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 CCF - Département de cancérologie cervico-faciale [Gustave Roussy]
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〉
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https://hal.univ-brest.fr/hal-00933898
Contributeur : Ghislaine Calvez <>
Soumis le : mardi 21 janvier 2014 - 11:56:11
Dernière modification le : vendredi 15 février 2019 - 13:58:16

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Erwan De Monès, Chloé Bertolus, Pierre-Yves Salaun, F. Dubrulle, J. C. Ferrié, et al.. 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.. Eur Ann Otorhinolaryngol Head Neck Dis, 2013, 130 (2), pp.107-12. 〈10.1016/j.anorl.2012.09.003〉. 〈hal-00933898〉

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