TABLE 2

Characteristics of Recurrences, Distant Metastases, and Second Primary Tumors That Developed in Study Population After Treatment

Patient no.Original tumor siteTN stageInitial therapyMalignancy after treatmentSite of malignancy18F-FDG PET detection*Confirmation diagnosisInterval between18F-FDG PET and confirmationTreatment
1OCT4N2cCRRecurrenceLocal1HistopathologyDirectSalvage surgery
2OCT4N0SRRecurrenceLocal1HistopathologyDirectPalliative
3OPT4N2cCRRecurrenceLocal1HistopathologyDirectPalliative radiation
4OPT2N2bRRecurrenceLocal1HistopathologyDirectPDT
5OCT3N2bSRRecurrenceLocal, pelvic bone1Histopathology, MRIDirectPalliative
6OPT3N0SRRecurrenceLocal1, 2, 4Histopathology9Palliative
7OCT2N2bSRRecurrenceLocal, neck1, 2Histopathology, USFNAC3Palliative
8OCT1N2bSRRecurrenceNeck1, 2USFNAC3Salvage surgery/radiation
9OPT4N2bSRRecurrenceLocal, neck, lung1CTDirectPalliative
10OPT4N2cCRRecurrenceLocal, neck, lung1CTDirectPalliative
11OCT4N2cSRRecurrenceLocal, lung, kidney1, 2, 3, 4CT, USFNAC9Palliative
12OPT2N2cRRecurrenceLung/esophagus2, 3, 4Histopathology, CT18Palliative
13OCT4N1CRRecurrenceLung1CTDirectPalliative
14OCT4N0SRSecond PMTEsophagus1, 2Histopathology3Palliative
15OCT4N2cSRSecond PMTLung T4N03HistopathologyDirectLobectomy
16OCT4N0SRSecond PMTLung T3N02, 3Histopathology3Lobectomy
17OCT3N1SRSecond PMTLung T1N04HistopathologyDirectLobectomy
18OCT3N0SRSecond PMTLung T1N01, 2Histopathology3Lobectomy
  • * PET 1, 2, 3, and 4 refer to PET performed at 3, 6, 9, and 12 mo after therapy, respectively.

  • Diagnosis of recurrence or second primary tumor was based on histopathology, or if histopathology was not available, on clinical follow-up and imaging.

  • Time of diagnosis confirmation in months after first suggestion by PET return. For patient 6, PET 3 was cancelled because of rehabilitation after lobectomy, and for patient 11, PET 4 also detected carcinoma of kidney.

  • OC = oral cavity; CR = chemoradiation; SR = combination of surgery and radiotherapy; OP = oropharynx; R = radiotherapy; PDT = photodynamic therapy; USFNAC = ultrasound-guided fine-needle aspiration cytology; PMT = primary tumor.