Patient no. | Original tumor site | TN stage | Initial therapy | Malignancy after treatment | Site of malignancy | 18F-FDG PET detection* | Confirmation diagnosis† | Interval between18F-FDG PET and confirmation‡ | Treatment |
---|---|---|---|---|---|---|---|---|---|
1 | OC | T4N2c | CR | Recurrence | Local | 1 | Histopathology | Direct | Salvage surgery |
2 | OC | T4N0 | SR | Recurrence | Local | 1 | Histopathology | Direct | Palliative |
3 | OP | T4N2c | CR | Recurrence | Local | 1 | Histopathology | Direct | Palliative radiation |
4 | OP | T2N2b | R | Recurrence | Local | 1 | Histopathology | Direct | PDT |
5 | OC | T3N2b | SR | Recurrence | Local, pelvic bone | 1 | Histopathology, MRI | Direct | Palliative |
6 | OP | T3N0 | SR | Recurrence | Local | 1, 2, 4 | Histopathology | 9 | Palliative |
7 | OC | T2N2b | SR | Recurrence | Local, neck | 1, 2 | Histopathology, USFNAC | 3 | Palliative |
8 | OC | T1N2b | SR | Recurrence | Neck | 1, 2 | USFNAC | 3 | Salvage surgery/radiation |
9 | OP | T4N2b | SR | Recurrence | Local, neck, lung | 1 | CT | Direct | Palliative |
10 | OP | T4N2c | CR | Recurrence | Local, neck, lung | 1 | CT | Direct | Palliative |
11 | OC | T4N2c | SR | Recurrence | Local, lung, kidney | 1, 2, 3, 4 | CT, USFNAC | 9 | Palliative |
12 | OP | T2N2c | R | Recurrence | Lung/esophagus | 2, 3, 4 | Histopathology, CT | 18 | Palliative |
13 | OC | T4N1 | CR | Recurrence | Lung | 1 | CT | Direct | Palliative |
14 | OC | T4N0 | SR | Second PMT | Esophagus | 1, 2 | Histopathology | 3 | Palliative |
15 | OC | T4N2c | SR | Second PMT | Lung T4N0 | 3 | Histopathology | Direct | Lobectomy |
16 | OC | T4N0 | SR | Second PMT | Lung T3N0 | 2, 3 | Histopathology | 3 | Lobectomy |
17 | OC | T3N1 | SR | Second PMT | Lung T1N0 | 4 | Histopathology | Direct | Lobectomy |
18 | OC | T3N0 | SR | Second PMT | Lung T1N0 | 1, 2 | Histopathology | 3 | Lobectomy |
↵* 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.