluding nasopharynx). Part 2: Remote extension assessment and exploration for secondary synchronous locations outside of the upper aerodigestive tract. 2012 SFORL guidelines.

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Initial staging of squamous cell carcinoma of the oral cavity, larynx and pharynx (excluding nasopharynx). Part 2: Remote extension assessment and exploration for secondary synchronous locations outside of the upper aerodigestive tract. 2012 SFORL guidelines.

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